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View Written Agreement(s)between UST Owner and UST Operator: CERS Business Page l of 2 <br /> California Environmental Reporting System:Business Andrew Butterfield's Account Sion Out Tools Reports Hell) <br /> Home SubmWak Facilities COMPN— My Business <br /> UST Owner/Operator:Written Agreement:Supervalu <br /> Home D Submittal History D Submittal:12/10/2020 1101,91455) N UST.UST Owner/Operator:Written Agreement(Submitted) <br /> i,r InsumIlI nal MP <br /> Written Agreement(s)between UST Owner and UST Operator <br /> Provide a a copy of your UST Owner/Operator agreement(see Health and Safety Code 25284(a)(3)')if required by your local regulator.Check with your local regulator for <br /> information on the format and information requirements needed. <br /> Select Edit to modify/add this documentation. <br /> 'Health and Safety Code 25284(a)(3)If the permit is issued to a person other than the operator of the tank,that person shall do all of the follovring:(A)Enter into a written agreement with the operator of the tank to <br /> monitor the tank system as set forth in the permit.(B)Provide the operator with a copy or summary of Section 25299 in the form that the board specifies by regulation.(C)Notify the local agency of any change of <br /> operator. <br /> Submittal Element Histor <br /> Submitted for CERS ID 10181455 on 12/10/2020 10:31 AM by Beth Freymiller of Supervalu(Eden Prane MN) <br /> ViewEttlfreSdIwm Y tflBwSuhftiNlflIT <br /> Document Options Exempt <br /> Upload Document(s) Select this option if you feel you are exempt from this document upload requirement.Provide a short explanation of <br /> Public Internet URL why you feel you are exempt in the space provided below.If the regulatory agency does not approve of the <br /> Provided Elsewhere in CERS document exemption,the submittal element will be rejected. <br /> Provided to Regulator Comment <br /> Stored at Facility Supervalu,is the Owner/Operator <br /> Exempt <br /> Created By:Beth Freymilleron 12/10/20209:39AM <br /> Last Updated By:Beth Freymiller on 12/10/2020 9:39 AM auk <br /> Version 3.05 0004 1 Enhancements I CERS Central Diagnostics I Conditions of Use I Privacy Policy I Contac I Help <br /> California Environmental Reporting System:Business 10 2020 California Environmental Protection Agency <br /> CERS Technical Support Reauest Technical Assistance <br /> Unified Program/General Assistance Contact your local regulator(s) <br /> CERS Help F 0 Settings <br /> htto§,"//cersbusiness2.calepa.ca.gov/169708/Facility/10181455/Submittal/US'T/4500004/... 12/10/2020 <br />