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~ /r <br /> t <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1LOCAL OVERSIGHT PROGRAM elk) �`, <br /> Responsible Party Information as of 6/15/2005 <br /> LOP SITE FILE INFORMATION s���F�glTy <br /> Case# Local�Agency'.Use Only <br /> 1993 <br /> Remedlai Oversight ` <br /> Site Name GRANITE CONSTRUCTION CO000266` <br /> .. . , RecoreiD R0 <br /> Location 10500 S HARLAN RD Sl#e,Ri6rd')D 8W 00266 <br /> t FRENCH CAMP,CA 95231 Faeil�t}+)2ecot8)a .PA0005245 <br /> 7 <br /> j Phone 209-982-4750 Oursen °Site business GRANITE CONSTRUCTION CO: <br /> APN 193-270-03-0 <br /> ��_ �_he_fnllow.in�inforrnati0n is�rurx_entl}�;on�le�vitl►=t_hc�c�ar�tner,.t.-'I'he-P-r�Ireeara�=RPspensible�-axty---- -.-m-. <br /> f identified below will be responsible for payment of invoices for direct oversight charges associated with this <br /> 1} 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 changes/corrections in RED ink or pencil. <br /> RESPONSIBLE PARTY INFORMATION RP INFORMATION CHANGE(date) <br /> l PRI-RP has been named a Primary RP. <br /> Business Name GRANITE CONSTRUCTION <br /> Contact JAMES ESSICK <br /> Address P O BOX 151 <br /> I STOCKTON,CA 95201-0151 <br /> ` Phone (209)982-4750 <br /> !i <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 Ordinace Codes and/or Standards and State and/or Federal Laws. <br /> 1 PRINTED NAME�InC=S TITLE4�W/ <br /> REPRESENTING: <br /> t <br /> SIGNATURE: Date !P l l CIS <br /> j Report#8021 Date 6/15/2005 <br />