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r <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> LOCAL OVERSIGHT PROGRAM <br /> Responsible Party Information as of 6/15/2005 <br /> LOP SITE FILE INFORMATION <br /> Case# 1035 Local A encs Use Only <br /> Site Name * Remedial Oversight v <br /> ARCO FACILITY#2186 Record ID R©0000034 <br /> Location 3212 N CALIFORNIA ST Site Record ID SOOflU(]034 <br /> STOCKTON,CA 95204 Facility Record IL} FAUOU6 <br /> Phone 209-941-2694 Current Site BustrressARC}Ii32185 <br /> � ,r <br /> 1 <br /> N12S0 e y 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 /> Make changeslcorrections in RED ink or pencil. <br /> RESPONSIBLE PARTY INFORMATION RP INFORMATION CHANGE(date) <br /> PRI-RP has been named a Primary RP. <br /> Business Name ATLANTIC.RICHFIEL.D COMPANY <br /> Contact PAUL SUPPLE <br /> Address PO SOX 6549 <br /> MORAGA,CA 94570 <br /> Phone (925)299-8891 <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 Ordinace Codes and/or Standards and State and/or Federal Laws. <br /> PRINTED NAME: TITLE: <br /> REPRESENTING: <br /> SIGNATURE: Date / 1 . <br /> Report#8021 Date 6115/2005 <br /> I <br />