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The Chief Financial Officer or the owner or operator must sign, under penalty of perjury, a letter worded EXACTLY as follows or you may complete this letter by filling in the blanks with appropriate information: LETTER FROM CHIEF FINANCIAL OFFICER I am the Chief Financial Officer for (Business name, business address, and correspondence address of owner or operator) This letter is in support of the use of the Underground Storage Tank Cleanup Fund to demonstrate financial responsibility for taking corrective action and/or compensating third parties for bodily injury and property damage caused by an unauthorized release of petroleum in the amount of at least: per occurrence and annual aggregate coverage. (Dollar Amount) (Dollar Amount) Underground storage tanks at the following facilities are assured by this letter: (Name and address of each facility for which financial responsibility is being demonstrated.) 1. Amount of annual aggregate coverage being assured by this 2. Total tangible 3. Total 4. Tangible net worth (subtract line 3 from line 2. Line 4 must be at least 10 times line I hereby certify that the wording of this letter is identical to the wording specified in subsection 2808.1(d)(1), Chapter 18, Division 3, Title 23 of the California Code of Regulations. I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief. Executed at (Place of Execution) On (Date) (Signature) (Printed Name) (Title) UST 02FR revised 4/95