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California Environmental Reporting Sys <br /> tem(CERS) Underground Storage Tank-Facility lnformatior�-_ <br /> Facility/Site <br /> VALERO CORNER STORE#3698 <br /> [ERS ID <br /> 153E ELEVENTH ST 10181331 <br /> TRACY,CA 95376 <br /> Submittal Status <br /> Submitted on 3/19/2013 by Noncy Coen of CST California Stations,Inc.(Hanford,CA) <br /> Type of Action <br /> Confirmed/Updated Information <br /> LFacilityInformation Tank OperatorCORNER STORE#3698 CST California Stations,Inc. <br /> VENTH ST (1800)441-4451A 95376 685 W THIRD STpe Board of Equalization Account Number HANFORD,CA 93230hicle Fueling 44045933ity located on Indian Reserva8on/Trust lands? <br /> ETHIRDST <br /> ner Tank Owner <br /> Stations,Inc. CST California Stations,Inc. <br /> (1800)441-4451 <br /> T 685 W THIRD Si93230 HANFORD,CA 93230-5000 <br /> Tank Owner Type <br /> Non-Government <br /> EPet <br /> older Information <br /> er Notification Information Supervisor of Division,Section,or Office(Required for Public Agencies Only) <br /> ator <br /> F280.107) <br /> Responsibility Mechanism(s) _ <br /> ich approved mechanisms)are being used to show financial responsibility either as contained in the federal regulations(40 CFP,Part 280,Subpart H,Sections 280.93 <br /> through .107)or CCR,Title 23,Division 3,Chapter 18,Section 2808.1.Surety Bond State Fund and CFO LetterOther Mechanism <br /> Letter of Credit State Fund and CD <br /> Exemption Local Government Mechanism <br /> Applicant Certification -- <br /> Applicant Name Applicant Title Applicant Phone Date CertifiedSANDHH COMPLIANCE COORDINATOR (559)583-3298 2/27/2013 <br /> Printed on 3/28/2013 7:31 AM <br />