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State Water Resources Contro Board "�° '�• <br /> Division of Financial Assistance <br /> 1001 1 Street•Sacramento,California 95814 <br /> Terry Tamminen P.O.Box 944212•Sacramento,California•94244-2120 •'e.x <br /> Secretary for (916)341-5761 s FAX(916)341-5806 • www.swrcb.ca.gov/cwphoTne/ustcf Arnold Schivaizenegger <br /> Environmental Governor <br /> Protection <br /> November 4, 2004 HIE IE� ' r�n <br /> E.R. Vine And Sons NOY 0 f. A4 <br /> Rich Erickson EN1/1RONMB4; , STN <br /> 2825 Railroad Ave PERMIT/SEl�y iu; S <br /> Ceres, CA 95307 <br /> UNDERGROUND STORAGE TANK CLEANUP FUND ff UND),REQUEST FOR FURTHER <br /> DOCUMENTATION DURING INITIAL REVIEW: CLAIM NUMBER 018200; FOR SITE <br /> ADDRESS: 4733 HWY 99 S,FRONTAGE RD, STOCKTON <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 the section under Other <br /> Sources of Funds (sections B &C). <br /> • Page six (6)of your claim application was-incomplete. Please complete the section under Financial <br /> Responsibility Compliance Date(refer to the enclosed document to determine appropriate date). <br /> • On page seven (7) of your claim application,please list titles of those signing this page or their <br /> affiliation with claimant(cannot be a consultant working on project). Please note that both signatures <br /> on this page must be included on any Fund documents unless a Power Of Attorney form (enclosed) is <br /> completed. Therefore, the Non-Recovery From Other Sources Disclosure Certification form signed <br /> by Risse M. Keys would be unacceptable. This form is not required at this time. We will request it in <br /> the future along with some additional documents just prior to issuing your Letter of Commitment. <br /> However,it will need to be signed by all claimant(s), same person(s) that signed page seven (7)of <br /> your claim application, or an authorized Power of Attorney. <br /> • Submit a map drawn to scale that shows all underground storage tank locations, a north arrow and <br /> distances relative to the nearest public road. <br /> • Your Certification of Financial Responsibility(CFR) form is being returned for completion. The <br /> attachment was incomplete (did not include Coverage Period),and the CFR needs the signature of a <br /> witness or notary. <br /> • Copy of the first letter from the local regulatory agency naming you a responsible party and directing <br /> you to cleanup the contamination at the subject site. <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 /> of the USTs owned or operated had product placed in them on or after January 1, 1991, attach the <br /> California En vironmentalProtectian Agency <br /> �a ReeydedPaper <br />