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fin510a <br /> OTCE FOR OVERSIGHT COSTS � �CEtVED OCT 0 7 1%6 << mrp: 1 >> <br /> p9 <br /> Send Payment to: State Water Resources Control Board <br /> Underground Storage Tank Local Oversight Program Bill Date : <br /> PO Box 944212 <br /> Sacramento, CA 94244-2120 <br /> Local Agency: SAN JOAQUIN PUBLIC HEALTH SERV <br /> Site Location: <br /> ULTRAMAR INC SITE # 1125 ULTRAMAR BEACON 3641 <br /> RANDALL K STEPHENSON 1210 HAMMER LN E <br /> 525 THIRD ST W STOCKTON, CA <br /> HANFORD, CA 93230 95210 <br /> Total previously billed: $ 185 . 72 <br /> Payment (s) received as of 06/12/96 $ 185 . 72 <br /> **New Charges - Billing Period: 01/01/96 through 06/30/96 $ 1, 467 . 24 <br /> FUND: F Total amount due : $ 1, 467 . 24 <br /> state Health and Safety Code sections 25297.1 and 25360 and Title 42 of the United states Code Section 6991b(h) (6) require recovery <br /> of costs associated with the local oversight. program_ When your site was put in the local oversight program, you received a <br /> letter explaining that the State Water Resources Control Board (state Hoard) would bill you for public costs of cleanup oversight. <br /> This bill includes site specific and program management charges. Site specific charges directly relate to your site. Examples <br /> are sampling for soil and ground water contamination, site inspections, and reviewing reports and workplans. A description of <br /> activity codes follows the itemized charges. Program management includes other costs associated with program operation. Such costs <br /> may include: space rental, office services and supplies, purchase of sampling equipment, training and the salary and benefits of <br /> support personnel (i.e., clerical staff, accountant, program supervisor) • Program management charges are calculated at not more <br /> than 5o percent of site specific charges. The exact rate is shown on the last page of your bill. If you received an invoice for <br /> a previous billing period, those charges are shown as "Total Previously Billed". Any payments you made on the previous billing <br /> are shown as "Payment Received". The total of any unpaid previous balance plus new charges is shown as "Total Amount Due". <br /> ++ See itemized list of new charges on next page(s). FOR INFORMATION CAIS: LORI CASIAS (916) 227-4325 <br /> PAYMENT 1S DUE IN 30 DAYS--PLEASE NOTE--Recent legislation eliminated cost <br /> .ecovery. There will be no cost recovery for oversight services performed on <br /> or after January 1, 1997 . This change does not forgive any past due amounts <br /> or any invoices covering services provided through December 31., 1996 . <br /> -- ------------------------------cut on this line-------------------------------- <br /> Return this part with your check made payable to SWRCB. Use the enclosed <br /> envelope and send to the address above. <br /> Local Agency: SAN JOAQUIN PUBLIC HEALTH SERV Site #: 1125 <br /> Site Location: <br /> ULTRAMAR INC ULTRAMAR BEACON 3641 <br /> RANDALL K STEPHENSON 1210 HAMMER LN E <br /> 525 THIRD ST W STOCKTON, CA <br /> HANFORD, CA 93230 95210 <br /> Total amount due : $ 1, 467 .24 <br /> Enter amount paid: $ <br />