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PUBLIC HEALTH SERVICES <br /> SAN f OAQUIN COUNTY x< <br /> N; .. <br /> f OGI KHANNA NIR.N1.P H. <br /> Health OfficerP <br /> P.O. Box 2009 • (1601 .East Hazelton Avenue) 0 Stockton,California 95201 4cf�OAa <br /> (209) 468-3400 <br /> RAYMOND QUARESMA C(D Fly <br /> JAN 0 $ 1992 <br /> 26290 S UNION ROAD <br /> MANTECA CA 95336 <br /> RE: QUARESMA AND MOTHERSHED SITE CODE: 9066 <br /> 91 E THOMSEN CONTRACTOR #: 39000 <br /> LATHROP CA 95330 <br /> The attached "Notice of Reimbursement" is official notification that your site has been assigned to the San <br /> Joaquin County Public Health Services, Environmental Health Division's Local UST Oversight Program <br /> for oversight of assessment and clean up activities at contaminated underground tank sites. <br /> Fees for review activities and inspections associated with contaminated site assessment activities will not be <br /> billed by this office. The State Water Resource Control Board (SWRCB) will invoice you directly for <br /> activities performed under the auspices of the Local UST Oversight Program. The goal of the site <br /> evaluation performed by Public Health Services Environmental Health Division (PHS/EHD) is to certify <br /> closures of underground tank leakage sites. Closure certification occurs only after mitigation activities are <br /> completed. <br /> A Letter or Acknowledgment is enclosed for your completion and return. Your acknowledgment of the <br /> placement of your site into the Local UST Oversight Program as stated above is respectfully requested. In <br /> addition, the individual or individuals authorizing the continued investigation shall provide identification <br /> with respect to their title of authority. <br /> In addition, this Acknowledgment indicates that the "Regional Board Staff Recommendations For Initial <br /> Evaluation and Investigation of Underground Tanks" and "Appendix A" reporting format and the LUFT <br /> Manual will be utilized as guidance documents in the preparation of work plans and/or reports. <br /> If you have any questions or there are any corrections in the responsible party information, contact <br /> Mary Meays, EHS, at 209) 468-3441. <br /> Jogi Khanna, M , M.P.H. <br /> Health Office <br /> fCotulla, REHS, Program Manager <br /> ental Health Division <br /> :Ib <br /> WRCB, Underground Storage Tank Section <br /> c: CRWQCB, Central Valley Region <br /> r + J A Division of sin Joaquin County Heath Care ServiCcs r <br /> RESPONSIBLE PA1Crx : itt.sriviru ri tip+ �•� •• -- <br /> CONTACT: RAYMOND M QUARESMA <br /> ADDRESS: 26290 S UNION ROAD <br /> CITY: MANTECA STATE: CA ZIP: 95336 <br /> Whereas the federal Petroleum Leaking Underground Storage Tank <br /> Trust fund provides funding to pay the local and state agency <br /> administrative and oversight costs associated with the cleanup of <br /> releases from underground storage tanks; and Whereas the <br /> Legislature has authorized funds to pay the local and state agency <br /> administrative and oversite costs associated with the cleanup of <br /> releases from underground storage tanks; and Whereas the direct and <br /> indirect costs of overseeing removal or remedial action at the <br /> above site are funded, in whole or in part, from the federal Trust <br /> Fund; and Whereas the above individual(s) or entity(ies) have been <br /> identified as the party or parties responsible for investigation <br /> and cleanup of the above site; YOU ARE HEREBY NOTIFIED that <br /> pursuant to Title 42 of the United States Code, Section 6991b(h) (6) <br /> and Sections 25297 .1 and 25360 of the Health and Safety Code, the <br /> above Responsible Party or Parties shall reimburse the State Water <br /> Resources Control Board not more than 150 percent of the total <br /> amount of site specific oversight costs actually incurred while <br /> overseeing the cleanup of the above underground storage tank site, <br /> and the above Responsible Party or Parties shall make full payment <br /> of such costs within 30 days of receipt of a detailed invoice from <br /> the State Water Resources Control Board. <br /> CONTRACT JECT DIRECTOR: <br /> y <br /> 209 468-3450 DATE: <br /> gnature Telephone Number <br /> STANDARD FORM UST03 (7/90) <br /> .� <br /> t <br />