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CA Cert. No. t <br />An upgrade <br />Chas .-- <br />the operating permit • <br />indicatedfacility below. <br />certificate number on this facsimile <br />matches the number on <br />certificate displayed <br />Instructions to the issuing agency: Use the space below to enter the following information in the format of <br />your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; <br />facility identification number (from Form A); name of issuing agency; and date of issue. Other identifying <br />information may be added as deemed necessary by the local agency. <br />TANK OWNER: <br />TANK OPERATOR: <br />FACILITY NAME: <br />FACILITY ADDRESS <br />FACILITY ID#: <br />ISSUE DATE: <br />� <br />BASATI CORPORATION <br />PAUL BASATI <br />AMAR GAS & FOOD MART <br />950 W ELEVENTH ST <br />TRACY 95376 <br />231401 <br />3/19/99 <br />