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JUN. 9. 1998 4 : 19PM ANO FMN [ GR [ LLI MCDIUND STORAGE TANK Cit- (ANUpNQ. 9927 P• H <br /> ( • ^ d tint PRE-APPROVAL REQUESTA °' <br /> ,Complete form, enclose required hems, skn, date , return) <br /> TO: UST Cleanup Fund Fax: (916 ) ZZ7-4830 <br /> LIST Cleanup Fund, 2014 T Street, Sacramento, CA 75814 <br /> I. CLAIM INFORMATJON <br /> A . CLAfM NO. 552 B. CLAIMANT Norellini Construction Co . <br /> C. CLAIM STATUS (compfete appropriate section) <br /> 1) LOC ISSUED FORS 140 00� D . 00 <br /> ii) ON PRIORITY LIST? © YES D NO IF YES, PRIORITY CLASS ❑ A ❑ li Q C (] p <br /> iii) NOT YET APPLIED TO THE FUND, EXPECTED APPLICATION DATE : <br /> D, CONTACT PERSON: Danee John Nomellini PHONE: ( 209 ) 465-5893 <br /> ADDRESS: P . 0_ Box 1461 FAX : ( 209 } 465 -3956 <br /> Stockton . CA 95201 "~ <br /> IL TYPE OF REOUEST frherk appropriate Anrn t <br /> El PRE-APPROVAL $ 131 , 697 . 00 AMOUNT REQUESTED <br /> 3 BIb REVIEW Advanced GeoEnvironmental Inc . PREFERRED RID ( if applicable ) <br /> THE FOLLOWING DOCUMENTS ARE REQUIRED FORTHE SPECIFIED REQUEST. ALL <br /> DOCUMENTS REQUESTED MUST BE SUBMITTED OR 7 <br /> UNPROCESSED. FIE REQUEST(SI WILL BE RETURNEn <br /> A. REsjUEST FOR EMAPPROVAL OF PROPOSED COSTS • The followi:zg items are required before review <br /> and determination will be made by Fund staff. <br /> 1 . X A Complere signed copy of the ps'opOsed Investigation Workplan or Correcdve Action Plan (CAP ) ( as <br /> defined and required by Article 11 . Chaprer 16, California Underground Storage Tank Regulations), <br /> Corrective Action Plans must include the required feasibility study and chosen cost effective ahernariive_ <br /> 2 . AA signed copy of the overslght agency 3pprova( fester for the Workplan/CAP. <br /> 3. 1A Complete copy of the Request For Bids, Including all attachments. A fist of all firms requested to bid <br /> must be included. <br /> 4. X COMPIW copies of all bids and other correspondence submitted in response to the Request For bids. <br /> S. KA tinx schedule, if not part of bid documents, anticipated for project initiation and duration. <br /> 6. _LA detailed project budget, which includes breakdowns of stafr/caSk/hour with associated estimated rotals. <br /> 8. THREE-BID it VFW/VALUATION/DETERMINgTION * Fund staff wilt assist any claimant requesting an <br /> eValuadon of bids upon request. The following information mun be submitted - 1, 2, 3 AND 4 ss described in <br /> Item A above. <br /> III. CERYIFICAT� <br /> / reallyw6ferpenahyp/perjrnyThat a!linldrmarlanstr wyfedwithWreeeesfrsdamplereandaccurardandinaccordancewithaH <br /> applrrahla laws and regularim s. <br /> Nomellipi Construction Co . <br /> SV- A a �z •,.,.,li' H,.: .lune 9 . 1998 <br /> Signawre Date u,ie essrr ,ems, qr <br /> d 9l I I L97 60Z InCol0dIAN3039 030toAG17 F4 dj HV9520I 9661 -F0_y <br />