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7/27/2016 0 S Program:FaciIitylnformation Permit Application:#Regulator <br /> California Environmental Reporting System:Regulator Timothy Engle's Account Sign Out Took Reports Help <br /> Submittals Facilities Businesses Regulators Compliance Responders Reports <br /> UST Facility Operating Permit Application: JAMAR SERVICE <br /> Home » Submittal Search )) Submidal:6/13/2016(10180873) )) UST:UST Facility Operating Permit Application(Accepted) <br /> Submittal Element History <br /> ubmitted for CERS ID 10180873 on 6/13/2016 3:29PM by iav mcilrath of JAMAR SERVICE fSTOCKTON CAl <br /> Submittal was Accepted on 6/15/2016 by NG, WILLY for San Joaauin County Environmental Health <br /> a Return to Submittal <br /> Type-of-Action <br /> Confirmed/Updated Information <br /> Facilityinfornatlo Tank Operate. <br /> JAMAR SERVICE <br /> Tank Operator Name Phone <br /> 4075 E MAIN ST Jay Mcllrath 209-462-4685 <br /> STOCKTON , CA 95215 <br /> Mailing Address <br /> Facility Type PO Box 326 <br /> Motor Vehicle Fueling City State ZIP/Postal Code Country <br /> BOE Num bar Stockton CA 95201 United States <br /> 44024816 <br /> Is the facilitylocated on Indian Reservation Rrust lands? —Tank Owns. <br /> No <br /> Owner Name Phone <br /> Property Owns. JAYMCILRATH (209)4624685 <br /> Mailing Address <br /> Owner Name Phone PO BOX 326 <br /> JAYMCILRATH (209)462-4685 City State ZIP/Postal Code Country <br /> Mailing Address STOCKTON CA 95201 United States <br /> PO BOX 326 <br /> Tank Owner Type <br /> City State ZIP/Postal Code Country Non-Government <br /> STOCKTON CA 95201 United States <br /> e rmit-Holder-Information <br /> rRcilityOwner <br /> rmit Holder Notification Information Supervisor of Division,Section,or Office(Required for Public Agencies Only <br /> - <br /> Financial Responsibility Mechanisms <br /> Indicate which approved mechanlsm(s)are being used to show financial responsibility either as contained in the federal regulations(40 CFR Part 280,Subpart H, <br /> Sections 280.93 through 280.107)or CCR Title 23,Division 3,Chapter 18,Section 2808.1. <br /> Self-Insured Surety Bond State Fund and CFO Letter Other Mechanism <br /> No No Yes No <br /> Guarantee Letter of Credit State Fund and CD - <br /> No No No <br /> Insurance Exemption Local Government Mechanism <br /> No No No <br /> Applicant Certification <br /> I certify that the information provided in this UST submittal is accurate and current,and that this facility complies with all applicable Underground Storage <br /> Tank requirements. l <br /> Applicant Name Applicant Title Applicant Phone Date Certified <br /> JAYMCILRATH OWNER 20946-24685 - <br /> Created By:Jay mcllrath on 6/1312016 3:17 PM <br /> Last Updated By.Jay enchant,on 6/13/2016 3:18 PM Return to Submittal <br /> Version 2.23.00121 Enhancements I CB2S Central Diagnostics I Conditions of We I Privacy Policy I Contact I Halo <br /> California Environmental Reporting System Business Im 2016 California Environmental Protection Agency <br /> CFRS Technical Support:Request Technical Assistance <br /> '�CERS Help �Settings �Nodfica[ions ❑ <br /> https://cersregulator.calepa.ca.go,dBusiness/49527/Facility11018DB73/SubrrittalAJST/174641&Facility nforniaUanIDdaiit7697462 1/2 <br />