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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0537485
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SITE HISTORY
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Entry Properties
Last modified
7/27/2020 3:37:06 PM
Creation date
7/27/2020 2:42:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE HISTORY
RECORD_ID
PR0537485
PE
2957
FACILITY_ID
FA0021568
FACILITY_NAME
FORMER RAINWATER CAR WASH
STREET_NUMBER
420
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
21931206
CURRENT_STATUS
01
SITE_LOCATION
420 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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LSauers
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EHD - Public
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ggi <br /> chief financial �ficer or the owner or rator I <br /> 1st sign, under penalty of perjury, a letter Jorded <br /> axactly as follows, except that the instructions in <br /> brackets are to be replaced by the relevant information <br /> and the brackets deleted: <br /> LETTER FROM CHIEF FINANCIAL OFFICER <br /> I am the chief financial officer for [insert: business <br /> name, business address and correspondence address of <br /> the owner or operator] . This letter is in support of <br /> the use of the Underground Storage Tank Cleanup Fund to <br /> demonstrate financial responsibility for taking <br /> corrective action nd/or compensating third parties for <br /> bodily. injury and property damage caused by an <br /> unauthorized release of petroleum in the amount of at <br /> least [insert: dollar amount] per occurrence and <br /> [insert: dollar amount] annual aggregate coverage. f <br /> Underground storage tanks at the following facilities <br /> are assured by this letter: [insert: the name and <br /> address of each facility where tanks for which <br /> financial responsibility is being demonstrated are <br /> located] . <br /> 1 . Amount of annual aggregate coverage being <br /> assured by this letter. . . . . . . . . . . . . . . . . . . $ i <br /> i <br /> 2 . Total tangible assets . . . . .. . . . . . . . . . . . $ <br /> 3 . Total liabilities (if any of the amount on <br /> line 2 is included in total liabilities, <br /> you may deduct that amount from this line. <br /> and add that amount to line 4) . : . . . . . . . . . $ <br /> 4 . Tangible net worth (subtract line 3 from <br /> line 2 . Line 4 must be at least 10: times <br /> line 1) . . . . . . . . . . . . $ <br /> I hereby certify that the" wording of this letter is <br /> identical to the wording specified..in subsection 2808 . 1 <br /> (d) (1) , Chapter 18 , Division 3 , Title 23 of the <br /> California Code of Regulations . <br /> I declare under penalty of perjury that the foregoing <br /> is true and correct to the best of my knowledge and <br /> belief . Executed at [insert: place of execution] on <br /> [insert: date] . . <br /> [Signature] <br /> [Name] <br /> [Title] <br /> "AA Lk,- <br />
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