Laserfiche WebLink
JUN- b--9d 1:R1 10. 15 MOORE PETROLEUM FAX NO. 2098359353 P. 01 <br /> !« cn c'r v s rtu i tt- PAGE 81 <br /> CALIFORNIA UNDERGROUND STORAGE TANK CLEANUP FUND <br /> oeos�qud REQUEST f "n, enclose item, 1date&return) <br /> TO: n <br /> UST Clean& d, 2p unpl+�T 5treer, Sacramento, CA 958141 es) 227-454 <br /> I. CLAIM INFORMATION <br /> A. CLAIM NO. B. CLAIMANT "re Celt Q%kM G <br /> C. CLAIM STATUS (complete appropriate section) <br /> I) LOC ISSUED FOR S. <br /> Il} ON PRIORITY LIST? JeYES C NO IF YES, PRIORITY CLASS Q A [�g k0 D <br /> fila NOT YET APPLIED YO T14E FUND, EXPECTED APPLICATION DATE: <br /> D. CONTACT PERS 1+- an J w e,6- PHONE: 6 )S.0200 <br /> ADDRI$5: g A e FAX: M p <br /> .11' d nate x s <br /> M00"PRE-APPROVAL $ O S'o <br /> •• �,AMOUNT REQUESTED <br /> 3-BID REVIEW <br /> PREFERRED BID (If applicable) <br /> THE FOLLOWING DOCUMENTS ARE REQUIRED FOR THE SPECIFIED <br /> REQUEST. ALLD <br /> DOCUMENTS MUST B ; SUBMITTED TE RE � S=-SSD W <br /> A' RE- PROVAL SED COSTS-The follosYing items Bre rcqulred before review <br /> and cletermiRatlon will be made by Fund staff. <br /> 1.—A complete sieved copy of the proposed Investigation Workplan or C-4rrective Action Alan (CAP) (as <br /> defined and required by Article 11, Chapter 16, California Underground Storage Tank Itegufa=ions). <br /> Correctivc Action Plahs must Include the required feaslbility study and Chosen cost effrrtive altematiive. <br /> 2. _.._A signed copy of the oversight agency approval letter for the Workplan/CAP, <br /> 3• "A complete caPy Of the Request For Bids, InClud:ne ail attachments. A fist of By fines requested to bid <br /> must be Included. <br /> 4. _.,,,Complete copies of all bids-and tither correspondence submitted in remorse to the Request For bids. <br /> 5'—A time schedule, If not part of bid docurnents, anticlPated for protect initiation gild duration. <br /> 6• .,A detailed project budget, which Includes breakdowns of sraffltask/hOur with associated estimated totals. <br /> !F<. T RE - ID � IE EV A ION/DETER [HA <br /> eVatuation q ids tlppr, rtquest, he fallowing inform�on must be of bmiittedf t 1,� �31ANp requesting s described In <br /> Item A above. <br /> III. TIF TI N If <br /> Ce ra y untie al(Y otR-r y that au,,,rarnrarion ruAmkted Wilk lArs.eQussr is compl�re and eccurnle a+�d in at t�r�g,)te evith a#applicable/a►v regLlatf S. <br /> Slg r1m w re h■ [�/�,����p <br />