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t 117i rt a iilF416 2nd Street Phone; (209) 744-0112 <br />Galt Ca 95632744-0116 <br />WN Lfforda(p <br />VPNNNWNWMW� —softcomno- <br />rj MT 71 1 77 =A, I. Mi a I <br />Name: Satter <br />Addnss: 1420 N Tracy)31vd Tracy CA 95376 <br />Facility Phone#-. 209.&32-6032 <br />#: PM <br />PRIMARY, <br />DWguted Ope4tors Nam*:, 'ZANE NIMMO <br />Business Name: AMRDA TEST <br />Dedgamteil Operator's Kom: 209.744-0112 <br />ALTERNATE I <br />Destuattil OpemtW3 NAM: <br />Business Name, <br />Deeigmted Operator's )Phone: <br />ALTERNATE 2 <br />Des*aated operator's Njunr. <br />Radom Name: <br />Desipafto Operator's PbOaLl <br />FLUX EA <br />AIMORDA TEST <br />2".1144-0112 <br />I ) ��W I * �*.JZJW- <br />4 lie <br />APR 0 7 2014 <br />Service Technician <br />Icc 9. 1 XJRONMENTAL HEALTH <br />Zxpiml =oulft . % DEPARTMENT <br />SeMee Technician <br />TCC #. 92733934-IJC <br />)Expiration We: 3-6-16 <br />ServiceTubolden <br />JCC #. 52WIXUC <br />Expiration Date, 3/10/16 <br />Sallee Techvidaff <br />fcc # 5250492-IUC <br />Expira0en Daw 3-6-16 <br />�OWV�ST <br />Operators. The individuals will conduct and document moutbly facility inspections and annual facility employee <br />training, In <br />Accordance with California Code of Regulations, title 23, section 2115 (c) – (f)� <br />04Tfiermare, I understand mod am ilk compUance OW the requireatents (fttates, reguUtions, and WW <br />Ordinances) ap#IWWg to underground storage tanks. <br />NAM OF TANK OWNER/Operator "t): <br />SIGNATME OF TANK OWNBIVOperator <br />DATE.- LOS- 'i$l <br />Nam., 77 0WnR8 PRONE: <br />1) SURMT TM CO?APLLIM FCMM TO TM LOCAL AGENCY (NOT 9"M AMR SIGNRW- THE LOCAL <br />AGENCY U$T IS AVAU-4= *T: <br />2) NOTM Tin LOCAL J(Gn4cy OF ANY 471 5:; To TWS WORMATION MMIM 30 DAYS OF T9E <br />MANGE. <br />OFFICD A.A <br />county-, We Faxed: bate Scanned., <br />Date r -bulled <br />