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COPY <br /> STATE WATER RESOURCES CONTROL BOARD <br /> DIVISION OF WAT R QUALITY <br /> UST CLEANUP DROGRAM <br /> NOTICE OF REIMBURSEMENT <br /> WHEN STATE FUNDS ARE USED <br /> SITE CODE: 1275 DATE FIRST RE ORTED:03/28/89 <br /> SITE NAME: Old System 99 SUBSTANCE: 12034 <br /> ADDRESS: 601 South Ventura PETROLEUM:Y <br /> CITY: Stockton CA ZIP: 94010 <br /> The following information has been provAded to: <br /> RESPONSIBLE PARTY: John Dieckman, E ecutor <br /> COMPANY NAME: MD and MRN Trust <br /> ADDRESS: 500 Airport Blvd Ste. 220 <br /> CITY: Burlingame STATE: CA ZIP: 9 010 <br /> Whereas the Legislature has appropriated funds from the California <br /> Hazardous substance Cleanup Fund to pay the local and state agency <br /> administrative and oversight costs associated with the cleanup of <br /> releases from underground storage tanks; and Whereas the direct and <br /> indirect costs of overseeing removal or remedial action at the <br /> above site are funded, in whole or in part, from the Hazardous <br /> Substance Cleannup Fund; and Whereas the above individual (s) or <br /> entity ( ies) have been identified as the party or parties <br /> responsible for investigation and cleanup of the above site ; YOU <br /> ARE HEREBY NOTIFIED that pursuant too Section 25360 of the Health <br /> and Safety Code, the above Responsible Party or Parties shall <br /> reimburse the State Water Resources, Control Hoard for all direct <br /> and indirect costs incurred by any and all state and local agencies <br /> while overseeing_ the, cleanup of the above underground storage tank <br /> site, and the above Responsible Party or Parties shall make full <br /> payment of such costs within 30 days of receipt of a detailed <br /> invoice from the State Water Resources Control Board. <br /> CONTRACT PROJECT DIRECTOR: San Joaquin County Public Health <br /> Services Environmental Health <br /> Division <br /> Contractor # 39000 <br /> 209-468-3423 DATE-. �� _ <br /> signature T ephone Number <br /> STANDARD FORM UST01 (3/884 <br /> 89-017 ( IV) 4/89 NORSTATE <br />