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i <br /> MIT : Effective July 1 , 19954) 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 tiuith over 500 employees must demonstrate at least $70,00(}. {Chap. 6, 7a Nc4cSC, <br /> Sect 25299.32} , <br /> The hief Financial Officer or the owner or operator must sign, under penalty of perjury, a letter worded <br /> EX/3 -CTLY as follows or you may complete this letter by filling in, the blanks with appropriate information: <br /> LETTER FROM CHIEF FINANCLU OFFICER <br /> I am the Chief Financial Officer for_ "`t� � iZ.. <br /> L. - <br /> [ <br /> t-1 E\ Z i A iy Clot Pnss <br /> sBusincss name hculru,s iddress' slid corn.spandtanew addre,> of ommur csropemton <br /> l 9 � L. I,^t� • L. N' �` �'TC%C. ki e iU �t-� c� 5 `b-iC? <br /> I'llis etter is in support of the use of the Underground Storage Tani: Cleanup Fund to demonstrate financial <br /> resp . sibility for taking corrective action and/or compensating third parties for bodily <br /> inju and property damage caused by all unauthorized release ofpetroleum in the amount of at least <br /> c ammmmper occurrei) ce and S eA.; <br /> (DollarAmount) annual a aregate coverage . <br /> (Dollar Amount) <br /> Find e >lound storage tanks at the following facilities are assured by this letter: <br /> �tf'radd W1_ 4m: N`C I q, rn--k`F.f z t, t` l ►j i! S ! '�� f`V Ct `T <br /> ;Nance i nd addrr:ss of each facility for which financial responsibility is being* demonstrate(L ) <br /> 1 _ t-lmotuat of annual aggn,gate cT exage being assured <br /> by this letter . .. .. . . . . . . .. . . . . . . . . . . . . . . . . . . , 17 <br /> ? . Total tangible assets. .. . <br /> Total liabilities...... . . . . . . . . . <br /> � . 4 wq <br /> —! . Tangible net worth {subtract line 3 from line 2 - <br /> Litte 4 must be at least 10 times Iine 1 }. . . . . . . . . . . . . . . . . . . . . � � , �, a ,U � <br /> hereb certify that the wording (if this letter is identical to the wording specified in subsection 2808 . 1 (d)( t ), <br /> -haute 18, Division 3 , Title 23 of the California Code of Regulations. j <br /> I declareunder penalty of perjury that the foregoing is ri ue all correct to the best of ni-y knowledge lcdac a), d 6clicf. <br /> Executed aeA( Pla <br /> A <br /> 54rfE&xcc:fit <br /> On a I � <br /> i Date) <br /> OFF P11 <br /> (5ignatu c <br /> V <br /> ('I'ic)cl <br /> tlST02FItrrc Srd P)i HT P:IA' %'V.SWRCB.CA.GOV/CYVPHOMENSTCFIDOCS/EXH RDOG <br /> MIADATMF DRMSARCHIVLAHMDkLJSjjFjNIANCjAL RESPON LETTER FROM CFO 018.00T <br /> 2128102 UST 018 <br /> 5� <br />