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State Water Resources Control jioard <br /> 0 <br /> �.. <br /> l <br /> Division of Financial Assistance' i;`t(iLt�i_ 1 <br /> ' <br /> 1001 1 Street•Sacramento,California 95814 .o.�,• <br /> Winston H.Hickox P.O.Box 944212•Sacramento,California•942 <br /> Secretaryfor (916)341-5761 • FAX(916)341-5806 • www.swrcb.ca. 4- IQtcfPM 3: 16 Gray Davis <br /> Environmental <br /> Governor <br /> Protection The energy challenge facing California is real. Every Californian needs to take immediate action to reduce energy consumption. <br /> For a list of simple ways you can reduce demand and cut your energy costs,see our website at www.swrcb.ca.gov. <br /> September 26, 2003 <br /> Khaled Anber <br /> P O Box 2121 <br /> Mill Valley, CA 94942 <br /> UNDERGROUND STORAGE TANK CLEANUP FUND (FUND), FINAL REQUEST FOR <br /> FURTHER DOCUMENTATION DUR.rNG INITLkL REVIEW: CLAIM NUMBER 017732; FOR SITE <br /> ADDRESS: 4040 E MAIN ST, STOCKTON <br /> This letter is a final request and in follow up to a letter the Cleanup Fund mailed to you on July 14, 2003. <br /> After reviewing your claim application to the Cleanup Fund,we find that the following additional <br /> information is needed to determine your eligibility for placement on the Priority List: <br /> • Page four(4)of your claim application was incomplete. Please complete sections B & C under Other <br /> Sources of Funds. <br /> • Page five (5) of your claim application was incomplete. Please complete the section Priority Class B <br /> —Small Business. <br /> • Page five (6) of your claim application was incomplete. Please complete the sections under Financial <br /> Responsibility for Compliance Date and Mechanism. <br /> • Claimants who acquire sites after January 1, 1990,must complete the enclosed Claimant Certification <br /> of Compliance with Fund Regulations Section 2811(a)(1)-(2) and 2810.1(c) form. <br /> AND <br /> • A copy of the permit to own or operate the UST from the local implementing agency dated between <br /> January 1, 1984 and January 1, 1990 (pursuant to Chapter 6.7 of the Health and Safety Code). <br /> • Claimant is required to have current financial responsibility documents on file. Enclosed is a <br /> Financial Responsibility Guide that explains the requirements. The Certification form is tabbed for <br /> your convenience and must be completed along with the applicable supporting documents. Please <br /> submit the original documents to the local regulatory agency and forward a copy to the Fund. <br /> • Claimant must provide the following for the purchase of the site: <br /> 1. Purchase Offer <br /> 2. Purchase Agreement (final) <br /> 3. Appraisal Report <br /> 4. Escrow Instructions <br /> • Claimant is required to provide documentation that all current and prior UST fees due on or after <br /> January 1, 1991 imposed by Section 25299.41 of the Health and Safety Code have been paid. If any <br /> California Ea vironmentaiProtectiou Agev,ry <br /> zZa� Recvc%dPaper <br />