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California Environmental Reporting System (CERS) Underground Storage Tank- Facility Information <br /> Facility/Site <br /> Pacific Service Station CERS ID <br /> 6131 PACIFIC AVE 10180905 <br /> TOCKTON,CA 95207 <br /> Submittal Status <br /> Submitted on 10/18/2021 by mohammad alzghoul of Pacific Service Station(Stockton,CA) <br /> ype of Action <br /> Renewal Permit <br /> Facility Information rank Operator <br /> Pacific Service Station NAJIBUL HAQSIDDIQI <br /> 131 PACIFIC AVE (619)496-1923 <br /> TOCKTON,CA 95207 5131 PACIFIC AVE <br /> Facility Type Board of Equalization Account Number Stockton,CA 95207 <br /> Motor Vehicle Fueling 210410560 <br /> Is the facility located on Indian Reservation/Trust lands? <br /> No <br /> Property Owner Tank Owner <br /> SYNERGY REAL ESTATE HOLDING LLC SYNERGY REAL ESTATE HOLDING LLC <br /> (650)267-0523 (650)634-8449 <br /> 10 Myrtle Ave,#209 510 Myrtle Ave,#209 <br /> South San Francisco,CA 94080 South San Francisco,CA 94080 <br /> Tank Owner Type <br /> Non-Government <br /> Permit Holder Information <br /> Permit Holder Notification Information Supervisor of Division,Section,or Office(Required for Public Agencies Only) <br /> Facility Owner <br /> Financial Responsibility Mechanism(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 /> elf-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 10/18/20213:37 PM <br />