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California Environmental Reporting System (CERS) Underground Storage Tank- Facility Information <br /> Facility/Site <br /> CHEVRON#208117** CERSID <br /> 55 S TRACY BLVD 10182313 <br /> RACY,CA 95376 <br /> Submittal Status <br /> ubmitted on 2/16/2022 by Charles Bittle of Chevron Products Company(A Division of Chevron U.S.A.Inc.)(San Ramon) <br /> omments by submitter:Per the 2/16/2022 UST Inspection Report,I am resubmitting the UST element to reflect the UDC's as double wall.If you have questions or if <br /> urther action is necessary,please contact Charles Bittle at cbittle@chevron.com or call 925-842-9002. <br /> ype of Action <br /> Confirmed/Updated Information <br /> Facility Information Tank Operator <br /> CHEVRON#208117** CHEVRON PRODUCTS COMPANY(A DIVISION OF CHEVRON U.S.A.INC.) <br /> 755 S TRACY BLVD (925)842-9002 <br /> RACY,CA 95376 P.O.BOX 6004,ATTN:PERMIT DESK <br /> Facility Type Board of Equalization Account Number SAN RAMON,CA 94583 <br /> Motor Vehicle Fueling 44031913 <br /> Is the facility located on Indian Reservation/Trust lands? <br /> No <br /> Property Owner Tank Owner <br /> PEPPER LANE MONTEREY ROAD L L C C/O BORELLI INVESTMENT CO CHEVRON PRODUCTS COMPANY(A DIVISION OF CHEVRON U.S.A.INC.) <br /> (408)453-4700 (925)842-9002 <br /> 980 HILLSDALE CIR STE A P.O.BOX 6004,ATTN:PERMIT DESK <br /> EL DORADO HILLS,CA 95762 SAN RAMON,CA 94583 <br /> Tank Owner Type <br /> Non-Government <br /> Permit Holder Information <br /> ermit Holder Notification Information Supervisor of Division,Section,or Office(Required for Public Agencies Only) <br /> ank 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 /> Guarantee Letter of Credit State Fund and CD <br /> Yes <br /> Insurance Exemption Local Government Mechanism <br /> Printed on 2/16/2022 5:02 PM <br />