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01 T04 <br /> informationCalifornia Environmental Reporting System (CERS) Underground Storage Tank- Facility <br /> acility/Site <br /> IMCO TRUCK PLAZA* CERS 10 <br /> 022 E FRONTAGE RD 10180637 <br /> UPON,CA 95366 <br /> ubmittal Status <br /> ubmltted on 3/20/2015 by Gurpreet lohli of Gemco Ripon Truck Plaza Inc.(RIPON,CA) <br /> ype of Action <br /> onfirmed/Updated lnformadon <br /> Facility Information Tank Operator <br /> IMCO TRUCK PLAZA* KulwinderJohal <br /> 022 E FRONTAGE RD 209)456-7474 <br /> IPON,CA 95366 1022 FRONTAGE RD <br /> acilityType Board of Equalization Account Number RIPON,CA 95366 <br /> otor Vehicle Fueling 44002495 <br /> s the facility located on Indian Reservation/Trust lands? <br /> 0 <br /> roperty Owner rank Owner <br /> LYMPIAN 1V XYM PIAN 1V <br /> 650)596.8950 650)596-8950 <br /> 300 INDUSTRIAL RD 1300 INDUSTRIAL RD <br /> AN CARLOS,CA 94070 AN CARLOS,CA 94070 <br /> ank Owner Type <br /> on-Government <br /> ermit Holder Information <br /> 'm it Holder Notification Information Supervisor of Division,Section,or Office(Required for Public Agencies Only) <br /> ank 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 State Fund and CFO Letter Other Mechanism <br /> Yes <br /> Guarantee Letter of Credit State Fund and CD <br /> Insurance Exemption Local Government Mechanism <br /> pplicant Certification <br /> pplicant Name Applicant Title Applicant Phone Date Certified <br /> uth Alejo Representative (209)535-1511 5/16/2014 <br /> Printed on 3/20/2015 10:28 AM <br />