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v <br />L] <br />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 $10,000. (Chap. 6.75 &SC, <br />Sect. 25299.32) <br />The Chief Financial Officer or the owner or operator must sign, under penalty of perjury, a letter worded <br />EXACTLY as follows or you may complete this letter by filling in the blanks with appropriate information: <br />'A YTITUM <br />I am the Chief Financial Officer for MAKE BELIEVE CO. 123 TANK STREET <br />(Business name, business address, and correspondence address of owner or operator) <br />FUND CITY CA 90001 • P. O. BOX 100 FUND CITY CA 90001 <br />This letter is in support of the use of the Underground Storage Tank Cleanup Fund to demonstrate <br />financial responsibility for taking corrective action and/or compensating third parties for bodily <br />injury and property damage caused by an unauthorized release of petroleum in the amount of at least <br />$ 5,000 per occurrence and $ 5,000 annual aggregate coverage. <br />(Dollar Amount) (Dollar Amount) <br />Underground storage tanks at the following facilities are assured by this letter: <br />MAKE BELIEVE CO. STATION #1 123 TANK ST., FUND CITY CA 90001 and <br />(Name and address of each facility for which financial responsibility is 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 />bythis letter......................................................................... $ 5,000 <br />2. Total tangible assets. <br />3. Total liabilities ........................................ <br />....................... $ (Asset Figures) <br />$ (Liability Fid) <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 wording specified in subsection 2808. 1 (d)(1), <br />Chapter 18, Division 3, Title 23 of the California Code of Regulations. <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 JULY 3 1995 <br />(Date) <br />kja�j <br />(Signature) <br />RHEA CYCLE <br />(Printed Name) <br />OWNER <br />(Title) <br />UST 02FR revised 4/95 <br />