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AUG 11 2015 ENVIRONMENTAL (JC41T'U RCO�gTAIICAIT Owner Statements of Designated Underground Storage Tank (UST) Operator and Understanding of Compliance with UST Requirements Desienated UST Oaerator(s)for this Facility Facility Name: Facility ID#: Facility Address: N40 E_ C L- Reason for Submitting this Form(Check tTT grChange of Designated Operator Facility Phone ❑ Update Certificate Expiration Date PRIMARY Designated Operator's Name:Jacob Weaver Relation to UST Facility(Check One) Business Name(If differentfrom above):Franzen-Hill Corp. ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone 559-688-2977 X Service Technician X Third-Party International Code Council Certification#:8338858-UC Expiration Date:3-5-2017 ALTERNATE I al Designated Operator's Name:Gary Rummerfieid Relation to UST Facility(Check One) Business Name(If different from above):Franzen-Hill Corp. ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:559-804-4618 X Service Technician X Third-Party International Code Council Certification#:5246124-UC Expiration Date: 2-25-2017 ALTERNATE 2 (Optional) Designated Operator's Name: Gabriel Venegas Relation to UST Facility(Check One) Business Name(If differen1from above):Franzen-Hill ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:559-331-8769 X Service Technician X Third-Party International Code Council Certification#:8123651-UC Expiration Date: 7-1-2016 ALTERNATE 3( nal) Designated Operator's Name:Adam Taylor Relation to UST Facility(Check One) Business Name(If different from above):Franzen-Hill Corp_ ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:559-731-0271 X Service Technician X Third-Party International Code Council Certification#:8036233-UC Expiration Date: 1-21-2017 ALTERNATE 4 oval Designated Operator's Name:Jose Ochoa Relation to UST Facility(Check One) Business Name(Ifdifferent from above):Framers-Hill Corp. ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone 559-688-2977 X Service Technician X Third-Party lnterruational Code Couuicil Certification#:8004551-UC Ezpiration Date: 1-21-2016 ALTERNATE 5 nal Designated Operator's Name:Junior Sinco Relation to UST Facility(Check One) Business Name(Ifdifferent from above):Franzen-Hill Corp. ❑ Owner ❑ Operator ❑ Employee Designed Operator's Phone 559-331-8769 X Service Technician X Third-Party International Code Council Certification#:5246152-UC Expiration Date: I 1-11-2016 ' Page 2 January 2015