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OCT— 2-98 F'RI 12 :24 Ti. 269B�b487 P. 03 <br /> fb. <br /> State Water Resources Control Board <br /> Underground Storage Tank Cle inup Fund <br /> PERMIT WAIVER REQUR ST FORM <br /> CLAIM NO.: 13513 <br /> CLAIMANT NAME. TED PETERS'TRUCKING CO.,INC. <br /> SITE ADDRESS: 1985 YOSEMITE W,MANTECA <br /> Claimants who were subject to the permit requirement but failed to comply by Uanuary 1, 1990,can request the State Water Resources <br /> Control Board(SWRCB)to waive the requirement as a condition for eligibility if the four requirements listed below have been met. <br /> Where the SWRCB grants the waiver,the level of required deductible is twice the amount otherwise required. In this case,the above- <br /> named claimant will be responsible for the first$10,000 of eligible corrective action costs before Fund coverage begins. <br /> I,TED PETERS TRUCKING CO., INC.,HEREBY REQUEST THE SWRCB TO GRANT A PERMIT WAIVER. TO <br /> QUALIFY FOR THIS WAIVER,I AM SUBMITTING DOCUMENTATION HOWING THAT THE FOLLOWING FOUR <br /> PERMIT WAIVER REQUIREMENTS HAVE BEEN MET: <br /> 1. The claimant was unaware of the permit requirement prior to January 1, 1990,and did not intend to avoid the permit <br /> requirement or the associated fees. <br /> DOCUMENTATION: Provide a brief history of the UST(s)and am planation as to why the UST(s)were not <br /> permitted by January 1, 1990. Explain when and how you became avk are of the law requiring a permit to own or <br /> operate the UST(s). (Attach additional sheets as necessary.) <br /> 2. Prior to filing a claim,the claimant has complied with the financial responsibility requirements of Section 25299.31 of the <br /> Health&Safety Code(H&SC). <br /> DOCUMENTATION: Attach a copy of the Certificate of Financial sponsbility that is on file with the local <br /> regulatory agency. <br /> 3. The claimant has obtained and paid for all currently required permits. <br /> i <br /> DOCUMENTATION: If you owned or operated the UST(s)at the a of submitting the claim application,attach <br /> a copy of the permit to own or operate the UST(s)or a copy of the application to the local agency for a permit <br /> indicating that you are diligently pursuing the acquisition of a permit. if the UST(s)were removed prior to i <br /> submitting your claim application, attaclt evidence that the UST(s)were removed,and the local regulatory agency <br /> noted,and a copy of the removal permit_ <br /> 4. The claimant has paid all current UST fees imposed by Section 25299.41 of the H&SC,and all prior fees due on and after <br /> January 1, 1991. <br /> DOCUMENTA'T'ION:If any of the USTs owned or operated had pre duct placed in them on or after January 1, <br /> 1991,attach the most recent copy of the UST Fee Return Form filedwith the State Board of Equalization with <br /> proof of payment_ <br /> CLAIMANT SIGNATURE: <br /> PRINT SIGNATLTRP DATE: <br /> Note: Mail completed"Permit Waiver Request"and documentation to I he address on the cover letter. <br /> California Environmental Prote (ton Agency <br /> Q RecyCle Paper <br />