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STATE WATER RESOURCES CONTROL BOARD <br /> }; DIVISION OF CLEAN WATER PROGRAMS <br /> UST LOCAL OVERSIGF T PROGRAM <br /> STANDARD AGREEMENT NO. 9-020-550-0 <br /> NOTICE OF RESPO SIBILITY <br /> AGENCY NAME: SAN JOAQUIN COUNTY— ENVIRONMENTAL HEALTH DEPARTMENT <br /> SITE CODE: 0001536 DATE FIRST REPORTED: 11/01/04 <br /> SITE NAME: USA PETROLEUM SVC STATION #3696SUBSTANCE: 1634044 <br /> ADDRESS: 2448 W KETTLEMAN LN FEDERAL (Y) STATE (N) <br /> CITY: LODI STATE: CA ZIP: 95240 <br /> RESPONSIBLE PARTY: USA PETROLEUM SERVICE STATION #3696 <br /> RESPONSIBLE PARTY CONTACT: <br /> ADDRESS: 30101 AGOURA CT SUITE 200 <br /> CITY: AGOURA HILLS STATE: CA ZIP: 91301 <br /> Pursuant to Sections 25297.1 and 25297.15 of the Health arid Safety Code, you are hereby notified that the <br /> above site has been placed in the Local Oversight Programand the individual(s) or entity(ies) shown above, or <br /> on the attached list, has(have) been identified as the party([ s) responsible for investigation and cleanup of the <br /> above site. Section 25297.15 further requires the primary or active Responsible Party to notify all current <br /> record owners of fee title before the local agency considers cleanup or site closure proposals or issues a <br /> closure letter. For purposes of implementing section 25297.15, this agency has identified USA PETROLEUM <br /> SERVICE STATION SERVICE STATION #3696 as the primary or active Responsible Party. It is the <br /> responsibility of the primary or active Responsible Party to s bmit a letter to this agency within 20 calendar <br /> days of receipt of this notice which identifies all current record owners of-fee title. It is also the responsibility of <br /> the primary or active Responsible Party to certify to the local agency that the required notifications have been <br /> made at the time a cleanup or site closure proposal is made or before the local agency makes a determination <br /> that no further action is required. If property ownership cha ges in the future, you must notify this local <br /> agency within 20 calendar days from when you are informed of the change. <br /> Any action or inaction by this local agency associated with c rrective action, including responsible party <br /> identification, is subject to petition to the State Water Resources Control Board. Petitions must be filed within <br /> 30 days from the date of the action/inaction. To obtain petit on procedures, please FAX your request to the <br /> State Water Board at (916) 341-5808 or telephone (916) 341-5851. <br /> Pursuant to Section 25299.37(c)(7) of the Health and Safe Code, a responsible party may request the <br /> designation of an administering agency when required to conduct corrective action. Please contact this office <br /> for further information about the site designation process. <br /> Contract Project Director: <br /> zt::5� ) L( 3 Date 13 15q <br /> Signatur6J U Telephone Number <br /> Add: X Reason: RESPONSIBLE PARTY <br /> Delete: Reason: <br /> Change: Reason: <br /> I <br /> {NOR REV 01/29199[RECEIVED 02116199]) <br /> i <br /> I <br />