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Sure of Gliforaia ' I <br /> � <br /> j �Sum eso <br /> Wamr Rurces C.. r Board z y`��,�wV ` I <br /> s <br /> CERTIFICATION OF FINANCIAL RESPONSIBILITY <br /> FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM <br /> A. I am raquimci a demanstrue Futaoaal Rasponstbuirf in rhe required amounts as.speaiGed in Section 23 <br /> ��Z jjC�� pret M Div.3.Tide M.CC?-- <br /> =S00,W0 dollar per ccC!4 eaoe 1 mt�ian doUarsamuai a(tiegate <br /> w AND or <br /> I 91=Mica dollars par oaatmaov a 2 mulieo dallus anaoal apgepte <br /> B hereby certifies that it is in compllarica with the requirements of Section 2807, <br /> rMma erT kO"W o-ppriar) . <br /> Article 3 Chapter 18 Division 3 Title 23 Catzom+a Code of Regulations <br /> The mechansme used to defmnsrrate Arran=/responsibrRy as required by Section 2807 are as follows <br /> : Mechanism z� Narnear+dAddressot.fssuer } Mec^iansm�fl i,pEnod ?"�%:ActeneI IComo. . <br /> Coe <br /> cy <br /> zo <br /> CADl E N <br /> Yd'�P ` t r. <br /> i Afore: If ycu are using the State Fund as any yarr of your demonstaivon of finamal fesPo`m'bdil} your ereertion and subm ss an <br /> of the certfication also certfies that ticu are in carnoilams wdh afl conditions ,or u:artici t7on in the Fund. <br /> a67) ?23-7003 . Fes" AW,6/rlj'EC;04 C9h <br /> p jl k'^1 w.f7Ex c2ta,(tj1,fM <br /> gM.m• _ P.obgAdCrQ �� <br /> •9U£ �• / igaQfJf�.///CLf/� � '��fa- ;?,�,4,,/T£epi<� G'fl 'J 177 D�� <br /> /j PLdC? oz7� ofUEL — /S56 <br /> ( "0 f/fViiG STOG/cPaN CA <br /> P+oLgNmaPaahgACG <br /> Fsfc// rt-' - 09/ 215 Y747 2zS• <br /> iadugKma IF.e47Mat� . <br /> set fTna> .�u I Nma.ea aaa o[-Oot o.+.a ppe.er <br /> y r <br /> S Ke! � <Ya IN,m.e(nrimu.a Yasrt <br /> ,��0�,) FL pnpo.l-lml n®cr Coa.i-F.aL71Su(') <br />