Laserfiche WebLink
California Environmental <br /> Reporting <br /> acility/Site <br /> AVE ON GAS&LIQUOR CERS ID <br /> 20 W YOSEMITE AVE 10180727 <br /> MANTECA,CA 95337 <br /> rb <br /> mittalSts <br /> mitted on 1/13/2015 by pritpal singh of SAVE ON GAS&LIQUOR(MANTECA,CAI <br /> ype of Action <br /> New Permit <br /> Tank[AVE Pritpal Singh <br /> 20 W YOSEMITE AVE 209)237-4700 <br /> ANTECA,CA 95337 20 W.Yosemite Ave. <br /> acility Type Board of Equalization Account Number Manteca,CA 95337 <br /> otor Vehicle Fueling 44050861 <br /> s the facility located an Indian Reservation/Trust lands? <br /> 0 <br /> Property Owner Tank Owner <br /> Pritpal Singh Pritpal Singh <br /> 510 734-4111 510)734-4111 <br /> 20 W YOSEMITE AVE 420 W YOSEMITE AVE <br /> MANTECA,CA 95337 MANTECA,CA 95337 <br /> Tank Owner Type <br /> Non-Government <br /> Permit Holder Information <br /> ermit Holder Notification Information Supervisor of Division,Section,or Office(Required for Public Agencies Only) <br /> Facility Owner <br /> Financial Responsibility Mechanism(s) <br /> ndicate which approved mechanism(s)are being used to show financial responsibility either as contained in the federal regulations(40 CFR,Part 280,Su bpart IT,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 /> uarantee Letter of Credit State Fund and CD <br /> nsurance Exemption Local Government Mechanism <br /> pplicant Certification <br /> I plicant Name Applicant Title Applicant Phone Date Certified <br /> ritpal Singh owner (510)734-4111 1/13/2015 <br /> Printed on 1/13/2015 2:11 PM <br />