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- SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> h <br /> LOCAL OVERSIGHT PROGRAM 4 <br /> Responsible Party Information as of 6/15/2005 <br /> t <br /> LOP SITE FILE INFORMATION <br /> Case# 1126 '" `1 rel Agcn sChtTv <br /> Site Name BP OiL.11191 �---,(1 � <br /> _ ercl 11� <br /> Location 1469 E HAMMER LN 00 4 <br /> STOCKTON,CA 95210 a 111 1 11D E/vD,( 157 <br /> Phone 209-478-1522 ) .;t Zit t #9 fts$ >011� <br /> M '�` <br /> t <br /> The following information is currently on file with this Department. The P_rimafy Responsible Party <br /> i <br /> identified below will be responsible for payment of invoices for direct.oversight charges associated with this <br /> I <br /> site. If this billing information is not accurate, please make necessary changes in the space provided,date, <br /> sign and return this form. <br /> Make changeslcorrections in RED ink or pencil. <br /> RESPONSIBLE PARTY INFORMATION RP INFORMATION CHANGE(date) <br /> PRI-RP has been named a Primary RP. <br /> Business Name ATLANTIC RICHFIELD COMPANY <br /> Contact KYLE CHRISTIE <br /> Address 6 CENTERPOINTE DRIVE LPRG-16I <br /> LA PALMA,CA 90623-1066 <br /> Phone (714)670-5303 <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator,primary responsible party,or agent of same,acknowledge that all <br /> site,and/or project specific,EMD 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 andlor Federal Laws.. <br /> PRINTED NAME: TITLE: <br /> i <br /> REPRESENTING: I <br /> t <br /> SIGNATURE: Date ! 1 1 <br /> Report#8021 Date 6/15/2005 I <br /> I <br /> " .i <br />