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r II <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> LOCAL OVERSIGHT PROGRAM <br /> p Responsible Party Information as of 6/15/2005 <br /> I � <br />` LOP SITE PILE INFORMATION <br /> - Case# <br /> Site Name ARCO STATION#5469r�l =' <br /> ltdr�9 I S Q71Q <br /> Location 130 S WILSON WAY <br /> STOCKTON,CA 95205 EIltly W3'1G� I, <br /> 9 <br /> Phone I .Jlt' ,. �nom: OTff 5469� ,a <br /> following information is currently on file with this Department. The Primary Responsible Party <br /> The g r I . <br /> identified below will be responsible for payment of invoices for direct oversight charges associated wjthis.jsite. If this billing information is not accurate, please make necessary chanes in the space:provided, <br /> 1e; <br /> sign and return this form. A <br /> I' <br /> II: Make changleslcorrections in REQ ink or pencil. <br /> RESPONSIBLE PARTY INFORMATION RP INFORMATION CHANGE(date) <br /> PRI-RP has been named a Primary RP. fix <br /> Business Name ATLANTIC RICHFIELD COMPANY <br /> Contact PAUL SUPPLE '! <br /> Address PO BOX;549 <br /> MORAGA,CA 94570 !! <br /> Phone (925)299-8891 <br /> I; <br /> ;i <br /> ii. <br /> L, <br /> I!. <br /> ii <br /> 'i EiS <br /> nd COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator,primary responsible party,or agent of same;acknowledge that all <br /> project specific,EHD hourly charges associated with this site will be billed to the party identified as the PRIMARY RESPONSIBLE PARTY ori this <br /> certify that all operations will be performed in accordance with all applicable:Ordinace Codes and/or Standards and State and/or Federal Laws. <br /> AEVIE: TITLE: <br /> r <br /> ING: i. <br /> JRE: i Date <br /> Date 6/15/2005 <br /> gJ <br />