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COMPLIANCE INFO_2016 - 2017
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PR0231459
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COMPLIANCE INFO_2016 - 2017
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Entry Properties
Last modified
11/9/2023 11:18:41 AM
Creation date
11/7/2018 12:27:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016 - 2017
RECORD_ID
PR0231459
PE
2361
FACILITY_ID
FA0003677
FACILITY_NAME
DIAMOND GAS AND FOOD MART
STREET_NUMBER
824
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22118003
CURRENT_STATUS
01
SITE_LOCATION
824 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\Y\YOSEMITE\824\PR0231459\COMPLIANCE INFO 2016 - PRESENT .PDF
QuestysFileName
COMPLIANCE INFO 2016 - PRESENT
QuestysRecordDate
2/21/2017 5:37:44 PM
QuestysRecordID
3341592
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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EXHIBIT B <br /> NOTE: Effective July 1, 1995, California Small Businesses and California Businesses with 500 <br /> employees or less must demonstrate at least $5,000, exclusive of the UST Cleanup Fund, <br /> businesses with over 500 employees must demonstrate at least$10,000. (Chap. 6.75 H&SC, <br /> Sect. 25299.32) <br /> The Chi cial Officer or the owner or operator must sign, under penalty of perjury, a letter worded <br /> EXACT ollows or you may complete this letter by filling in the blanks with appropriate information: <br /> LETTER FROM CHIEF FINANCIAL OFFICER <br /> I am the Chief Financial Officer for MAKE BELIEVE CO., 123 TANK STREET. <br /> (Business name,business address,and correspondence address of owner or operator) <br /> FUND CITY CA 90001• O. BOX 100 FUND CITY CA 90001 <br /> This letter is in support a of the Underground Storage Tank Cleanup Fund to demonstrate <br /> financial responsibility corrective action and/or compensating third parties for bodily <br /> injury and property damage caused by an unauthorized release of petroleum in the amount of at least <br /> $ 5,000 per occurrence and $ 5,000 annual aggregate coverage. <br /> (Dollar Amount) (Dollar Amount) <br /> Underground storage tanks at the follo s are assured by this letter: <br /> MAKE BELIEVE CO. STATION#t 123 A S FUND CITY CA 90001 and <br /> (Name and address of each facility for which financ' sp si ' being demonstrated.) <br /> MAKE BELIEVE CO..STATION#2. 789 SITE AVE., FUND CITY,CA 90002 <br /> 1. Amount of annual aggregate coverage being assured <br /> by this letter...................................................P <br /> ........ $ 5,000 <br /> 2. Total tangible assets....................................... ......... $ (Asset Figures) <br /> 3. Total liabilities....................................................................... $ (Liability Figures) <br /> 4. Tangible net worth(subtract line 3 from line 2. <br /> Line 4 must be at least 10 times line 1)................................. $ (Net Worth Figures) <br /> I hereby certify that the wording of this letter is identical to the worth pec' ted in subsection 2808.1(d)(1), <br /> Chapter 18,Division 3,Title 23 of the California Code of Regulation . <br /> I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and <br /> belief. <br /> Executed at FUND CITY, CA <br /> (Place of Execution) <br /> On pryJULY 3. 11995 <br /> (Signature) <br /> RHEA CYCLE <br /> (Printed Name) <br /> OWNER <br /> (Title) <br /> UST 02FR revised 4/95 <br />
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