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ARCHIVED REPORTS
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EHD Program Facility Records by Street Name
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4511
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3500 - Local Oversight Program
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PR0545641
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ARCHIVED REPORTS
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Last modified
5/5/2020 3:06:11 PM
Creation date
5/5/2020 2:11:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
RECORD_ID
PR0545641
PE
3528
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
02
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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r, <br /> r <br /> DETAILED REV! W CHECKLIST -- CONTD PAGE 2 <br /> CLAIM NO. _10 LOCAL AGENCY NO. <br /> CLAIMANT INFORMATION ACC AEJ. I HOW INFORMATION WAS VERIFIED <br /> B. Priority Class 8 <br /> Financial Review Team has determined <br /> that the claimant oualifies for Priority Class B. <br /> C. PriGFity Class C <br /> Financial Review Team has determined <br /> that the claimant qualifies for Priority Class C. <br /> IX. Eligibility Requirements* .. <br /> ' <br /> 1. UAR reporting requirements satisfied and r <br /> date release discovered verified? r <br /> 2. If property acquired after 1/1/84, claimant f <br /> exercised due diligence or x I A <br /> previous owner was eligible 1`r <br /> 3. Claimant either had or applied for a permit <br /> by 1/1/30,or was able to <br /> substantiate why not obtained? <br /> 4. UST is not grossly out of compliance with /�,� <br /> permit requirements? +N.I <br /> 5.Claimant was required to initiate <br /> corrective action? <br /> 6. If claimant discovered UAR prior to 1/1/88 <br /> required corrective action was <br /> initiated on or before 6/30/88? <br /> 7. Corrective action is in compliance with <br /> regulatory r uirements? I SEE PAGE 3 OF CHECKLIST <br /> 8.Claimant is in compliance with financial <br /> responsibility requirements? } <br /> X--XI1. Certifi cation s/A reementslStatements/Verification) <br /> 1. Claim contains original signatures of all <br /> claimants and joint claimants? <br /> 2. Required documentation was submitted for h <br /> authorized representative? !Z <br /> PROBLEM AREAS AND ANY ADDITIONAL COMMENTS <br /> •Compliance with requirements for items listed in Section V. (Contamination Site/Occurrence Description) and Section IX. (Eligibility Requirements) <br /> may require lead agency confirmation. Any items that cannot be verified through the applicant and which will require lead agency review and <br /> confirmation, should be highlighted for further review. In all cases lead agency confirmation of corrective action compliance will be required. <br />
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