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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0544689
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/24/2019 9:51:23 AM
Creation date
7/24/2019 9:45:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544689
PE
3526
FACILITY_ID
FA0003735
FACILITY_NAME
QUICK N EASY MART
STREET_NUMBER
2057
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16515309
CURRENT_STATUS
02
SITE_LOCATION
2057 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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N��%J State Water Resources Control Board <br /> QW; Division of Clean Water Programs <br /> Winston H. Hickox 2014 T Street•Sacramento,Calitomia 95814•(916)2274411 <br /> SecretaryJor Mailing Address: P.O.Box 944212•Sacramento.California•94244-2120 Gray Davis <br /> Environmental FAX(916)227-4530•Internet Address: http://www.swrcb.ca.gov/—Cwphome/ustcf Governor <br /> Protection <br /> CD <br /> . C7 <br /> C_ <br /> June 12, 2000 <br /> Aurangzeb (Zeb) Khan <br /> 3128 Jasper Ave 77 <br /> Modesto, CA 95350 <br /> UNDERGROUND STORAGE TANK CLEANUP FUND PROGRAM, REQUEST FOR <br /> FURTHER DOCL�IENTATION DURING INITIAL P.EVIEW: CLAIM NUMBER 015567; <br /> FOR SITE ADDRESS: 2057 EL DORADO ST S, STOCKTON <br /> After reviewing your claim application to the Cleanup Fund, we find that the following <br /> additional information is needed to determine your eligibility for placement on the Priority List: <br /> 1. A copy of the permit to own or operate the UST from the local implementing agency <br /> dated between January 1, 1984 and January 1, 1990 (pursuant to Chapter 6.7 of the <br /> Health and Safety Code). <br /> If you were not subject to the permit requirement, submit documentation to confirm this <br /> claim. Situations where the permit was not required by January 1, 1990, can include: a) <br /> you removed all USTs prior to January 1, 1990; and not replaced; b) you <br /> decommissioned all USTs pursuant to the direction of the regulatory agency prior to <br /> January 1, 1984; c) you sold the property and tanks by January 1, 1990. <br /> If you were subject to the permit requirement but failed to comply by January 1, 1990, <br /> you can request the State Board to waive the requirement as a condition for eligibility. <br /> To request a waiver, complete the enclosed "Permit Waiver Request" form and return <br /> with any additional information requested below. <br /> 2. Complete and return the enclosed "Certification of Financial Responsibility" form. <br /> 3. There has been a change in Priority Class B criteria. Complete and return the enclosed <br /> "Request for Assignment of Claim to Priority Class B (Small Business)". Submit <br /> documentation supporting the number of employees (i.e., Department of Employment <br /> Development (DE6) payroll reports for the last four quarters). List the previous three <br /> years (1997, 1998 & 1999) and their respective annual gross receipts. <br /> 4. Provide a copy of a site map showing the location of the former USTs. <br /> Caii/ornia En vironmentai Protection Agenc v <br /> C.f Recr cled Paper <br />
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