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Jul 22 2008 12:45 <br />Jul 22 08 12:4U <br />LOVES 223 RIPON <br />Flf' f - da Test <br />SEP -- 8 <br />Owner Statements of Designated Underground Storage kierator <br />and Understanding of and COMP a nce with UST Reaq - <br />is <br />F <br />ress: S Reeson or : <br />;s orm <br />. � ra iJ C <br />ftyPhone>�; fi t) 1) 7 0 Change Of Designated Operator <br />• Updnto Certificate EXpitation Dau <br />DESIGNATED USF OPERATOR FOR THIS FACILITY: <br />PRIMARY , <br />Dcslgwed Operator's Name; <br />LYLE D. NIMMO <br />Service Technician <br />9usirtess Name: <br />AFFORDA-TEST <br />ICC # 524411 S -UC <br />Desi diedoperator's Phone /i: <br />tog 744-0112 <br />Expiration Data: 7/ 112009 <br />ALTERNATE I <br />Dcsignstod Operator's Nemo; <br />DAVID A_ WINKLER <br />Service Technician <br />Business Name: <br />AFFORDA-TE$T <br />ICC# 5263373 -UC <br />Designated crator's Phone : <br />2N 744-0112 <br />ExpirXicaWto: 3/27Z2010 <br />A.LTERNATJC 2 <br />Desig=cdOperator's Narno: <br />ZA.NE A. NIMMO <br />Service Technician <br />BwinessName: <br />AFFORDA-TEST <br />:CC# 5263322 -UC <br />Dosigrtared Operator's Phu= <br />209 744.0112 <br />Ex iratiou Date. 31141201 p <br />ALTERNATE 3 <br />DesiF,ated0perawr'sName: <br />FEUX G. RAMIREZ <br />Service Technician <br />Business Nar^-e: <br />AFFORDA-TE$T <br />]cc # 5273934-U6 <br />Dreianat_d Operator's Phone <br />2009 741-0112 <br />„ x iratiottDate; 6x21/241 D <br />I Certify that, farthe facility indicated at the top oflhis page, the individuals listed above will servo as Otsignated UST <br />Ciriotators. ?he individuals wall c and oct and document monthly facility inbItCtions and annual facility employee training, <br />aocorca:_ce with California Cade of RcguladPns, title 23, section 2715 (c) - (f). <br />Furthermore, I understand and am in compliance with the requirements (statutes, re adons, and local <br />ordinances) applicable to undergroand storage tanks. <br />'ANTE OF TANK OWNER (Print). Lovf-s <br />GNATURE OF TAMIL OWNER: � J <br />fE: -? 1 -,7 ?'! (--)8 <br />OWNER'S PHONE: <br />1T& <br />VaMri' TrtiiB CDI MP LE,= FORM TO TAE LOCALAGENCY (NOT STATE WATER RM UR+CESCONMOL BOARD) <br />'BR SIGNING THE LOCALAGENCY LIST iSAVAILARLEAT:yAvw waterboenda.cygoy,'Ust/Mtecte/cura gW hunl. <br />1 l7FYTHF LOCAL AGENCY OF'AN- %' C'RANCES TOTI-ng INFORMATION WITHIN 30 DAYS OFTHE C RANG& <br />