Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> ZOCAL OVERSIGHT PROGRAM <br /> Responsible Party Information as of 6/15/2005 i <br /> F <br /> r. <br /> LOP SITE FILE INFORMATION <br /> .. Case# 0001296 <br /> Site Name ARCO AM PM#5450* 1Qrtc1) <br /> Location 1617 W FREMONT ST I� r <br /> 3 y <br /> STOCKTON,CA 95203 Fa 13ty' - 36W <br /> Phone 209-462-1617 <br /> The following information is currently on file with this Department. The Primary Responsible PartV <br /> identified below will be responsible for payment of invoices for direct oversight charges associated with this <br /> site. If this billing information is not accurate, please make necessary than es in the space provided,date, <br /> ggn and return this form. i <br /> Make changestcorrections in RED ink or pencil. <br /> RESPONSIBLE PARTY INFORMATION RP INFORMATION CHANGE~(date) <br /> PRI-RP has been named a PrimaryRRP. <br /> Business Name ATLANTIC RICHFIELD COMPANY <br /> Contact PAUL SUPPLE <br /> Address PO BOX 6549 <br /> MORAGA,CA 94570 <br /> Phone (925)299-8891 <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: 1,the undersigned ownef,,-operator,primary responsible party,or agent of same,acknowledge that all <br /> site,and/or project specific,EHD hourly charges associated with this site will be billed to.the party identified as the PRIMARY RESPONSIBLE PARTY on this <br /> form. I also certify that all operations will be performed in accordance with all applicable Ordinace Codes and/or Standards and State and/or Federal Laws. <br /> PRINTED NAME: TITLE: <br /> REPRESENTING: <br /> SIGNATURE: Date 1 I <br /> Report#8021 Date 6/15/2005 <br />