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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> LOCAL OVERSIGHT PROGRAM <br /> Responsible Party Information as of 6/15/2005 <br /> Y <br /> LOP SITE FILE INFORMATION.. 3S� <br /> Case# cal'Aei[t }s f?sily ,v; <br /> 1126 <br /> Site Nametd �Sht _ 'r <br /> BP OIL 11191 � �0 <br /> Location 1469 E HAMMER LN <br /> STOCKTON CA 95210 _ I GbYd,�'f3; <br /> Phone 209-478-1622 t1t 3 1 C A d f'01L+���?{�� <br /> € 3 <br /> The following information is currently on file with this Department. The Primary Responsible PLwith <br /> identified below will be responsible for payment of invoices for direct oversight charges associateissite. If this billing information is not accurate, please make necessary changes in the space provi , <br /> sign and return this form. <br /> i <br /> Make changes/corrections 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-161 <br /> LA PALMA,CA 90623-1066 <br /> ' I <br /> Phone (714)670-5303 <br /> i <br /> i <br /> k <br /> 1 1 <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,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 Ordinate Codes and/or Standards and State andlor Federal Laws. } <br /> PRINTED NAME: TITLE: _. r <br /> f <br /> REPRESENTING: <br /> SIGNATURE: Date <br /> Report#8021 Date 6/15/2005 <br /> I� <br />