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FACILITY NAME FACILITY PHONE Mid Ci Ca FO Re en ( 916 ) 439 - 6042 FACILITY SITE ADDRESS CITY 13850 Devrles Road Lodi ALTERNATE 4 DESIGNATED UST OPERATOR FOR TRIS FACILITY(optional) Designated Operator's Name: Spencer Kissick Relation to UST Facility(Check One) Bussiness Name(If dierent from above): SunWest Engineering Constructors,Inc. ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#: 909 594-9850 ❑ Service Technician P Third Party International Code Council Certification#: 8169987-UC Expiration Date: 8/13/2014 ALTERNATE 5 DESIGNATED UST OPERATOR FOR TRIS FACILITY(Optional) Designated Operator's Name: Dra an Pesic Relation to UST Facility(Check One) Bussiness Name(Ifdierent from above): SunWest Engineering Constructors,Inc. ❑ Owner ❑ Operator ❑ Employee Desi ated Operator's Phone#: (909)594-9850 ❑ Service Technician ❑ Third Party International Code Council Certification#: 5240928-UC Expiration Date: 3/30/2014 ALTERNATE 6 DESIGNATED UST OPERATOR FOR THIS FACILITY(Optional) Designated Operator's Name: Philip De Forge Relation to UST Facility(Check One) Bussiness Name(If differentfrom above): SunWest Engineering Constructors,Inc. ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#: 909594-9850 ❑ Service Technician 0 Third Pazty International Code Council Certification#: 8012415-UC Expiration Date: 3/22/2014 ALTERNATE 7 DESIGNATED UST OPERATOR FOR TRIS FACILITY(Optional) Des' ted Operator's Name: Todd Hansen Relation to UST Facility(Check One) Bussiness Name(Ifdierent from above): SunWest Engineering Constructors,Inc. ❑ Owner ❑ Operator ❑ Employee Designated O eratoes Phone#: 909 594-9850 ❑ Service Technician P Third Party International Code Council Certification#: 8045710-UC Expiration Date: 11/712013 ALTERNATE 8 DESIGNATED UST OPERATOR FOR THIS FACILITY(Optional) Designated Operator's Name: Relation to UST Facility(Check One) Business Name(If different from above): ❑ Owner ❑ Operator ❑ Employee Desi ted O ratoes Phone#: ❑ Service Technician ❑ Third Party International Code Council Certification#: Expiration Date: ALTERNATE 9 DESIGNATED UST OPERATOR FOR THIS FACILITY(Optional) Designated Operator's Name: Relation to UST Facility(Check One) Bossiness Name(Ifdierent from above): ❑ Owner ❑ Operator ❑ Employee Desi ted Operators Phone#: ❑ Service Technician ❑ Third Pa International Code Council Certification#: Expiration Date: ALTERNATE 10 DESIGNATED UST OPERATOR FOR THIS FACILITY(Optional) Designated Operator's Name: Relation to UST Facility(Check One) Bussiness Name(Ifdifferenifrom above): ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#: ❑ Service Technician ❑ Third Party International Code Council Certification#: Expiration Date: RECEIVED EP 12 2013