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acility/Sitfs <br /> erizon Businessr.K(NGCA <br /> 850 N DE VRIES RD 10181479 <br /> Di,CA 95240 <br /> ubmittal Status <br /> ubmitted on 9/1/2017 by Steve Skandersan of MCI,dba Verizon Business(Bloomington,CA) <br /> mments by sulamitter.Updated financial responsibility. <br /> ype of adiori. , � WgD <br /> _. ._ <br /> nflrmed/lifd Information <br /> adlity#►tfoMillion :.' anli Operator u <br /> edron Business:KINGCA GI DBA VERIZON BUSINESS <br /> 3850 N DE VRIES RD 909)879-2712 <br /> Di,CA 95240 IS&W orange Street ENVIRONMENTAL H LTH <br /> acilit Type Board of Equaliaation Account Number Bloomington,CA 92316 <br /> Vcher <br /> 44000966 PART <br /> MENT <br /> he farility located an Indian Reservationfrtust lands? <br /> fORerty Own I-on-Government <br /> nk Owner <br /> INION PACIFIC RAILROAD Cl DBA VERIZON BUSINESS <br /> 402)271-2322 9)879-2712 <br /> 416 DODGE ST 850 Orange Street <br /> MAHA,NE 68179 omington,CA 92316 <br /> kOwnerType <br /> errriit Nol In atialn 1 <br /> rmk Holder Notification information Supervisor of Divislon,section,or office(Required for Public Agencies Only) <br /> ank Owner <br /> in® dal R oniity pAechenism(s) ' <br /> ndicote which approved mechanisms)are bung used to show financial responsib0ety either as contained in the federal regulations(40 CPR,Part28D,Subpart H,Sections 280.93 through <br /> 0.107)or ccn,Title 23,Division 3,Chapter 18,Section 28011.1, <br /> elf-Insured Surety Bond State Fund and CFO tetter tither Mechanism <br /> Yes <br /> guarantee Letter of Credit State Fund and CD <br /> nsurance Exemption Local Government mechanism <br /> Yes <br /> Printed on 9/6/20171:47 PM <br />