Laserfiche WebLink
UndergroundCalifornia Environmental Reporting System(CERS) Information <br /> acility/Site <br /> Miracle Mile Market CER5 ID <br /> 10180779 <br /> 44 W HARDING WAY <br /> TOCKTON,CA 95204 _.. <br /> ubmittal Status <br /> ubmitted on 6/19/2014 by Gurmeet Basra of Miracle Mile Market(STOCKTON,CA) <br /> ubmittal was Accepted;Processed on 6/19/2014 by Garrett Backus for San Joaquin County Environmental Health <br /> ype of Action <br /> onfirmed/Updated Information <br /> Facility Information iank Operator <br /> Miracle Mile Market Gurmeet Singh Basra / <br /> 44 W HARDING WAY 209)981-7464 <br /> TOCKTON,CA 95204 2183 Canyon Creek Drive <br /> acility Type Board of Equalization Ac ount Number STOCKTON,CA 95207 <br /> Motor Vehicle Fueling 44048115 <br /> s the facility located on Indian Reservation/Trust lands? <br /> o — <br /> Property Owner ank Owner <br /> UKHWINDER SINGH iUKHWINDER SINGH <br /> 209)954-1548 209)954-1548 <br /> 807 BERGAMO CIR 1807 BERGAMO CIR <br /> TOCKTON,CA 95212 TOCKTON,CA 95212 <br /> ank Owner Type <br /> on-Government <br /> ermit Holder Information <br /> ermit Holder Notification Information Supervisor of Division,Section,or Office(Required for Public Agencies Only) <br /> ank Owner <br /> Financial Responsibility Mechanism(s) <br /> ndicate which approved mechanisms)are being used to show financial responsibility either as contained in the federal regulations(40 CFP,Part 280,Subpart H,Secfions 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 Yes <br /> uarantee Letter of Credit State Fund and CD <br /> nsurance Exemption Local Government Mechanism <br /> 11",pplicant Certification <br /> pplicant Name Applicant Title Applicant Phone Date Combed <br /> UKHWINDER SINGH OWNER ()954-1548 5/29/2014 <br /> Printed on 8/26/2014 4:43 PM <br />