COMPLIANCE INFO 2001-2006 - Laserfiche WebLink

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Owner Statements of Designated Undergroar /ge Tank(UST)Operator and Understandin of and Co 1/ ge with UST Requvements-continued ALTERNATE 1 (O trona!) Designated Operator's Name:Blake Hemess Business Name(Ifd fferentfrom above):Gilbarco/Veeder-Root Relation to UST Facility(Check One) Designated Operator's Phone#:951/288-1519 ❑ Owner ❑ Operator ❑ Employee International Code Council Certification#:5249180-UC ❑ Service Technician ❑x '[}tird_p , ALTERNATE 2OPoona!) Expiration Date: 12/19/2006 ( Designated Operator's Name:Cindy Padden Larson Business Name I di Brent rom above):Gilbarco/Veeder-Root Relation r UST Facility(Check One) (f ff j Designated ❑ Owner ❑ Operator ❑ Employee gn Operator's Phone#:760/947-1260 ❑ Service Technician International Code Council Certification#:5243667-UC Third Party Expiration Date: 10/31/2006 ALTERNATE 3 (Optional) Designated Operator's Name:Darrell Riley Relation to UST Facility(Check One) Business Name(/jdifferent from above):Cilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:619/206-8379 O Service Technician ❑D Third-Party International Code Council Certification#:5248975-UC Expiration Date: 12/13/2006 ALTERNATE 4 (Option!) Designated Operator's Name:Darren Austin EqRelation to UST Facility(Check One) Business Name(Ijdifferentfrom above):Gil EEE � ❑ Operator ❑ Employee Designated Operator's Phone#:858/699-2751 Service Technician © Third-Party International Code Council Certification p:5250436-UC Expiration Date: 12/18/2006 ALTERNATE 5 (Opdonat) Designated Operator's Name:Eric Banghart Relation to UST Facility(Check One) Business Name(Ifd fferent from above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:310/467-2529 ❑ Service Technician ❑O Third-Party International Code Council Certification#:5250118-UC Expiration Date: 12/9/2006 ALTERNATE 6 (Optional) Designated Operator's Name: Ian Moorhead Relation to UST Facility(Check One) Business Name(Ifdii ferentfmm above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:916/947-5285 ❑ Service Technician ® Third-Party Intemational Code Council Certification#:5250115-UC Expiration Date: 12/15/2006 ALTERNATE 7 (Optional) Designated Operator's Name:Rayna Guttman Relation to UST Facility(Check One) Business Name(Ifdii ferent from above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:951/850-2318 ❑ Service Technician ❑O 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(Ijdifferent 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 (Opnnal) Designated Operator's Name:Daniel Perez Relation to UST Facility(Check One) Business Name(Ijd fferentfrom above):Gilbarco/Veeder-Root O Owner ❑ Operator ❑ Employee Designated Operator's Phone#:916/718-0139 ❑ Service Technician I] Third-Party International Code Council Certification#:5246161-UC Expiration Date: 11/30/2006