|
- !
<br /> r ,•�.�Q�1 ,T, P.l •� 'i +QST Star cry
<br /> yyP�1 ' 1 M QQQ i
<br /> Qu?t � talents.of Designated Underground-Storage Tank SUS Ope•rat6r :Y7
<br /> ij dexsstanding of and CU):npllame with UST Requicem nts
<br /> il
<br /> �aC!tTY , ®SzQ, __ F.eason fGT 5y�rm�ittln$ s Form
<br /> 'e
<br /> .a.o a �e of Sim 4pera�nr. '
<br /> ! ® LTRdate• )5;7410, IraliO ) « '
<br /> is :'�>> , : ,;! -rator ihl5 ` :
<br /> '%P � , R r ;i� � ar..,,_,�.,. _.»._.w. -. ..��..r.de..•-__•.e„w,;.,�..�. •• ��www—.-..,..a t• •:t
<br /> ,ad' ',g S)eslgnr7i�(C) N e....�ls �A� A vn!-t'z_ 1teiRlion to T Fasilit)r(Checi 0►o!
<br /> w. 8u re:cjrrzr :aavcl-- t :f •,,Ctner -
<br /> "`
<br /> �_ Y'° C �. 0•• J.�_�.11 ��� �l Q � �`EfY1C.6 Tt�PtlC�ARI �iZ11f 9 .
<br /> nIntinA!•io
<br /> { , : J3e iµitis ReSatioo!�US7t P�diltt (Check.Nek
<br /> �° _•.� :.izu.'�1�ss�- •�,,�to,�. l: -.. ,�...._.---' . ._,�....__.'_ � Ow144r 17 l'Jpsrs r G 6rnploysa'
<br /> --a- -_ ..� _ t3 grviec Tichalcipn q Thinl.t
<br /> CcrtitTaGun#:" Explrion I}a!p
<br /> 5:,� •:�+ , EIV _ � �'
<br /> :l n lien m VST'racil6 (Check
<br /> 0. xwx-, > `` ` �sDe above{: _T Q •Owr4ar Opera OT f3 Ptri�loyed 3
<br /> N
<br /> L.
<br /> t-L1 a1 o e °"{ _ _ Q SCrvice t's�hAlct�n a 'third l,`'Aq kF
<br /> '1 plied _-p.ai...--. .......�... ...:._.. .,..MM,.,e.,. -_.s,es,�:. n :.•'i••
<br /> ;. :�. 17tf�m�tiR i1 iSiYlca�lon#. a �cp400n mare:
<br /> IYQTIr:•• I jI,ATORY AGENCY•MUST II�>\U'PIFtJBD OF �,NY C�,N FS TO
<br /> £ Ior4. TMN.v DAYS OF THE CIL4,N6E.
<br /> ,' �1 ' ," �� Vit' _.;•»...._..�_—._« - ....._.. .�._ ,.�_.. � .!
<br /> I,cenif�.' ' t o focality indicoted at the top of chis page,the bio lividual(s)Bled above.will '
<br /> !;
<br /> : � .•rti':e '!e tjS' 'Operator(s)• The individual(s)will CandUct And dpct� 'ent moiitlil
<br /> . . Y
<br /> .frKtiity t4 apd:aiinuai facility employee training,in accprdSnCe.witli G ifornia.Code o '
<br /> 3,secdon 2715(c)-{fl. tint.
<br /> u.rtk a c er.'Wd and am in compliance with the r$qulrenlesits(� tut.es,
<br /> 1' r`egc►ta d yoial.601nances)applicable to underground story e,t�t
<br /> fie.• R®Yt'.4Ty NT{ .Si Print)%
<br /> SIGMA TANK
<br /> tE I' OWNE'' Q "i+IlvR'S AGENT
<br /> _
<br /> '''y' '! .• � .h. ._ .err..._—... .«.rs.�__. r....�.......m.+.�wo---.......,yl+-,�,»- �.r..•.. .�,.�„7
<br />
|