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0 <br />FACILITY NAME <br />Manteca CO <br />FACILITY SITE ADDRESS <br />430 W. Center Street <br />REASON FOR SUBMITTING THIS FORM (Check <br />• <br />FACILITY PHONE <br />(209)239-0001 <br />CITY <br />Manteca <br />of Designated Operator ❑ Update of ICC Certification Expiration Date(s) <br />PRIMARY DESIGNATED UST OPERATOR FOR THIS FACILITY <br />Designated Operator's Name: Todd Hansen <br />Bussiness Name (If dierent from above): SunWest Engineering Constructo <br />Designated Operator's Phone #: (909) 594-9850 <br />International Code Council Certification #: 8045710 -UC <br />ALTERNATE 1 DESIGNATED UST OPERATOR FOR THIS FACILITY <br />Designated Operator's Name: <br />Bussiness Name (If differentfrom above): <br />Designated Operator's Phone #: <br />International Code Council Certification #: <br />ALTERNATE 2 DESIGNATED UST OPERATOR FOR THIS FACILITY <br />Designated Operator's Name: <br />Bussiness Name (Ifdifferent frnm nhn„oI <br />Designated Operator's Phone #: <br />International Code Council Certification #: <br />Relation to UST Facility (Check One) <br />Inc. ❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician R1 Third Party <br />Expiration Date: 11/17/2011 <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician 0 Third Party <br />Expiration Date: <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician ❑ Third Party <br />Expiration Date: <br />U <br />