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fforda-Te t 416 2nd Street Phone:(209)744-0112 <br /> lv ' <br /> Li iL- Galt,Ca 93632 F'aa:(209)744-0116 <br /> affordaWsofteomoet <br /> Owner Statements of Designated Underground Storage Tank Operator <br /> and Understanding of and Compliance with UST Requirements <br /> Facility Name: 1 WS-Estes Express Facility. #: 1252-3 Pats <br /> Address. 7611 S. Airport Wap Stockton CA Updated Owaera Stateme6t <br /> Facility Phone#:209-982-1841 ❑Change of esiaaatol operator <br /> D New Desipsud Operater <br /> DE5IGNATEp UST OPTRATOR FQRT ITISTIS F CIU— l RECEIVED <br /> PREW"Y ! i <br /> Designated operator's Nasse: ZANENIMMO 8ervicia TechTdcfan. APR 07 2014 <br /> Rosiness Name: AFFORDA TEST ICCik 52633Z24C <br /> Deslgeated Operator's Phone; 299-1444112 Esptrafion Date: NXI6 <br /> ALTERNATEI ENVIRONMENTAL HEALTH <br /> Designated Operator's Name: FELIX RAMIREZ Sem' UeTeehaiaou DEPARTMENT <br /> Buelaesg^iantet APFORDA TEST JCC P.82733934-IfC - <br /> Designated Operator's Phone: 211944/-6112 Expiration Da t; "16 <br /> ALTERNATE2 <br /> Designated operaMr'axamtt DAVID WINKLER uwetv#aTecOakian <br /> Rome"Names AFFORDA TEST ICC e: 5763373•UC <br /> Deeigaated Oparawr's Phonet 209-744-0112. Exp4ati aDate: 3AQ116 <br /> ALTERNATE <br /> DesigoaW Operater'sName: EDWARD ST.EARliS ServiceTaehnielan <br /> - <br /> RoslnessName: AFFORDATEST ICCil525at92-I'C <br /> Designated Operator's Phonet 209.74&0112 Expiration Date: 316114 <br /> 1 certlry that,for the facility indicated at the top of this page,the individuals listed above will serve as Dasignatod UST <br /> Operators. The ladividuals win conduct and document monthly facility ihapeetions and annual facllity employee <br /> training,in <br /> Accordance with California Code of Regtllat 00s,title 23,section 2715(c)—(f). <br /> Furthermore,I understand and am in compliance with the requirements(statutes,ragaistions,and local <br /> Ordinances) appileshle to underground storage tanks. <br /> NAME OF TANK OWNER(Print):Estes Express <br /> SIGNATURE OF TANK OWNER: <br /> !DATE:03!11/14 OWNERS PHONE:209-982-1841 <br /> NOTE; <br /> 1) SU•OMITTRIS COhn'LETED F(HiPt TO THE LOCAL AGENCY(NOT SWRCM.4PI'Ea SIGNING.THE LOCAL <br /> AGENCY LIST IS AVAXLA.8LE AT: ww waterbeanls ra ao /uslLraFaRaF • <br /> 2) NOTWY THE LOCAL AGENCY OF ANY CHANGES TO THIS INFORMATION WrrI1IN 34 DAYS OF THE <br /> CHANGE. <br /> OFFICE: <br /> County: San Joaquin Date Faxed: '1 DateScanotd: <br /> Date E-&failed <br />