02/25/2011 18:42 FAX 925 422 2748 WGMG Ia002/005
<br /> Friday,February 2S,211 4:24 PM
<br /> Subject:LLNL 5300 owners Statement-Designated UST operator Form update Z/ZS/2011 S,Co
<br /> Date,Friday,rebruary 25,20114;24 PM
<br /> From:Schwartz,Rili•=schwam;u iln1.l;ov>
<br /> To:"Stacy Rivera[EHI"«river*sjcehd.cont>
<br /> Ca"timith,willie 1."<srriilh33(ZPIlnl.g0v:.,"Chakravarthy,Prrtha"<chakravarthyZ@llnl.E;ov>,"SwWrs,Paul W,"<SwyCrS1 cc IlnLgovr,"CarT,pbell,Chris G,"
<br /> <campbcil43Plinl.1ov>,"Gallegos,Gretchen M." E;tT1ic.Ros3 a Ilni,gov5,"Akey,Kevin,)."<akeyi[ellni.Rovr,"Chase,Dawn"cchase9(�Ilnl.r ov>,"rolks,Karen 1."
<br /> <folks1@lInE.(;ov>,"TE„an,Sky" "Bliley,Traci A."<bailey14@l1nl.gov>,"Pineda,lot(,M."<pineda2@Ilnl.1?W-,"Perry,Lyle D"
<br /> perrylR,t IinLgov:*,"Arnold,Dave,L"�:arnoldl(<:.Jlit,l,hgvX"KirchF., r,Richard L."<kirchgatterl llnl.eov>,"Andra,kay°<AnciralC��Hnl.govr,"BiiFdnn,Shari l."
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<br /> To, Stacy Rivera, REFIS-San Joaquin County Environmental Health Deportment
<br /> From; Bill Schwartz
<br /> m
<br /> Subject: LLNL 5300 Owners Stateent-Designated UST Operator Form Update 2/25/?011 San Joaquin Co
<br /> Stacy,
<br /> This is an update to the Owners Statement of California Designatod UST operators for Lawrence Livermore National
<br /> Laboratory's(LLNLs) Experimental Test Site(5300) in San Joaquin County.Attached is a copy of the ICC California UST
<br /> System Operator Examination Result for Candidate ID: XX4341018855, for certifying the successful completion of the ICC
<br /> California UST System Operator exam (Designated Operator(DO) exam for California).
<br /> Mr. Richard Kirchgatter passed the:exam on 2/5/2011. He will be a Designated Operator for LLNL in San Joaquin County. He
<br /> may perform the Monthly Visual Designated Operator inspections, Please up date your records to retlect this change.
<br /> This update is in addition to previous notifications of the California UST Operators who are listed below,
<br /> Summary (3 UST,)
<br /> Building List UST(s)
<br /> Building 579 879-D 1 U1
<br /> Building 879 879-G301
<br /> Building 882 882-01U1
<br /> The individuals named below are certified California UST System Operators (Dosignated Operators)for each of the. permitted
<br /> USTs listed above.
<br /> List of California UST Operators for this Facility(LLNL S300 in San Joaquin County)
<br /> Name IGC Certification # Expiration Date Phone#
<br /> Richard Kirchgatter 524F164' 02/05/2013 (925)423-5247
<br /> Jose Pineda 8020095 10/29/2012 (925) 423-7173
<br /> Brian D'Thornton 5024962 05/25/2012 (209) 8340792
<br /> ' -°fha;California LIST System Operator Certificate Card has not been received.The ICG California UST System Operator
<br /> Examination Result is attached.
<br /> NOTE;THE LOCAL REGULATOHYAGInNCY MUST BE NOTIFIED OF ANY CHANGES TO THIS INF=ORMATION WITHIN
<br /> 30 DAYS OF THE CHANGE.
<br /> Note,This correspondence and attachments will be sent to your office Fax#(209) 468-3433,Attention;Stacy Rivera.
<br /> Please call (925)423-6626 and leavo a message or respond back to this email/Fax after you receive it to confirm receipt for
<br /> your file,
<br /> Regards,
<br /> Bill'Schwartz 2/25/2011
<br /> P.tyc! t of 4
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