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State Water Resources Control Board e f'1 D1 e m Division of Financial Assistance 1001 I Street•Sacramento,California 95814 Winston H.Hickox P.O.Box 944212•Sacramento,California•94244-2120 Secretaryfor (916)341-5761 . FAX(916)341-5806 • www.swrcb.ca.gov/cwphome/ustcf Grav Davis Environmental Governor Protection The energy challenge facing California is real. Every Californian needs to take immediate action to reduce energy consumption. For a list of simple ways you can reduce demand and cut your energy costs,see our website at www.s?w cb.cn.gov.� n�� July 14,2003 JUL 2 1 2003 FNVIR pNM led OaBox 2121 PERMirIs R HEA TH Mill Valley, CA 94942 CES UNDERGROUND STORAGE TANK CLEANUP FUND(FUND), REQUEST FOR FURTHER DOCUMENTATION DURING INITIAL REVIEW: CLAIM NUMBER 017732; FOR SITE ADDRESS: 4040 E MAIN ST, STOCKTON After reviewing your claim application to the Cleanup Fund, we find that the following additional information is needed to determine your eligibility for placement on the Priority List: • Page four(4) of your claim application was incomplete. Please complete sections B&C under Other Sources of Funds. • Page five (5) of your claim application was incomplete. Please complete the section Priority Class B —Small Business. • Page five(6) of your claim application was incomplete. Please complete the sections under Financial Responsibility for Compliance Date and Mechanism. • Claimants who acquire sites after January 1, 1990,must complete the enclosed Claimant Certification of Compliance with Fund Regulations Section 2811(a)(l)-(2) and 2810.1(c) form. AND • A copy of the permit to own or operate the UST from the local implementing agency dated between January 1, 1984 and January 1, 1990 (pursuant to Chapter 6.7 of the Health and Safety Code). • Claimant is required to have current financial responsibility documents on file. Enclosed is a Financial Responsibility Guide that explains the requirements. The Certification form is tabbed for your convenience and must be completed along with the applicable supporting documents. Please submit the original documents to the local regulatory agency and forward a copy to the Fund. • Claimant must provide the following for the purchase of the site: 1. Purchase Offer 2. Purchase Agreement(final) 3. Appraisal Report 4. Escrow Instructions • Claimant is required to provide documentation that all current and prior UST fees due on or after January 1, 1991 imposed by Section 25299.41 of the Health and Safety Code have been paid. If any of the USTs owned or operated had product placed in them on or after January 1, 1991, attach the most recent copy of the UST Fee Return Form filed with the State Board of Equalization (BOE)with California Ea vironmental Protection Agency �a� Recvc%d Paper