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Facility/Site <br />CHEVRON STATION #1731* CERS ID <br />355 E HAMMER LN 10182331 <br />TOCKTON, CA 95212 <br />Submittal Status <br />Submitted on 3/3/2017 by Charles Bittle of Chevron Products Company (A Division of Chevron U.S.A. Inc.) (San Ramon) <br />Comments by submitter: Per the request on the 2/6/2017 UST Inspection Report, I am resubmitting the UST element with revised UST Forms. If you have questions or <br />f further action is necessary, please contact Charles Bittle at cbittle@chevron.com or call 925-842-9002. <br />tr <br />pe of Action <br />firmed/Updated Information <br />Facility]nformation <br />CHEVRON STATION if1731* <br />3355 E HAMMER LN <br />STOCKTON, CA 95212 <br />Facility Type Board of Equalization Account Number <br />Motor Vehicle Fueling 44031913 <br />Is 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 />Tank Operator <br />CHEVRON PRODUCTS CO (A DIVISION OF CHEVRON USA INC) <br />(925) 842-9002 <br />PO BOX 6004, ATTN: PERMIT DESK <br />SAN RAMON, CA 94583 <br />Tank Owner <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 />ETank Owner Type <br />nn-C;nvPrnmant <br />ermit Holder Information <br />ermit Holder Notification Information Supervisor of Division, Section, or Office (Required for Public Agencies Only) <br />acility Owner <br />Financial Responsibility Mechanisms) <br />ndicate 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 />ielf-Insured Surety Bond State Fund and CFO letter Other Mechanism <br />3uarantee Letter of Credit State Fund and CD <br />Fes <br />nsurance Exemption Local Government Mechanism <br />Printed on 3/3/2017 12:26 PM <br />