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STATE OF CAUFOAN1A <br /> ETATE WATER RESOURCEa CONTROL aOARD <br /> V..iWW of Ci.n War.Provr a LAM NO <br /> UnAraeG <br /> und mrpo Tank Cwonw Fund Pm~ <br /> 2014 Su..1,E,.IY ISO � t <br /> MWI:P O boa 944212 <br /> S.aanw..*CA"2M-2120 <br /> Underground Storage Tank Cleanup Fund oATEROM <br /> CLAIM APPLICATION PRJdrm <br /> Th{E OPPk%t on prwfda flea roquWW Inlomutlon for plaowrrrq onto o UST CiEArKq Fund PdMlIf List CWPWIO"*U-M V*AppkMf6n+MMf atl MWAI d affadrnw&to trw addmw In rr abo" <br /> MR mffw Only arse apolcalSonI@ So be EsbRIRMd Pet*MLT a " tb OW lrrod WWM&Dn In Mr tbs k aselimn bolou Relef to on lksl on YratuebormL <br /> I. CLAIMANT IDENTIFICATION <br /> A. CLAIMANTNAME 6 AAPR.CAn0f4 STATUS(CHECKONQ <br /> Harold Knowles , C/o Carl Knowles NEW p RESUIUOfTEDCIAaENo. <br /> NADA,ADCfe= 1140 west Hammer Lane 6 CLAwANf STATUS(CHBOKONET []IDCAL AGENCY En1NONIOI,IAL <br /> c"STAT'Stockton, CaliforniabP C°°E 95209 Q PARTNERSMP {�OORPORATION []pINT,/@,Ty1E <br /> TELEPHO«END 209-951-9950 QTMER, <br /> TARtOENTPICATK]NNO 569-09-3615 D `°77'tarl Knowles FOR No 951-9950 <br /> E IDENTIFY WHETHER CLAIMANT 18 FAJNG AS <br /> (11E3OWNER OFTHETANKM A Go E1OPMATCIROFTMETANKM MMSOTHTHEOWNERANDOPERATOROFTHETANKM(f ormerly) <br /> F <br /> F FKJNQ"THE OWNERONOWNER AND OPTj0W3 u THE I� L g47 <br /> OATETANK(S}ACQUIRED p Pepsi-Cola Bottling Co. of Stockton <br /> GATE SOLD l(IFAPPLICAy,E] PERSONM SOLD TO <br /> PERSONS)TANKS)ACQUIRED FROM RF AFTER IJUbi) <br /> Rok <br /> HANE ADDRESS <br /> 948-8200 <br /> _ 509 W. weber St. Stockton, GA 5203 <br /> O FFILINOASTHEDPERATDRMUTNOTTHEOW14MOF TNETJy( <br /> DATESOFOPEAATION TO IV A The Knowles were the operators from 1947-1977 <br /> PERSON(S)THAT OWNED TANKS)DARING POWD OF OPERATION <br /> FROM TO NAME ADDRESS PHONE♦ <br /> I <br /> H IOENnFY TANK OWNER AND OPERATOR AT TIME OF DISCOVERY OF gF1EASEI I 10 ENTtFY CURRD"TANK OWNER AND OPERATOR <br /> f NAMEOFOWNER Roek Brothers 1 NANEOF owNFA <br /> Roek Brothers <br /> AnMa ADDRESS ADDRESSC/o Neumi l ler & Beardslee <br /> CaY aTATEbPCODE IfY ETATEaPCM W. weber St. , Stockton, CA 95203 <br /> ELA PHONE NUMSER B.EPHONENWOER <br /> NAME OF OPIMATOR NAMEOF OPERATOR <br /> AIUNG ADDRESS LIG ADDRESS <br /> ITP STATEAPCODE ITP STATEMPCODE <br /> ELEPHONE NUMSER ELEP110NENUN6ER <br /> II. STATEMENT OF COSTS nn <br /> A EUGFSLE CORRECTIVE ACTION COSTS INCURRED TO DATE FOR COMPUTED WORK, W _$0.00 <br /> U <br /> B ESTIMATED EUGIBLE COFiREC M ACTION COSTS TO COMPLETE WORK CURRENTLY UNDERWAY <br /> INDICATE PHASE1 <br /> I QE 11 kill i (B}_175,053.00 -- <br /> C ESTIMATED ELIGIBLE CORRECTIVE ACTION COSTS TQ OOMPLETE NEXT PHASE n <br /> INDICATE PHASE <br /> t I ;L�L¢Ell OHRE NI Iv (c)�619,800HA E I I AS <br /> D THAD PARTY CiOWPENSATION COSTS FOR PEASONAL INJURYffOPERTY DAMAGE <br /> Q99lar Io Rw PrOpram In[Orfnaf n&W ap&Zbon InstuCUOns for raqurarrwnta and quaWtr1p omb) (O} <br /> E SUBTOTAL s694_,853.00 <br /> F DEDUCTIBLE _$ 1I 60,00P <br /> G TOTAL (G)�84853.00— z <br /> F <br /> (REVISED AW PAGE I <br />�j <br />