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U'NVDERGR0k1'11\'D sT(_)R,'V'.;E TANK SVSTEN.1 <br />OWNER SMATEMEVii` S OF DESIGNATED ST OPERATOR AND <br />UNNI)ERSTANDING OF ANDCONIPLIANICE WITH UST REQ1.14REMENT--s- <br />",I,- :4 ': h" "Llemberjtgoxje"-0'lere aPproved bY vuu4 Loc%d junubzI ior <br />flahora-, Cucd I*j1h: 23. D; -v 3. ",'h '6 Cuh�160r?lia C.' yd <br />-1 7 FMN; <br />ACI! i*N" SANE FA(, 1-11 <br />CRLLC #2706448 209-957-2900 <br />T <br />FAC11-ITY SITFAMIRESS <br />3202 W. HAMMER LANE STOCKTON <br />Ft is %SON FoR SuBxfml\j�G THIS Foa-Kt ¢" he k aw)." chars te Of Designated Opetator Update of [CC Certillelion &vpirxion Diatc(s) <br />PRCMARY DESIGNATED UST OPERATOR FOR THIS FACILITY <br />DMO.�TFO MRATOR NMNO.�� Daniel Lawrence i RELkIIOX TO UST FAMM (Chn-k Omej <br />oi&_ <br />.e <br />(,Kr, <br />e at, <br />RGSWOSS NAME; (&difRni*;rfivm ai�jrr) Tank -Tek Environmental Com. It <br />(707)"6-6151 <br />W25463.UC I EXPfRA-1'0NDA7-E 3114120 1_'__' <br />ALMIOATE I DEMNAXED UST OPERATOR FOR THIS EACILIDLLOpdond) <br />R; chard Thomas 1 RFLATION -M) U-su V.,NCILRY <br />Tank-TakEnvironmeraWC <br />otp. <br />DOPERAT05tMINE (107) ""151 Scniw Techician Third -Pari <br />INITERNAVONAI. CODE COUNCIL CMIFICATIC V X40,; 525"4JC EXPRAT04 DATF: <br />-kLTMv.AT9 2 MIGNATED US r OPERATOR FOR TIM FACILITY (0pdvxo# <br />Mj" gait -AM71:-, <br />I <br />rVc I REL0 <br />ATION M ST FACI14TV <br />Mich"(M") Lawft a <br />oyes <br />BUSINESS NAME (ttd*nntfi,.*.0ov) Tank -Tek Etyvi (A'40 ol type'aw <br />Emplk <br />kj <br />M(_,S1A'rrD O'KRATOR PHONE, (707) 446-6151 .fNie< Tcehnid'all <br />'AT10mu-cu. ATn%,N0� 10 103 0 PtRITOfIEE 10112/2009 <br />b"T MIN 1 _u j EXANxT <br />ALTEMNATE3 DESIGNATED UST OPERATOR FOR TRIS FACIL'r rind) <br />t*SIGA."IT-D OF"FRATOP. VA\ -,W Virginia Fulgaro RHIA11C.-N rO US 11'FACW1 Y lfk raw; <br />0 Ouf= Gpicmwr L] Emplc�vee <br />OUSINMNNAME (jf&ff&mfi" Tank -Tek Environmental Corp. <br />5322 LI 11117 O9 <br />I certify drat, for the facility indicated at the x0p of this page <br />; the individu%il(%) listed above will serve ai Desi mated UST <br />Operiator(s). The ladividuuk$) will conduct and dociamoUntauthty facility taxpection s and annual facility employee training <br />in accordance with Califibmin Code of Regulsdat%4 Tkk A t.hrough (f). Furthermore, I understand and am <br />in compliance with the requiremeats (statuter., regulations, and local ordiumneq),spplicable to underground storage ranksi, <br />CAN K OWN ER NA ME: <br />Ate <br />TANKOWNERIULE� <br />f ANN OWNER SIGNAM RF� DA f <br />INSTRUCTIONS <br />Remor, tile nalnelO Of the Des:grnueul US'[ Operaiall's) u re� V � cull-lfcavm' <br />I gigered Mth the Imemationil --odo Council tflu() ,c r - <br />is avaHablCon-fine, at: www.icesaft,.orl,,/ticerisearch.hi-mI Search for'-CatifomI3 US I S.swrn Operators. <br />Subm <br />nii this comple(ed iibrrrto the tocal agsac,. that regula[cs -hiii; raciiits,s tis'n, Llnidccs nlenlbcr agpm,", junsdictlons and <br />;:onraa informatieln are listed on-line at: %vww. un idm.o rg/members/whoreagulatesw hit. h tm I Ctint:sct 1111br"n3rioll for--ith.-ti <br />tocal aueu6es a iihill California is ai, ailable x: <br />R o"I i _w) rezut'— 131 wia rol�f%' 'hi_' IoC23 aveuv C" ani ch'ang,tis to this 11'. ortuavap -.Nuhu- 30 u of the date of <br />