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CHEVRON STATION #1731* (CERSID: 10182331) <br />Fability Information Submitted Mar 3'2017 <br />Submitted on 3/3/2017 12:25:56 PM by Charles Bittle of Chevron Products Company (A Division of Chevron U.S.A. Inc.) (San <br />Ramon) <br />Comments by Submitter: No changes for Facility Information. Per the request on the 2/6/2017 UST Inspection Report, I am <br />resubmitting the UST element with revised UST Forms. If you have questions or if further action is neC <br />Bittle at cbittle@chevron.com or call 925-842-9002. { <br />F�D vw <br />Business Activities <br />Business Owner/Operator Identification <br />Miscellaneous State -Required Documents <br />HMBP Landlord Notice (Adobe PDF, 19KB) <br />Ml/;R 6 6 Z017 <br />ENVIRONMENTAL HEATH <br />Underground Storage Tanks Submitted Mar 3, 2017. <br />Submitted on 3/3/2017 12:25:56 PM by Charles Bittle of Chevron Products Company (A Division of Chevron U.S.A. Inc.) (San <br />Ramon) <br />Comments by Submitter: Per the request on the 2/6/2017 UST Inspection Report, I am resubmitting the UST element with revised <br />UST Forms. If you have questions or if further action is necessary, please contact Charles Bittle at cbittle@chevron.com or call 925- <br />842-9002. <br />• UST Facility Operating Permit Application <br />• UST Tank Information/Monitoring Plan - Tank ID #TA0508353 <br />• UST Tank Information/Monitoring Plan - Tank ID #TA0508354 <br />• UST Monitoring Site Plan <br />UST Monitoring Site Plan (Adobe PDF, 82KB) <br />• UST Certification of Financial Responsibility <br />UST Certification of Financial Responsibility (Adobe PDF, 32KB) <br />• UST Response Plan <br />UST Response Plan (Adobe PDF, 398KB) <br />• UST Owner/Operator: Written Agreement <br />EXEMPT BECAUSE STATION IS COMPANY OWNED AND COMPANY OPERATED (COCO) <br />• UST Letter from Chief Financial Officer <br />UST Letter from the Chief Financial Officer (Adobe PDF, 337KB) <br />• Owner Statement of Designated UST Operator Compliance <br />Owner Statement of Designated UST Operator Compliance (Adobe PDF, 158KB) <br />• Miscellaneous State -Required Documents <br />2015 SECONDARY CONTAINMENT TEST REPORT (Adobe PDF, 635KB) <br />2017 Monitor cert, Id and spill bucket test (Adobe PDF, 434KB) <br />Printed on 3/3/2017 12:26 PM <br />