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SITE INFORMATION AND CORRESPONDENCE
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2900 - Site Mitigation Program
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PR0522786
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/30/2020 3:10:30 PM
Creation date
6/30/2020 1:55:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0522786
PE
2950
FACILITY_ID
FA0015536
FACILITY_NAME
ARROYOS SMOG SHOP
STREET_NUMBER
3012
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14313024
CURRENT_STATUS
01
SITE_LOCATION
3012 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Victor& Erlinda Hernandez -2 <br /> • Submit a copy of the permits to own or operate the UST from the local regulatory agency(Air <br /> Pollution permits are not acceptable) dated prior to the permit removal. <br /> • Submit a removal permit for all underground storage tanks listed in claim application(we are in <br /> receipt of a permit application). <br /> • Claimant is requesting priority class "C" and must submit documentation verifying that claimant does <br /> not employ more than 500 full time or part time employees. Submit documentation supporting the <br /> number of employees (i.e. Department of Employment Development(13E6) for the last quarter.,If <br /> you have no employees, submit an originally signed/dated declaration letter stating so. <br /> •� Your Certification of financial Responsibility form is being returned for completion�Please u <br /> complete the highlighted area in•section A. Send the original to the local permitting agency and send <br /> a copy to the Fund along with other information requested in this letter. <br /> • Provide a copy of the UST Unauthorized Release (LEAK) Contamination Site Report for the release <br /> on 7/19/04(we are in receipt.of the LEAK Report dated 3/8/99-which received closure on 9/19/02 per <br /> Geo Tracker). <br /> NOTE: Failure to respond to this request within thirty(30)calendar days from the date of this letter may <br /> result in an ineligibility determination of your claim. <br /> If you have any questions,please contact me at(916)341-5761. <br /> Sincerely, <br /> - <br /> Barbara Rempel <br /> Claims Review Unit <br /> Underground Storage Tank Cleanup Fund <br /> I <br /> cc: Mr. Gordon Boggs Ms. Margaret Lagorio <br /> RWQCB,Reg. 5 - Sacramento San Joaquin County EHD <br /> 11020 Sun Center Drive P.O. Box 2009 <br /> Rancho Cordova, CA 95670 Stockton, CA 95201 <br /> i <br /> CaGfonaia En vironment&Protection Agency <br /> ��Recyc%d Paper <br />
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