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. copy STATE WATER RESOURCES CONTROL BOARD - DIVISION OF WATER QUALITY UST CLEANUP PROGRAM NOTICE OF REIMBURSEMENT WHEN STATE FUNDS ARE USED SITED ATE FIRST REPORTED:06/18/87 SITE C. ' oods-Clements P1antSUBSTANCE: 12036 ADDRESS: 17 Jahant Road CITY: C mens CA PETROLEUM:Y ZIPS 93227 The following i orm ion has been provided to: RESPONSIBLE PARTY: Dave H raid CONTACT: Clau Woods Co. ADDRESS: 7 E. pant Road CITY: Clements TEs CA ZIP= 95227 Whereas the Legislature has a ropriat funds from the California Hazardous substance Cleanup Fu to pa • local and state agency administrative and oversight costs oei ed with the cleanup of releases from underground storage t ksi an ertas. the direct and indirect costs of overseeing removal or remedial action at the above site are funded, in whole or in part m -the Hazardous Substance Cleannup Fundi and Whereas the a e 1 ividual (s) or entity (ies) have been identified as h ies responsible for investigation and cleanup f t ea about siteiY or tYOU ARE HEREBY NOTIFIED that pursuant to Sectio 360 of the Health and Safety Code, the above Responsible Part or Parties shall reimburse the State Water Resources Control Boa for all direct ~ and indirect costs incurred by any and all state and local agencies while overseeing the cleanup of the above underground. storage tank site, and the above Responsible Party or Parties shall make full Payment of such costs within 30 days of receipt of a detailed invoice from the State Water Resources Control Board. CONTRACT PROJECT DIRECTOR: San Joaquin County Public Health Services Environmental Health Division Contractor * 39000 WE if 209-468-3423 DATE: -Signature Telephone Number STANDARD FORM U 1 t3/g8) 89-017 (IV) 4/89 NORSTATE