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E <br />California Environmental Reporting System (CERS) Underground Storage Tank - Facility Information <br />EVRON STATION #1731* <br />5 E HAMMER LN <br />,CKTON, CA 95212 <br />CERS ID <br />10182331 <br />submitted on 3/3/2017 by Charles Bittle of Chevron Products Company (A Division of Chevron U.S.A. Inc.) (San Ramon) <br />:omments by submitter: Per the request on the 2/6/2017 UST Inspection Report, I am resubmitting the UST element with revised UST Forms. If you have questions or <br />f further action is necessary, please contact Charles Bittle at cbittle@chevron.com or call 925-842-9002. <br />EVRON STATION #1731* <br />i5 E HAMMER LN <br />)CKTON, CA 95212 <br />acility Type Board of Equalization Account Number <br />Motor Vehicle Fueling 44031913 <br />s the facility located on Indian Reservation/Trust lands? <br />,lCDONALDS CORP <br />630) 623-5081 <br />. MCDONALDS DR <br />)AK BROOK, IL 60523 <br />EVRON PRODUCTS CO (A DIVISION OF CHEVRON USA INC) <br />.5)842-9002 <br />BOX 6004, ATTN: PERMIT DESK <br />V RAMON, CA 94583 <br />:HEVRON PRODUCTS CO (A DIVISION OF CHEVRON USA INC) <br />925) 842-9002 <br />10 BOX 6004, ATTN: PERMIT DESK <br />SAN RAMON, CA 94583 <br />ank Owner Type <br />y � <br />permit Holder Notification Information Supervisor of Division, Section, or Office (Required for Public Agencies Only) <br />acility Owner <br />which approved mechanism(s) are being used to show financial responsibility either as contained in the federal regulations (40 CFR, Part 280, Subpart H, Sections 280.93 through <br />i or CCR, Title 23, Division 3, Chapter 18, Section 2808.1. <br />Surety Bond State Fund and CFO Letter <br />Letter of Credit State Fund and CD <br />Exemption Local Government Mechanism <br />Printed on 3/3/2017 12:26 PM <br />Other Mechanism <br />APP 10 ZOW <br />,,Mlait 0iN,1 i1:LH LT <br />—NT <br />