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r. <br /> EDMU»D G. BROWN JR. <br /> � OOVEPNOP <br /> c.IlFow»Ir. <br /> MA-HE. <br /> TtFORDRIQUE2 <br /> WaterBoards FNVIRONMFNTAI PROTFCTION <br /> Central Valley Regional Water Quality Control Board <br /> ACKNOWLEDGMENT OF RECEIPT OF <br /> OVERSIGHT COST REIMBURSEMENT ACCOUNT LETTER <br /> I, acting within the authority vested in me as <br /> an authorized representative of <br /> a corporation, acknowledge that I have received <br /> and read a copy of the attached REIMBURSEMENT PROCESS FOR REGULATORY <br /> OVERSIGHT and the cover letter dated 22 October 2012 concerning cost reimbursement for <br /> Regional Water Board staff costs involved with oversight of cleanup and abatement efforts at <br /> 248 Industrial Drive, Stockton, San Joaquin County. <br /> I understand the reimbursement process and billing procedures as explained in the letter. Our <br /> company is willing to participate in the cost recovery program and pay all subsequent billings in <br /> accordance with the terms in your letter and its attachments. and to the extent required by law. <br /> I also understand that signing this form does not constitute any admission of liability, but rather <br /> only an intent to pay for costs associated with oversight, as set forth above, and to the extent <br /> required by law. Billings for payment of oversight costs should be mailed to the following <br /> individual and address: <br /> BILLING CONTACT <br /> BILLING ADDRESS <br /> TELEPHONE NO. <br /> RESPONSIBLE PARTY'S SIGNATURE <br /> (Signature) <br /> (Title) <br /> DATE: <br /> Staff.- gjd <br /> KARL E. LONGLEY SCD, P.E., CHAIR I PAMELA C. CREEDON P.E.. BCEE, EXECUTIVE OFFICER <br /> 11020 Sun Center Drive 0200,Rancho Cordova,CA 95570 1 www.weterboards.ca.gov/centraiva0ey <br /> `*A nECYCLED PArEn <br />