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l <br /> Owner Statements of Designated Undergroune Tank(UST)Operator and Understandingof and Cor <br /> �e with UST Requiremrnts-continued <br /> ALTERNATE 1 O tional) <br /> Designated Operator's Name:Blake Hem <br /> Relation to UST Facility(Check One) <br /> Business Name(Ifdifferentfrom above):Gilbarco/Veeder-Root <br /> ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:951288-1519 ❑ Service Technician © Third-Party <br /> International Code Council Certification#:5249180-UC <br /> 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(Ifili ferentfrom above):Gilbarco/Veeder-Root <br /> ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone if: 160/947-1260 ❑ Service Technician ® Third-Party <br /> International Code Council Certification#:5243667-UC <br /> 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(Ifdierent from above):Gilbarco/Veeder-Root <br /> ❑ Owner ❑ Operator ❑ Employee <br /> Operator's Phone#:619/206-8379 ❑ Service Technician © 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(Ifdfferentfrom above):Gilbarco/Veeder-Root ❑ Owvner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:858/699-2751 ❑ Service Technician M 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(Ifdifferentfrom above):Gilbarco/Veeder-Root ❑ O"er ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:310/467-2529 ❑ Service Technician ® Third-Party <br /> International Code Council Certification#:5250118-UC Expiration Date: 12/9/2006 <br /> ALTERNATE 6 (Optional) <br /> Designated Operator's Name:Ian Moorhead Relation to UST Facility(Check One) <br /> Business Name(Ifdifferentfrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:916/947-5285 ❑ Service Technician ❑x Third-Party <br /> International Code Council Certification#:5250115-UC Expiration Date: 12/15/2006 <br /> ALTERNATE 7 (Optional) <br /> Designated Operator's Name:Rayne Guttman Relation to UST Facility(Check One) <br /> Business Name(Ifdifferentfrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:951/850-2318 ❑ Service Technician ❑O Third-Party <br /> International Code Council Certification#:5245973-UC Expiration Date: 11/16/2006 <br /> ALTERNATE 8 (Optional) <br /> Designated Operator's Name:Ron Larson Relation to UST Facility(Check One) <br /> Business Name(Ifdii ferent from above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:760/947-1260 ❑ Service Technician O Third-Party <br /> International Code Council Certification#:5243829-UC Expiration Date: 10/31/2006 <br /> ALTERNATE 9 (Optional) <br /> Designated Operator's Name:Daniel Perez Relation to UST Facility(Check One) <br /> Business Name(Ifdifferentfrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:916/718-0139 ❑ Service Technician ® Third-Party <br /> International Code Council Certification#:5246161-UC Expiration Date: 11/30/2006 <br />