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Environmental Health - Public
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3500 - Local Oversight Program
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PR0544727
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
8/1/2019 4:52:48 PM
Creation date
8/1/2019 4:15:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544727
PE
3528
FACILITY_ID
FA0003830
FACILITY_NAME
VILLAGE WEST MARINA
STREET_NUMBER
6649
STREET_NAME
EMBARCADERO
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
09815006
CURRENT_STATUS
02
SITE_LOCATION
6649 EMBARCADERO DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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T <br /> } <br /> VILLAGE WEST MARINA <br /> Page 2 <br /> The following documents needed to submit your reimbursement request are enclosed: <br /> • "Reimbursement Request Instructions" package. Retain this package for future <br /> reimbursement requests. These instructions must be followed when seeking <br /> reimbursement for corrective action costs incurred after January 1, 1988. <br /> Included in the instruction package are samples of completed reimbursement <br /> request forms and spreadsheets. <br /> • "Bid Summary Sheet" to list information on bids received which must be <br /> completed and returned. I <br /> • "Certification of Non-Recovery From Other Sources" which must be returned <br /> before any reimbursements can be made. <br /> • 'Reimbursement Request" forms which you must use to request reimbursement 6 <br /> of costs incurred. <br /> i <br /> • "Spreadsheet" forms which you must use in conjunction with your <br /> reimbursement request. <br /> • "Claimant Data Record" (Std. Form 204) which must be completed and <br /> returned with your first reimbursement request. <br /> We continuously review the status of all active claims. If you do not submit a <br /> reimbursement request or fail to proceed with due diligence with the cleanup, we will <br /> take steps to withdraw your LOC. <br /> If you have any questions regarding the enclosed documents, please contact Nancy <br /> Callsen at (916) 227-4311. <br /> S' cerely, <br /> Dave Dean r, ManagerfJ <br /> UST Cleanup Fund Program <br /> Enclosures <br /> cc: Mr. Gordon Boggs V41 <br /> Margaret Lagorio <br /> RWQCB, Reg. 5 - Sacramento San Joaquin County EHD <br /> 3443 Routier Road P.O. Box 2009. <br /> Sacramento, CA 95827-3098 Stockton, CA 95201 <br /> ��! Keryc(ed Paper Chumission is to preserve and enhance the quality ofCal forma's ivaier res'ourc'es.and <br /> ensure their proper allocation and eficieni use for the benefit ofpreseni andfutare generaitons. <br />
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