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01/06/2012 12:51 FAX 0,0001/0001 09 ;—Te ffordt 4162nd Street Phone: (209)744-0112 p ' F A Galt,Ca 95632 Fax:(209)744-0116 affords softcom.net `" .� Owner Statements of Designated Underground Storage Tank Operator a. and Understanding of and Compliance with UST Requirements Facility Name: GI Trucking dba Estes Express Facility#: Address: 7611 Airport Way, Stockton, CA 95206 Facility Phone#:209-982-1841 ❑ Change of Designated Operator 0 New Designated Operator DESIGNATED UST OPERATOR FOR THIS FACILTTY: PRIMARY Designated Operator's Name: ZANE NIMMO Service Technician Business Name: AFFORDA TEST ICC e: 5263322-UC Designated Operator's Phone: 209.744-0112 Expiration Date: 38112 ALTERNATEI Designated Operator's Name: FELIX RAMIREZ Service Technician Business Name: AFFORDA TEST ICC a: 52733934-UC Designated Operator's Phone: 209-744-0I12 Expiration Date: 4nil2 ALTERNATE2 Designated Operator's Name: DAVID WINKLER Service Technician Business Name: AFFORDA TEST ICC 9: 5263373-UC Designated Operators Phone: 209-744-0112 Expiration Dare: 324/12 ALTERNATE3 Designated Operator's Name: LYLE NIMMO Service Technician Business Name: AFFORDA TEST ICC'A: 5249115-UC Designated Operator's Phone: 209-744-0112 Expiration Date: 224/12 1 certify that,for the facility indicated at the top of this page,the individuals listed above will serve as Designated UST Operators. The individuals will conduct and document monthly facility inspections and annual facility employee training,in Accordance with California Code of Regulations,title 23,section 2715(c)—(t). Furthermore,I understand and am in compliance with the requirements(statutes,regulations,and local Ordinances) applicable to underground storage tanks. NAME OF TANK OWNER(Print):Estes Terminals of California LLC SIGNATURE OF TANK OWNER: DATE:01/06/12 OWNERS PRONE:209-982-1841 NOTE: 1) SUBMIT THIS COMPLETED FORM TO THE LOCAL AGENCY(NOT SWRCB)AFTER SIGNING.THE LOCAL AGENCY LIST IS AVAILABLE AT: www waterboards ca-ov/ust1conrectt/cuoa aays.html. 2) NOTIFY THE LOCAL AGENCY OF ANY CHANGES TO THIS INFORMATION WITHIN 30 DAYS OF THE CHANGE. OFFICE: County:� in ."a .N Date Faxed: IL Date Scanned: 116,117- 1- 33 �"