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Environmental Health - Public
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3500 - Local Oversight Program
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PR0544125
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/8/2019 4:28:21 PM
Creation date
2/8/2019 4:11:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544125
PE
3528
FACILITY_ID
FA0003770
FACILITY_NAME
SHAWVER, WILLIAM L JR, TR ETAL
STREET_NUMBER
916
Direction
N
STREET_NAME
BROADWAY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14324007
CURRENT_STATUS
02
SITE_LOCATION
916 N BROADWAY AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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• � i <br /> The chief <br /> hef Financial vfcer or the owner or operator must sign, under <br /> worded EXACTLY as follows or you may complete the letter by filling i the blanks with <br /> LETTER FROM,CHIEF FINANCrAL OFFICER <br /> r amm the Chief Financial Officer for SHAWVER TRUCKING <br /> 916 •N. Broadway Stock on,-Qt u 95205 � <br /> 's',ndso"° v'eOmoil.$ <br /> of cnFpr <br /> This letter is in support of the use of the Underground ,forage Tank Cleanup Fund to <br /> demarzstrate financial responsibility for talarig corrective action and/or carnpensagng third artier <br /> for bodily injury and property damage caused by an unauthorized release of petrol e' ' p <br /> amount of at least$ 5, 000. Pe in the <br /> cove Per occurrence and $ 5, 000. <br /> fie• tDonar�►rr,ou�r) annual aggregate <br /> (Dollar Amounq <br /> SHAWVER Underground storage tanks <br /> at the oNowigfa dlwayaze assured by this letter: <br /> Stockton, CA. 95205 <br /> (Name And address-of each rAeility where tanks for which rinaneia3 regonsi4flity is acing danaMrated is Incited.) <br /> 1. Amount of annual aggregate coverage being assured <br /> by this letter. .,, <br /> .... ........ ................ ............... S 5. 000. <br /> 2. Total tangible assets.., <br /> ............... <br /> ... ...................... $ 300.000. <br /> 3. Total liabilities..,.. <br /> ....... ......... .....,.............. s 20, 000 <br /> 4. Tangible net %vorth (subtract line 3 from line 2. <br /> Line 4 muss be at least 10 tithes line 1)................ 280, 000 <br /> i <br /> I hereby certify that the wording of this letter is identical to the wording <br /> 2808.1(d)(1), Chapter 18, Division 3, Title 23 of the California Code of R gu aiionS subsection <br /> I declare under penalty of perjury that the foregoing is true and correct to the best of m <br /> knowledge and belief. y <br /> Executed at STOCKTON, CA. <br /> On September 22 , 1999 (hiceorExecution) <br /> sl } <br /> (Signature) <br /> William L. —Shawver r . <br /> (Printed Name) <br /> manager <br /> (T'iUe} <br /> I <br />
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