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.............. <br /> aeility/A, <br /> ountry Club Valero CERS ID <br /> 575 Country Club Blvd 10118074 <br /> tockton,CA 95204 <br /> ubmittai Status <br /> Submitted on 3/16/2018 by Gina(Pimentel)Campigli of California Fuel Supply(Stockton,CA) <br /> Comments by submitter:Updated LLD Sensors <br /> of ACtion: <br /> onfirmed/Updated Information <br /> acility lnflonmad.on ank Operator <br /> ountry Club Valero alifornia Fuel Supply <br /> 575 Country Club Blvd 209)932-1307 <br /> tockton,CA 95204 i87 Ygnacio Valley Road <br /> acility Type Board of Equalization Account Number Walnut Creek,CA 94596 <br /> otor Vehicle Fueling 44045613 <br /> s the facility located on Indian Reservation/Trust lands? <br /> O <br /> roperky iter ank nor <br /> ohammed N.Ahmadi Wohammed N.Ahmadi <br /> 925)979-0560 925)979-0560 <br /> 87 Ygnacio Valley Road i87 Ygnacio Valley Road <br /> ainut Creek,CA 94596 Nalnut Creek,CA 94596 <br /> ank Owner Type <br /> on-Government <br /> e Hivl r Info anon <br /> ermit Holder Notification Information Supervisor of Division,Section,or Office(Required for Public Agencies Only) <br /> ank Owner <br /> inanciai Responsibility If<Aechnism(s) <br /> Indicate which approved mechanism(s)are being used to show financial responsibility either as contained in the federal regulations(40 CFR,Part 280,Subpart H,Sections 280.93 through <br /> 80.107)or CCR,Title 23,Division 3,Chapter 18,Section 2808.1. <br /> Self-insured Surety Bond State Fund and CFO Letter Other Mechanism <br /> Yes <br /> Guarantee Letter of Credit State Fund and CD <br /> Insurance Exemption Local Government Mechanism <br /> Printed on 3/16/201810:49 AM <br />