COMPLIANCE INFO 2001-2006 - Laserfiche WebLink

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i 0"er Statements of Designated Undergrounl Je Tank(UST)Operator and Understanding of and Co, 9 with UST Requirements—continued ALTERNATE 1 (Optional) `r �� Designated Operator's Name:Blake Hemess Relation to UST Facility(Check One) Business Name(Ifdifferentfrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:951/288-1519 ❑ Service Technician O Third-Party International Code Council Certification#:5249180-UC Expiration Date: 12/19/2006 ALTERNATE 2 (Optional) Designated Operator's Name:Cindy Padden Larson TRelationto UST Facility(Check One) Business Name(If different from above):Gilbao/Veeder-Root er ❑ Operator ❑ Employee Designated Operator's Phone#:760/947-1260 ce Technician O Third-Party International Code Council Certification#:5243667-UC Expiration Date: 10/31/2006 ALTERNATE 3 (Optional) Designated Operator's Name:Darrell Riley Relation to UST Facility(Check One) Business Name(Ifd fferentfrom above):Gilbarco/Veeder-Root ❑ OWner ❑ Operator ❑ Employee Designated Operator's Phone#:619/206-8379 ❑ Service Technician M Third-Party International Code Council Certification#:5248975-UC Expiration Date: 12/13/2006 ALTERNATE 4 (Optional) Designated Operator's Name:Darren Austin Relation to UST Facility(Check One) Business Name(Ifdifferentfrom above):Gilbamo/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:858/699-2751 ❑ Service Technician O Third-Party International Code Council Certification#:5250436-UC Expiration Date: 12/18/2006 ALTERNATES (Optional) Designated Operator's Name:Eric Banghart Relation to UST Facility(Check One) Business Name(Ifdifferentfrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:310/467-2529 ❑ Service Technician ® Third-Party International Code Council Certification#:5250118-UC Expiration Date: 12/9/2006 ALTERNATE 6 (Optional) Designated Operator's Name:len Moorhead Relation to UST Facility(Check One) Business Name pfdfferentfmm above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:9161947-5285 ❑ Service Technician ® Third-Party International Code Council Certification#:5250115-UC Expiration Date: 12/15/2006 ALTERNATE 7 (Optional) Designated Operator's Name:Rayne Guttman Relation to UST Facility(Check One) Business Name(Ifd fferentfrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:951/850-2318 ❑ Service Technician ❑x Third-Party International Code Council Certification#:5245973-UC Expiration Date: 11/16/2006 ALTERNATE 8 (Optional) Designated Operator's Name:Ron Larson Relation to UST Facility(Check One) Business Name(Ifd fferent from above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:760/947-1260 ❑ Service Technician ® Third-Party International Code Council Certification#:5243829-UC Expiration Date: 10/31/2006 ALTERNATE 9 (Optional) Designated Operator's Name:Daniel Perez Relation to UST Facility(Check One) Business Name(Ifd fferentfrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:916/718-0139 ❑ Service Technician ❑x Third-Party International Code Council Certification#:5246161-UC Expiration Date: 11/30/2006