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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0535375
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/7/2020 9:16:15 AM
Creation date
7/7/2020 9:10:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0535375
PE
2960
FACILITY_ID
FA0020405
FACILITY_NAME
ERNIES GENERAL STORE
STREET_NUMBER
4407
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710059
CURRENT_STATUS
01
SITE_LOCATION
4407 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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State Voter Resources ContrAoard <br /> Division of Clean Water Programs 9. <br /> 1001 1 Street•Sacramento,C'aMbraia 95814 <br /> Winston IL Hickox P.O.Box 944212•Sacramento,Cahl'umia•94244-2120 <br /> Secretayfor (916)341-5701 • FAN(916)341-5806 . www.swreb.ca.guv/cwpliome/ustel' Cray Davis <br /> Environmental Governor <br /> Proceclion The energy challenge faring California is real. Every Californian needs to take immediate artion to reduce� v. `f+ p�\\\/%/rr�D <br /> For a list ofsimple ways pa can reduce demand and cut your energy costs,see our website at wvw.s <br /> February 4, 2002 FEB 0 7 2002 <br /> Ernest Giannecchini ENVIRONMENT HEALTH <br /> 4407 Waterloo Rd E PERMIT/SERVICES <br /> Stockton, CA 95215 <br /> UNDERGROUND STORAGE TANK CLEANUP FUND(FUND), REQUEST FOR FURTHER <br /> DOCUMENTATION DURING INITIAL REVIEW: CLAIM NUMBER 017028; FOR SITE <br /> ADDRESS: 4407 WATERLOO RD E, 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 /> • Submit a copy of the Underground Storage Tank Upgrade Certificate for the subject facility <br /> identifying the site is in compliance with December 22, 1998 upgrade requirement. <br /> • Claimant is required to provide documentation that all current and prior UST fees due on or after <br /> January 1, 1991 imposed by Section 25299.41 of the Health and Safety Code have been paid. If any <br /> of the USTs owned or operated had product placed in them on or after January 1, 1991, attach the <br /> most recent copy of the UST Fee Return Form filed with the State Board of Equalization (BOE)with <br /> proof of payment(copy of canceled check). <br /> • Claimant is requesting priority class "C" and must submit documentation verifying that claimant does <br /> not employ more than 500 full time or part time employees. Submit documentation supporting the <br /> number of employees (i.e.Department of Employment Development(DE6) for the last quarter or a <br /> declaration letter signed by an officer of the company). <br /> • Claimant's tax identification number must correspond with the claimant name(e.g. individual-social <br /> security number; corporation,partnership,estate, trust-federal tax identification number). The <br /> number submitted does not appear to be a federal tax identification number. Please clarify or make <br /> correction on enclosed copy of page one of your application. <br /> NOTE: Failure to respond to this request within thirty(30) calendar days from the date of this letter may <br /> result in an ineligibility determination of your claim. <br /> California En Pii-omnental Protection Agencr <br /> �d RecreledPaper <br />
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