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FRCP :B.Z.SERV I CI=STAT 1 ON MR I NONCE FAX NO. :916 X71 2540 10 c. 13 2005 0 4:04PM P2 <br /> ()wticr S of�ipaW Underground StoMe"Wank(UST) Opcmtor <br /> and Undwaunding of and Compliance with UST l uircments <br /> Fill Name: Toa�iity ID n: <br /> tY Rollbt Subtnin"thio Form{Chrck One).. <br /> n of opm" <br /> Faolllq+ N: 0 Upd=COMMO j!0rWM1laidlon t�k <br /> e Nsmr. <br /> to UST Feouity(Chsak 0* <br /> NAM(/f ?!!� e 0 a antro © l"implo�a UAMM <br /> Ctparatrx"a P!►onn Mr o 8ar4oe T*O.Wons�"'k°^._ <br /> 1p*:tegww Cods cwmdl Cerd&M90n N,5 / - lye Date; <br /> LrBPA .® RaWw to UST Pad*(Cheek Oleo) <br /> awbmo Normo W406AWAMw I n 0wna ppdr�or to <br /> d Code c a U a dt ca 00 0 Ift#I:S a LO / D <br /> AL ATSZ AMD -_ ---�--- <br /> Dodpow 0~5N ltelaikM m UST Fi Giliify(Check ON#) <br /> N G(l a O OMW Q OPK410C A <br /> ar: ♦ � yr �a�� ea " <br /> in code cvmwl goo-, G . <br /> I certify that,for the 6WIfty lndkAted at the top of tflis POP,the i duals)listcd above will <br /> sme as DesipaW UST Qporator(0 The i Ayldual(S)will 0ondwt and dooMent monthly <br /> fidlity in s mud manual 6ciuty wVloy"training,In accardw=with C,,.alifomla Code of <br /> Regulations,title 23,sMlon 2715(c)-(f). <br /> 1. <br /> Furtheaamoro,i understand and am in compffanco with the roquhvinrmts(atathltea, <br /> regaledons,and Iwai ordlnaaws)appneshie to aid and ekwage bub, <br /> MANX OF'TANK OWNIR Prpat):®..�-! <br /> SIGNATURE OF TAidlrC o � <br /> RATS: t c(- _ OWNII A's PHOT419#3 <br /> NOTlt31)fflWW TMS C0hVL==FORM TO M LOCAL AGZMCY(NOT TM STATE WATU <br /> RE90UR.CZ3 CONTROL ROAM XV SANUARY 1,2005.TllS KCAL AGZNCY LAST IS AY LZ <br /> Al', <br /> 2)I MWT VML0CALAGMCV OF AXVCtt&Maaa TO TMU M00 RMATw0N W frffM 90 DA VP <br /> OFT89CHANCL <br /> November 2004 <br /> TO 39dd 09N3NN3A VSI-1 LZLb6ES60Z 9E:9T 9002/CT/ZT <br />