Laserfiche WebLink
Facility/Site <br />Yosemite Avenue Arco AmPm CERS ID <br />1711 E Yosemite Ave 10422475 <br />Manteca, CA 95336 <br />Submittal Status <br />Submitted on 11/17/2014 by Sharma Sharma of MAIN STREET ARCO AM PM* (MANTECA, CA) <br />ype of Action <br />New Permit <br />Facility Information <br />Yosemite Avenue Arco AmPm <br />1711 E Yosemite Ave <br />Manteca, CA 95336 <br />racilityType Board of Equalization Account Number <br />Motor Vehicle Fueling 44050772 <br />s the facility located on Indian Reservation/Trust lands? <br />No <br />Property Owner <br />Jesse & Kul Estate Enterprise LLC <br />;925) 560-8386 <br />1782 N. Terracina Drive <br />Dublin, CA 95336 <br />Tank Operator <br />Jesse & Kul Petroleum, Inc <br />(209)823-4715 <br />1711 E Yosemite Avenue <br />MantecA, CA 95336 <br />Tank Owner <br />Jesse & Kul Petroleum, Inc <br />209)823-4715 <br />1711 E Yosemite Avenue <br />MantecA, CA 95336 <br />Tank Owner Type <br />Non -Government <br />Permit Holder Information <br />Permit Holder Notification Information Supervisor of Division, Section, or Office (Required for Public Agencies Only) <br />Tank Operator <br />Financial Responsibility Mechanism(s) <br />Indicate which approved mechanism(s) are being used to show financial responsibility either as contained in the federal regulations (40 CFR, Part 280. Subpart H. Sections 280.93 through <br />80.107) or CCR, Title 23, Division 3, Chapter 18, Section 2808.1. <br />Self -Insured Surety Bond <br />State Fund and CFO Letter Other Mechanism <br />Yes <br />Guarantee Letter of Credit <br />State Fund and CD <br />Insurance Exemption <br />Local Government Mechanism <br />Applicant Certification <br />Applicant Name Applicant Title Applicant Phone Date Certified <br />Kuldeep Sharma President (510) 468-2371 11/17/2014 <br />Printed on 11/17/2014 8:23 AM <br />