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�- ,)Wner Statements cTT)wgpauxl Underground' age Tank(UST)Opemtor and Understanding of and Comp with UST Requirements-continued <br /> ALTERNATE 1 O bona( <br /> Designated Operator's Name:Blake Hemess Relation to UST Facility(Check One) <br /> Business Name(Ifdifferentjrom above):Gilbarco/Veeder-Root ❑ OWue ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:951/288-1519 ❑ Service Technician ❑x <br /> Third-Party <br /> International Code Council Certification#:5249180-UC Expiration Date: 12/19/2006 <br /> ALTERNATE 2 (Optional) <br /> Designated Operator's Name:Cindy Padden Larson Relation to UST Facility(Check One) <br /> Business Name(Ifdifferentfrom above):GilbarcolVeeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:760/947-1260 ❑ Service Technician ❑O Third-Party <br /> International Code Council Certification#:5243667-UC Expiration Date: 10/31/2006 <br /> ALTERNATE 3 (Optional) <br /> Designated Operator's Name:Darrell Riley Relation to UST Facility(Check One) <br /> Business Name(Ifdifferentjrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:619/206-8379 - ❑ Service Technician ❑O Third-Party <br /> International Code Council Certification#:5248975-UC Expiration Date: 12/13/2006 <br /> ALTERNATE 4 (Optional) <br /> Designated Operator's Name:Darren Austin Relation to UST Facility(Check One) <br /> Business Name(Jjdii ferent from above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:858/699-2751 ❑ Service Technician 0 Third-Party <br /> International Code Council Certification#:5250436-UC Expiration Date: 12/18/2006 <br /> ALTERNATE 5 (Optional) <br /> Designated Operator's Name:Eric Banghart Relation to UST Facility(Check One) <br /> Business Name(Ijd fferent from above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:310/467-2529 ❑ Service Technician ❑O Third-Party <br /> International Code Council Certification#:5250118-UC Expiration Date: 12/9/2006 <br /> ALTERNATE 6 (Optional) <br /> Designated Operator's Name:Rayna Guttman Relation to UST Facility(Check One) <br /> Business Name(lfdifferentfrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:951/850-2318 ❑ Service Technician © Third-Party <br /> International Code Council Certification#:5245973-UC Expiration Date: 11/16/2006 <br /> ALTERNATE 7 (Optional) <br /> Designated Operator's Name:Jim Palmer Relation to UST Facility(Check One) <br /> Business Name(ljdifferentjrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:831/840-5235 ❑ Service Technician O Third-Party <br /> International Code Council Certification#:5254109-UC Expiration Date:02/21/2007 <br /> ALTERNATE 8 (Optional) <br /> Designated Operator's Name: Daniel Perez Relation to UST Facility(Check One) <br /> Business Name(/fdifferentfrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:916/718-0139 ❑ Service Technician O Third-Party <br /> International Code Council Certification#:5246161-UC Expiration Date: 11/30/2006 <br /> ALTERNATE 9 (Optional) <br /> Designated Operator's Name: Relation to UST Facility(Check One) <br /> Business Name(Ijdii ferent from above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#: ❑ Service Technician O Third-Party <br /> International Code Council Certification#: Expiration Date: <br />