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t <br />HEVRON STATION #1731* it '=­'"`'' "` <br />CERS ID <br />355 E HAMMER LN -10182331 <br />-OCKTON, CA 95212 � R 02017 <br />ibmittal Status ' <br />Ibmitted on 3/3/2017 by Charles Bittle of Chevron ProdLMI 71461fWAA. Inc.) (San Ramon) <br />)mments by submitter: Per the request on the 2/6/2017 UST Insp rR mitting the UST element with revised UST Forms. If you have questions or <br />further action is necessary, please contact Charles Bittle at cbittle ron.com or call 925-842-9002. <br />�ype of Action <br />onfirmed/Updated Information <br />Facility' i'n#aemation <br />CHEVRON STATION #1731* <br />3355 E HAMMER LN <br />STOCKTON, CA 95212 <br />Facility Type Board of Equalization Account Number <br />Motor Vehicle Fueling 44031913 <br />s the facility located on Indian Reservation/Trust lands? <br />No <br />Property Owner <br />MCDONALDS CORP <br />(630)623-5081 <br />1 MCDONALDS DR <br />OAK BROOK, IL 60523 <br />rank Operator. <br />HEVRON PRODUCTS CO (A DIVISION OF CHEVRON USA INC) <br />925) 842-9002 <br />PO BOX 6004, ATTN: PERMIT DESK <br />AN RAMON, CA 94583 <br />ank 16W-6" r ' <br />CHEVRON PRODUCTS CO (A DIVISION OF CHEVRON USA INC) <br />925) 842-9002 <br />O BOX 6004, ATTN: PERMIT DESK <br />AN RAMON, CA 94583 <br />Tank Owner Type <br />on -Government <br />Permit Holder'Infoimation <br />Permit Holder Notification Information Supervisor of Division, Section, or Office (Required for Public Agencies Only) <br />Facility Owner <br />Financial Responsibility Mechanisms) <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 />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 />Guarantee Letter of Credit State Fund and CD <br />Yes <br />Insurance Exemption Local Government Mechanism <br />Printed on 3/3/2017 12:26 PM <br />