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A , <br /> •'�" SAN JOAQT COUNTY ENVIRONMENTAL HEALTIPARTMENT <br /> LOCAL OVERSIGHT PROGRAM <br /> Responsible Party Information as of 4/24/2008 <br /> LOP SITE FILE]NFORMATION <br /> Case# 0001718 <br /> 'Local Agcy use Only t <br /> Remedial Oversight <br /> Site Name TOSCO CIO CONGO PHILLIPS Rech-d ID R000017�18 ; <br /> Location 2375 TRACY BLVD Site Record ID SD0001703 <br /> f <br /> TRACY,CA 95376 Facility Record ID FA0006827 <br /> Phone 714-670-5303 CurrentSte Business BP/MOBIL SERVICE S_T_ATION <br /> ., APN23207003 Y ~ <br /> The following information is currently on file with this Department. The Primary Responsible Party <br /> identified below will be responsible for payment of invoices for direct oversight charges associated with this <br /> site. If this billing information is not accurate, please make necessary changes in the space provided, date, <br /> sign and return this form. <br /> i <br /> Make changesicorrections in RED ink or pencil. <br /> RESPONSIBLE PARTY INFORMATION RP INFORMATION CHANGE(date) <br /> PRI-RP has been named a Primary RP. 1 <br /> Business Name CONOCOPHILLIPS <br /> Contact SHELBY LATHROP <br /> , <br /> Address 76 BROADWAY <br /> SACRAMENTO,CA 95818 <br /> Phone (916)714-2910 <br /> 4;�oo33�o3C <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator,primary responsible party, or agent of same,acknowledge that all <br /> site,and/or project specific, EHD hourly charges associated with this site will be billed to the party identified as the PRIMARY RESPONSIBLE PARTY on this <br /> form. I also certify that all operations will be performed in accordance with all applicable Ordinate Codes and/or Standards and State and/or Federal Laws. <br /> PRINTED NAME: TITLE: <br /> REPRESENTING: <br /> SIGNATURE: Date / 1 <br /> Report#8021 Date 4/2412008 <br />