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and California Businesses with 500 <br /> 1,1995,California Small Businesses exclusive of the UST Cleanup 75 ii&SC, <br /> NOTE. Effective JFundq <br /> orYless must demonstrate at least$5,000, <br /> 000. <br /> employees th owiver 500 employees must demonstrate at least$10, <br /> e <br /> Sect.2529932) under penalty of perjury,a letter worded <br /> operator must sign' in the blanks with appropriate information: <br /> complete this letter by filling <br /> The Chief Financial off Genu�Y owner or <br /> E}(ACTLY as follows or Y F F.IN�CIAL OFFICER <br /> LETTER FROM CHIE � <br /> �: d consspo <br /> 11 nde+a address of owr•er or opemLOr) <br /> 1 am the Chief Financial OfficB`�f°� ,siRas address S O <br /> ` <br /> 70 L� Fund to demonstrate financial <br /> round Storage Tank Cleanup <br /> of the use of the Underg nsating third parties for bodily <br /> This letter is in SupportPetro in the amount of at least <br /> responsibility for taking corrective actby and anaorC� annual aggregate coverage• <br /> damage caused by an unauthorized release of p <br /> injury and property Q C — <br /> T���� <br /> per occurrence 4il,o,,,,y <br /> (DollarAmo ') ar this letter: <br /> Underground storage tanks at the following facilities are assured by <br /> *... <br /> (Name and address ofeach facility for which financial responsibility is being demonstrated) <br /> DO <br /> 1, Amount of annual aggregate coverage being assured wo <br /> by this letter................................... <br /> 2, Total tangible assets.................................... <br /> 3. Total Liabilities.............................. ........................................ <br /> 00 <br /> 4. Tangible net worth(subtract line 3 from line 2. <br /> Line 4 must be at least 10 times line 1).............. <br /> I hereby certify that the wording of this letter is identical to the wordg specified in subsection ..808.1(d 1), <br /> Chapter 18, Division 3, Title 23 of the California Code of Regulations. <br /> 1 declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief. <br /> Executed at <br /> Place of Executionn) <br /> (D e) <br /> Sig ature <br /> r, (( l— <br /> (Prime ame) <br /> critic) <br /> UST 02FR rovised 4195 <br /> 1 <br />