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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545272
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/31/2020 6:00:35 PM
Creation date
1/31/2020 4:32:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545272
PE
3528
FACILITY_ID
FA0006898
FACILITY_NAME
RAMOS OIL-FRENCH CAMP
STREET_NUMBER
10842
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19333028
CURRENT_STATUS
02
SITE_LOCATION
10842 S HARLAN RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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State Rater Resources ControL'Board <br /> Division of Financial Assistance <br /> 1001 1 Street•Sacramento,California 95814 <br /> Dan Skopec P.O.Box 944212•Sacramento,California•94244-2120 <br /> Acting Secretary (916)341-5761 r FAX(916)341-5806• www.waterboards.ca.gov/cwphome/ustcf Arnold Schwarzenegger <br /> Governor <br /> F CD <br /> May 3, 2006 <br /> �AG;r 2006 <br /> BENETO INC. <br /> VELMA MASTERSON ENVIRU!IT.;Ql HEALTH <br /> P O BOX 980220 <br /> pERh".IT,'�ERVICES <br /> WEST SACRAMENTO, CA 95798 <br /> UNDERGROUND STORAGE TANK CLEANUP FUND (FUND), FINAL REQUEST FOR <br /> FURTHER DOCUMENTATION DURING INITIAL REVIEW: CLAIM NUMBER 018588; <br /> FOR SITE ADDRESS: 10842 HARLAND RD S, FRENCH CAMP <br /> On February 28, 2006 we received documents from Roger Liston of your organization in <br /> response to our letter of January 18, 2006. After reviewing the documents, we find that <br /> the following additional information isstill needed to determine your eligibility for <br /> placement on the Priority List: <br /> • Page one (1) of your claim application lists Beneto Inc as the UST Owner & UST <br /> Operator. This doesn't correlate with the names of UST Owner(s)/ Operator(s) as <br /> listed on page three (3) and the revised page five (5) of your claim application. <br /> Please clarify and revise these three pages so that the name(s) is (are) consistent <br /> between pages. <br /> • On page six (6) of your claim application you were asked to complete the financial <br /> responsibility mechanism by checking an additional box for the deductible. Because <br /> you have provided a Letter From Chief Financial Officer, I checked the box (number <br /> 9) for Chief Financial Officer Letter for you. <br /> • The Certification of Financial Responsibility (CFR) and Letter From Chief Financial <br /> Officer forms are both being for completion/correction. The Fund requires an <br /> authorized signature for these documents. In addition, the CFR requires two <br /> signatures; one of claimant and one of a witness or notary (this only had one <br /> signature, which appears to be the signature of a witness). If someone other than <br /> claimant signs Fund documents, we require a Power of Attorney form to be on file <br /> with the Fund. <br /> • Claimant previously submitted a Power of Attorney form but it was incomplete. I am <br /> enclosing a blank revised Power of Attorney form, which requires both claimant's <br /> and the designated power of attorney's signatures. <br /> California Environmental Protection Agency <br /> p„a Recyc/ed Peper <br />
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