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wwi <br /> acility/Site <br /> UIMCO TRUCK PLAZA* CERS ID <br /> 1022 E FRONTAGE RD 1018063 <br /> RIPON,CA 95366 <br /> Submittal Status <br /> Submitted on 7/1/2014 by Kulwinder Johal of11MCO TRUCK PLAZA*(RIPON,CA) <br /> Submittal was Accepted;Processed on 9/15/2014 by Elena Monza for San Joaquin County Environmental Health <br /> Comments by regulator:Please submit all missing documents:Facility operators are required to upload the following UST program documents into the California <br /> Environmental Reporting System(CERS),["stored at facility"option is no longer accepted]: UST Monitoring Site Plan,UST Certification of Financial Responsibility,UST <br /> Response Plan,UST Owner/Operator:Written Agreement(if applicable),UST Letterfrom Chief Financial Officer,and Owner Statement of Designated UST Operator <br /> Compliance. <br /> Please don't hesitate to call Elena Manzo at 209-953-7699 if you have any questions <br /> ype of Action <br /> New Permit <br /> Facility Information Tank Operator <br /> IMCO TRUCK PLAZA* Kulwinder Johal _ <br /> 1022 E FRONTAGE RD 209)456-7474 <br /> RIPON,CA 95366 1022 FRONTAGE RD <br /> acility Type Board of Equalization Account Number RIPON,CA 95366 <br /> Motor Vehicle Fueling 44002495 <br /> s the facility located on Indian Reservation/Trust lands? <br /> 0 <br /> Property Owner rank Owner.. <br /> LYMPIAN JV LYMPIAN JV <br /> 650)596-8950 650)596-8950 <br /> 1300 INDUSTRIAL RD L300 INDUSTRIAL RD <br /> AN CARLOS,CA 94070 AN CARLOS,CA 94070 <br /> ank Owner Type <br /> I ;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 mechanisni 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 /> elf-Insured Surety Bond State Fund and CFO Letter Other Mechanism <br /> Yes <br /> Guarantee Letter of Credit State Fund and CO <br /> Insurance Exemption Local Government Mechanism <br /> pplicant Certification <br /> ppl can[Name Applicant Title Applicant Phone Date Certified <br /> Ruth Ale)o Representative (209)535-1511 5/16/2014 <br /> Printed on 10/22/2014 8:35 AM <br />