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'1 State 'meter Resources Contrar'$oard Division of Clean Water Programs 1001 1 Street•Sacramento.California 95814 Winston H. Niekox P 0.Box 944212•Sacramento,Caii6omia•94244-2120 Secretaryfur (916)341-5081 • PAX(916)341-5806 • www.swrcb.ca.gov/cwphome/usLeC e Environmental Cray Davis Protection The encrsy challe nge freeing Ccrl yoririei is real. Every Californian needs to take iminediate rection to reduce energy consumption. Governor Fier a list of simple ways you can reehace demand and cut your energm•costs,see our website tit www.sxrcb.ca.gov. Charlie's Day and Nite, Inc. MAY 2 9 Lei Attn: Charles Skobrak 706 El Dorado St N •i Stockton, CA 95202 A UNDERGROUND STORAGE TANK CLEANUP FUND (FUND), REQUEST FOR FURTHER DOCUMENTATION DURING INITIAL REVIEW: CLAIM NUMBER 016601; FOR SITE ADDRESS: 706 EL DORADO ST N, STOCKTON After reviewing your claim application to the Cleanup Fund, we find that the following additional information is needed to determine your eligibility for placement on the Priority List: I. Copy of the first letter from the local regulatory agency naming you a responsible party and directing you to cleanup the contamination at the subject site. 2. Claimant is requesting priority class "C" and must submit documentation verifying that claimant does not employ more than 500 full time or part time employees. Submit documentation supporting the number of employees (i.e. Department of Employment Development (DE6) for the last quarter or a declaration letter signed by an officer of the company). 3. A copy of the permit to own or operate the UST from the local implementing agency dated between January 1, 1984 and January 1, 1990 (pursuant to Chapter 6.7 of the Health and Safety Code). If you were not subject to the permit requirement, submit documentation to confirm this claim. Situations where the permit was not required by January 1, 1990, can include: a)you removed all USTs prior to January 1, 1990; and not replaced; b)you decommissioned all USTs pursuant to the direction of the regulatory agency prior to January 1, 1984; c)you sold the property and tanks by January 1, 1990. If you were subject to the permit requirement but failed to comply by January i, 1990,you can request:the State Board to waive the requirement as a condition for eligibility. To request a waiver, complete the enclosed"Permit Waiver Request" form and return with any additional information requested below. 4. Claimant's tax identification number must correspond with the claimant name (e.g. individual- social security number; corporation, partnership, estate, trust-federal tax identification number). The claimant name should be the name of the corporation, Charlie's Day and Nite, Inc., with the FEIN 94-2208869. 5. The Certification of Financial Responsibility form must be signed and dated by a witness. Please have Erica L. Bart sign and date the form and return it to the Fund with the other documentation requested. Ca/ifornij EnVironmenta/Protection Agency �a Recycled Peeper