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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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CLIFTON COURT
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3500 - Local Oversight Program
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PR0544564
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/14/2019 1:44:02 PM
Creation date
6/14/2019 11:25:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544564
PE
3528
FACILITY_ID
FA0005646
FACILITY_NAME
SARALE FARMS INC
STREET_NUMBER
16500
Direction
W
STREET_NAME
CLIFTON COURT
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
18904011
CURRENT_STATUS
02
SITE_LOCATION
16500 W CLIFTON COURT RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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State Water Resources Contr&Board <br /> Division of Clean Water Programs <br /> 1001 1 Street•Sacramento,California 95814 <br /> Winston H.Hickox P.O.Box 944212•Sacramento,Califomia•94244-2120 <br /> 5ecretaryfor (916)341-5761 # FAX(916)341-5806 # www.swrcb.ca.gov/cwphome/ustcf Gray Davis <br /> Environmental <br /> Governor <br /> Protection The energy challenge facing California is real. Every Californian needs to take immediate action to reduce energy consumption. <br /> For a list ofsimple ways you can reduce demand and cut your energy costs,see our website at www.swrcb.ca.gov. <br /> flG2 1�S vc-k t6 j -, 063 if 11�UN 11 F,F1 <br /> Sarale Farms, Inc. <br /> MAR 13 2003 <br /> P.O. Box 60661 ENVIRONMENT HEALTH <br /> Stockton, CA 95206 PERMIT/SERVICES <br /> UNDERGROUND STORAGE TANK CLEANUP FUND (FUND),REQUEST FOR FURTHER <br /> DOCUMENTATION DURING INITIAL REVIEW: CLAIM NUMBER 017509; FOR SITE <br /> ADDRESS: 16500 CLIFTON COURT RD, STOCKTON <br /> After reviewing your claim application to the Cleanup Fund,we find that the following additional <br /> information is needed to determine your eligibility for placement on the Priority List: <br /> • Claimant must provide an "original signed" Verification and Signature Page including signatory's title <br /> as related to the claimant(see enclosed Verification and Signature page). <br /> • Submit a removal permit for all underground storage tanks listed in claim application. <br /> Priority Class "B"small business is for those businesses that are independently owned and operated,not <br /> dominant in its field of operation and employs 100 or less employees, including all affiliates, and <br /> averages annual gross receipts of$10 million dollars or less over the previous three years. If a business is <br /> a manufacturer,there is no revenue test. However, the manufacturer must also employ 100 or less <br /> employees including affiliates. <br /> If you believe that you qualify,you may request the Fund review your claim to determine eligibility for <br /> Priority Class "B". In order to determine eligibility,the following documents must be submitted and <br /> reviewed: <br /> • Complete the Enclosed form"Request for Assignment of Claim to Priority Class B". <br /> AND <br /> • Submit documentation supporting the number of employees for the claimant, claimants business and <br /> any affiliates (i.e. Department of Employment Development(DE6)payroll reports for the last four <br /> quarters). <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 /> California ERviroaamevMIProtectio aAgency <br /> Z4 Recycled Paper <br />
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