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NOTE: Effective duly 1,1945,Californle Small Businesses and California Bustuesses with SW s d - employees orless must demonstrate atleast S5,00D,ecclusiveof the UST Cleanup Fund. California UST System Operator businesses with over 500 employees must demonstrate at least$10,000.(Chap.6.75 H&SC, Sect.2529932) The Chief Financial Officer or the owner or operator must sign,under penalty ell a letter worded E.XACTLV as follows or you may complete this lever by filling in the blanks with appropriate information: .,_. Cand ease ID: ICC00043657 LETTER FROM CHIEF FINANCIAL OFFICER Narna. A.EX.wrsAPl Date: 10/3/2074 I am the Chief Financial Officer fh X pPtl L:,.) G .. rev mtrmea�ame.a,�aw Address 537 ANiHERST i-p67TFi This letter is in support of the use of the Underground Storage Tank Cleanup Fund to demonstrate financial SAN FAtvtON Ca 94sa3 responsibility for taking corrective action and/or compensating third parties for bodily injury and property damage caused by an unauthorized release of petroleum in the amount Clot least $ ft per occurrence and$ a-.,a. annual aggregate coverage. EXAMINATION RESULT:PASS twna.emam �rla`Amaa.a Congratulations!You have passed me above named examination.Your wallet card will be fonuarded to Underground storage tanks at the following facilities are assured by this letter: you by CC within$ix weeks Nom the last day of the month in which you tasted.This certificate Is current o'KC agars. Gr (Name pmt m!dres;ofa�h f§lain t Ncch I=i'l rss�bilm 6 NinedenwosanIvd.) ou may request a wail certificate-`ter^ICC as well.This ceriticate,will be provided at no costo you,u You request n.within 90 car of your exam.Only one wall certificate per exam passed will be provided to you at no charge.Far more information on requesting a wall certificate,go to www iccsafe oI nfir. to'. 1. Amount of annual aggregate coverage being assured it is exttemely Inlpgrlant that you notily Pearson VUF and iCC of any changes in name and of address to by this letter..............._....................................... $ „>4 avoid the passibility of your wallet card ancUor certificate not being received.Please contact Pearson UE a 800-275-8301 and ICC at ce,exam C rc sttg.:grq beth changes toyour name and d-ass'name 0 Total tangible assets................. $ 'a 9-. y oqu re additional dos ment.00h)There may be an additional fee if a cert'-.r_anon-_ _. ._......_.................._..... - -/ a reeved due o a misspelled nano or incorrect address. 3. Total liabilities....................................................................... 4. Tangible net worth(subtract line 3 from line Z Line 4 must be at least 10 times line I)...............__............... $ Snc^'.�•+C V I hereby certify that the wording of this letter is identical to the wording specified in subsection 2808.1(d)(1), Chapter 18,Division 3,Title 23 of the California Code of Regulations. I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief. Executed at fT - c1�r.>.! lA .-Ro-r trmam�amron) O. 62 (Si (Wn6 name) ITid tu ..b-,/t>I r rtre0o,1,�� re>b: 'mA Ge-. ✓UES Onr,e<.t;re R.00r wu ne�tcalon ru,a,.t l�E'Y @f'ft rmi-0+�5 e-� 9:.rnrnarez Do. u. ➢o.�.rnra reFor:s. Peffirmficn Nvm.�e! 218ieSba2 Vali�ladon NtmtWr 97v25J81 S�ofCnlifomia Fur smteVznnly Score of.1 Fi Rewaxao C'onaol&vrd .c mm of 2122 ul Arwmrce ns P.O.ti94 2122 Sffiromenro,CAAt244-211.0 amuuawumm x,iGe) CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR I.rNDERCROUND STORAGE TANKS CONTAINING PEIROI.EUM A Iam mlt, mS tyle FirasW Re bili{-in tis requirtd armttve,pmifidit'—h.2907,OWla,Di-Tale 21 CCR: ❑5np,oW&lL permwrence (million Jallars amoral sggreFare a AND er tmation t6+fFan paeccum-mc 2million�iL_,vurwlareearc hereby cera0e-s that itis in compaahea web Na requrements of Nancy raw Carlamle rahC1,11 d of used dem Tare 23,r al,e,Chapter 18,required e Sy See Ian? The mecwan5ms usedro demonstra(e finandal responsOdrty as r9auired by Section 2807 are as(dlows: C.Medtanism Medhanism Coverage Coverage Caredwe Third Party Type Name are Address of!aver Number Amory Period Action Can n-/a A: S�a6yaa.�xlyr U Y`Ur9 .ta/�Gc�iw-� Ca�?ezau.> /� yG7` far°E.vsT�2r++�'l AIM A( JC Sota��c <r3a.✓/��va.J Lr/�'7N� Grt�rCAEnrrr �� Note:It you m uslag the State FuM a5�nyparl of roar danWnslra(ian of rmarrlal iWwsblify,yourexeculfon andsubmisson of(la8p adisUiaY=CB/a-&W you are m cnrt0—and shaft—lain conNiar—w M gN—atons fir panldpab'an u Me Fun¢S—stoetons D. ca u Name Fedlar A6kess SiZY lL7" W4 COO Fa lay Name Facility AOdrese Fahey Name Fadaly Afdraae E s5^aase dtmKK Ownm aCrerxor orae fJameaM rya or Tank Ovrtror oropmeror 3g'et.. fYWtress a Notary Date Name of ff�es or -, �� l2 nsi+4 ��,ftNac-2 JJlact rrziaa.;Ma owx�Y rat::Odalual-wmt na,.a.> crmm.-eatalnrstura