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09/01/2010 22:53 FAX 925 422 2748 WGMG 1a003/005 <br /> I . % 0 0 <br /> Date: Fri, 19 Dec 2008 12 : 06 :57 -0800 <br /> To: mhenry@sjc(--,hd.com <br /> From; Bill Schwartz <wws@ll.nl.gov> <br /> subject: Owners Statement-DO Form Update 12/19/2008 SJ Co. CC : <br /> Bcc: <br /> X-Attachments! :Macintosh HD: 310912 : 101114 Jose Pineda DO Cert.pdf : <br /> ,ro: Michelle Henry, Senior Registered Fnviroriinental Health Spe=cialist <br /> Environmental Health Department, Sari Joaquin County <br /> Michelle, <br /> This is an update to the Owners Statement of Designated UST Operators for <br /> Lawrence Livermore National Laboratory' s (LLNL' s ) Site 300 Facility in San <br /> Joaquin County. Attached is one document for certifying the successful <br /> completion of the ICC CA Underground Storage Tank System Operator - UC exam (DO <br /> exam for California) for one LLNL employee. <br /> Jose Pineda passed the exam on 11/14/2008 . He will be a Designated operator (DO) <br /> for LLNL in San Joaquin County. He may perform the monthly DO inspections. <br /> Please up date your records to reflect the new expiration date of 11/14/2010 . <br /> Building 1,isL UST(s) <br /> Building 879 879-D1U1f 879-G3U1 <br /> Building 882 882-DIUI <br /> The individual(s ) named below are Designated UST Operators for each of the <br /> permitted USTs listed above. <br /> Designated UST Operator(s) for this Facility (1,LNL Site 300) <br /> Name ICC Certification ff Expiration Date Phone //, <br /> Richard Lloyd Kirchgatter 5246164-UC 06/11/2010 (925 ) <br /> 423-52479 ( 925 ) 423-7173 <br /> ,pose Pineda 8020095-U6 11/14/2010 <br /> NOTE: THE LOCAL REGULATORY AGENCY MUST BE NOTIFIED OF ANY CHANGES TO THIS <br /> INFORMATION WITHIN 30 DAYS OF THE CHANGE. <br /> Note: This correspondence is also being Faxed to ( 209) 468-3433, Attention: <br /> Michelle Henry <br /> Bill Schwartz 12/19/2008 <br /> William w. (sill) Schwartz <br /> Permits and Regulatory Affairs Division <br /> Environmental protection Department <br /> Lawrence Livermore National Laboratory <br /> P.O. Box 808, L-627, Livermore, CA 94550 Phone; ( 925 ) 423-6626 <br /> Voice mail : (888) 424-6245 ext 36626 <br /> Email: wws@llnl.gov Fax; ( 925 ) 422-2748 <br />