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RFrsF <br /> VEE <br /> QA. <br /> .A r 1901CIF 416 2nd Street none-(209)744-0112 <br /> &or a -- Galt,Ca 9W2 Fax:(209)74"116 APR 0 7 2014 <br /> Owner Statements of Designated Underground Storage Tank OPe"VIRON14ENTAL HEALT <br /> and UAdMtand!gg of and Collngliance with UST!!!quirements <br /> Facility Name: Quick N Shop Mart Facifit*4.*_ _ _ PO# <br /> Address: 1001 E Yosemite Ave Nionteca CA 0 Updated Owners Staleme it <br /> Facility Phone 2og-67o.6473 0 Change of D*mkd Opem* <br /> El New Deftnated Operator <br /> UST 2PF-RATOR FOR THLS FAC UM- <br /> PRIMARY <br /> Deftnod Operator's Name:. ZANZ NIMMO se"ice Teebuici" <br /> Business Name: AMRDA TXST XCC 4: 5263322-UC <br /> Designated Operator's Phone; 209-744-0112 Expiration Date: 3I3/16 <br /> ALT ATE I <br /> Designated op eratoes Name: FELXXRAMMEz Service Technician <br /> Business Name.- AFFQ TEST ICC#; 52733934-UC, <br /> Des*nted Operator's Phone-. 209-744-0112 Expiration Date: 313116 <br /> ALT ATE <br /> D"IlPsted Operator's Name; DAVIDWINKLER Service Technician <br /> Bud am Nam- AFFORDA TLqT ICC#: 5263373-UC <br /> Des�pated Operator's Phone- 209-744-0112 Expiration Date: 3/10/16 <br /> ALTERNATE3 <br /> Designated operstoes Name: EDWARD,STEARNS Service Technician <br /> Busluen Name:' A"DRDA TEST ICC#; 5250492-UC <br /> Designated Operatoes Phone: "9-74"112 'Expiration Date: 3/3116 <br /> 1 cort*that,for the facility indicated at the top of this page,the individuals lb"d above will serve as Designated UST <br /> OPWatpm The individuals will conduct and-document monthly faility4ispec-flons and annual facility employee <br /> training,in <br /> Accordance with CaMrnia Code of Regulations,title 23,section 2715(e)–'(0, <br /> FMVVWMW%A V§ft'21001d OW M 18 0010*110140 With MA Row umm <br /> arawq* "Pambie to"&wood <br /> NAM OF TAM OVV*U 0"Ot <br /> SIMATIM OV TANKOVIMM <br /> $Mb=*%vw%AAVMJ*OWN MARABOAM 70189 4AWAI.AGUMV ow SWAMAIPMR=lQW%TWL4C4 <br /> AMWVILWO — - I <br /> '2 WMERUZZMERY <br /> COX= <br />