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State Water Resources Control Board �f <br /> Division of Financial Assistance . <br /> 1001 1 Street•Sacramento,California 95814 <br /> Alan C.Lloyd,Ph.D. P.O.Box 944212•Sacramento,California•94244-2120 •l/opM`' <br /> Agency Secretary (916)341-5761•FAX(916)341-5806. www.waterboards.ca.gov/cwphome/ustcf Arnold 5chwarzenegger <br /> Governor <br /> ')L���f <br /> September 29, 2005 OCT _ r. A05 <br /> Dung Phan and Nhuan Le .'VIFtOf�; <br /> 2224 Manthey Rd ENVIR � . <br /> Stockton, CA 95206 <br /> UNDERGROUND STORAGE TANK CLEANUP FUND (FUND), REQUEST FOR FURTHER <br /> DOCUMENTATION DURING INITIAL REVIEW: CLAIM NUMBER 018428; FOR SITE <br /> ADDRESS: 2224 MANTHEY RD, STOCKTON <br /> After reviewing your claim application to the Cleanup Fund, we find that the following additional <br /> information is needed to determine your eligibility for placement on the Priority List: <br /> • On page one (1) of your claim application clarify claimant's name (Dung Phan and Nhuan Le) and <br /> tax identification number. You have listed individual's names but provided a federal tax I.D. number. <br /> Claimant's name and tax I.D.number must match (same name as listed on taxes). If claimant& <br /> claimant's spouse are applying together as individuals, it's okay to list claimant's name on claim <br /> application under both names (or just husband's name)if they file taxes jointly as individuals.' <br /> It appears claimant(s) may be using various names. Please clarify how many different people are <br /> listed below. Their relationship to Property Owner, UST Owner and/or UST Operator should be <br /> clarified on page three (3) of your claim application if appropriate. If various names/spelling are used <br /> for claimant(s), please clarify in writing and provide a copy of driver's license(s) with a signed/dated <br /> statement(s) under penalty ofperjury that they are the same entity using the various names. <br /> 1. The Permit to Operated (dated 1/1/05-12/31/05) is issued to Phan, Nhuan T and Phan. Dung T. <br /> 2. The same permit(1/1/05-12/31/05)lists the Tank Owner as Le, Nhuan T& Phan, Dung_T, <br /> 3. San Joaquin County's letter(dated 2/9/05)names the responsible party as Dune Thanh & <br /> Nhuan Thi Phan. <br /> • On page six(6) of your claim application, under Financial Responsibility, Mechanism(s), did you <br /> intend to check box number eight(8) (State Fund)as Mechanism Type (and as indicated on the <br /> Certification of Financial Responsibility form), instead of box number six (6)Insurance Coverage? <br /> If you use the Fund as a mechanism, you must use an additional mechanism for the deductible, and <br /> you may only use one of two mechanisms in conjunction with the Fund mechanism: 1)Letter from <br /> Chief Financial Officer or 2) Certificate of Deposit. Refer to pages 17-22 of the Financial <br /> Responsibility Guide for description of approved financial responsibility mechanisms. If you use <br /> Insurance,provide a copy of your insurance policy. <br /> ' Claimant is advised that an eligible claimant must have either owned or operated the subject leaking UST, is the <br /> responsible party directed to undertake corrective action for the unauthorized release by the local regulator and is the <br /> party paying for the costs of cleanup. Claimant name or tax I.D. number cannot be a DBA(the Permit to Operate, <br /> dated 1/1/05-12/31/05, indicates California Stop is a DBA). <br /> California Environmental Protection Agency <br /> �p� Recycled Paper <br />