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Pit <br />Jan. 20. 2009" 9:28AM --West Star Environmental, Inc......... No 1131 P 2W_ r,«riz <br />Jan. i9. M9 5:43PM ' SI Star FAVItmrim h I I <br />e a, It L. N C, 1725 P. 2 <br />UNDERGROUND STORAGE TAW S1' STEM <br />OWNER STATEMENTS OF DESIGNATED UST OPERATOR AND <br />UNDERSTANDING OF AND CoMpLIANCE WITH UST REQUIREMENTS <br />Far use by tlhid= M�ber.tgarrcies or whvPe approvr d by your Local J7 is&cllcnr <br />Aurhnrlry Cited 7i11e 29, Div, 3, Ch 16 C:a(lpmia Code ofRegulatlmu (CCS <br />FhClI.iIYNAME F'ACti.tTl' <br />Stockton Area CHP Office (209) 943-6666 <br />1:ACUZYStTh ADDWS Crri <br />3330 N. Ad Art Rd. _ Stockton <br />REA.rinAS jx>A 5UB TtiTS Pt)RM (G'heek O.eeJ: ChselLte of t3esiRrlptrd Operator 'Updm of ICC C iacpiration Datc(s} <br />-PPMURY DESTGNATFh UST OPERATOR THISFACILITY <br />FrN'rq <br />F.FtATflR Billy Bowden Rota r rem nr un rAcusrY (`;, " <br />ur���,�„r West Star Environmental, Ing", Q owner ® Opcwor Lj rmpl c <br />t~R4TOR277-9378 ext_ 3008 ❑ 5aricc Technician ❑ t-ty.CUDbCOUNCZC ERTNICA'rK)NNO.: 5252868�UC EXPMA,50N r�nrZ zi�a/� s <br />AI.xUNATE I DMIGNATED UST Off <br />RATOjt FOR THIS Fsrrr.rrVrn...r,._..,, - <br />nESIUNATED OPURATOR NAME. Nick) <br />`rMUSMN`ME `&'�" � a°o�� West Star Environmental, inC. <br />OFNIUNATED upiRcATolt pg0Nh': (859) 277-J378 exs. <br />INMRNATIONALco® a)uNCR.CEtzTtECATj0 No.__ 5246325 -UC <br />AL ATS z DFMCNATIEn UST OPPRATOR FOR THlS FAC15i r' <br />nFsrGNnTaD opLRlt7oR NAMF;; Jason Esqueda - - <br />�1115tNE5S�A,iiE(Ifd� ruaf�trt6D„Bi; <br />West Star Environmentei, Imre. <br />o>;suuAiEp or��.roR Pt�Nr:: (559} 277-9378 ext <br />. <br />nrIr(NAI'r(»ALCDD'fc6l:Ncn.(:aRTIFtCATlorrxo.: 5297814UC <br />NAT1ED UST OPERATOR FOR THIS FACTL17� (C <br />uaSIGNATE7i OPERATOR NAME.; JQSe Ochoa -- <br />eUSiNtr�S rTAME (1!`r�arPn`1 �+al�rucf: <br />Wft Star Environmental, Inc, <br />XNEO tA'ri5OPERATpTiMONQ_ (559) 277-9378 <br />-TNTFRNATIONALCODE.c:VR11F1CAT WIvo:: 8004551 -UC <br />RELATION T® t7S't' FACILITY (G4sc+i O»rj <br />❑ Owocr 0 ()ptrntos ❑ Emplayee <br />❑ Scrvtce I'aclmiCian ❑-1wid-pm* <br />TCR aArrr: -I <br />RF,I.ATION TO UST FACTLrr (Cfrtssck tAu1 <br />❑ Owner 0 ()piaarator ❑ Employee <br />❑ Scsvicc'1•echniCinq ® p'b;M_psrly <br />�:arr�trtartDnTc: ? 1120/2010 <br />RELATION TO USI' FA` trrY (CkccR ar k <br />❑ Owem ® c)peracar ❑ Employee <br />❑ Scrvicc'64chnician ❑ 'lhird.P+any <br />1"IRATiONbn7Y: 1/18/2010 <br />I eertity OW4 for the facility Indicated at the top of this page, the individ$al(s) listed above will serve as Dei' <br />Operator(s). The indlvidAal(s) will eoadeict and domment monthly facility tWpewons and sunaal roc, em mated t1S7 <br />in accordance wit.% California Code of Rego IIs, Title 23, Section 1715(c) through, I ��"'e t"'laind <br />in oorgplisriec with the requirements (statutes, regula:long, and fordl 8ncea) apl cable t twdeerrgrou4d storage taaRs am <br />TANK OWNER NAME: State of Califamia <br />TAN K OWNRR TITLZ; <br />UiWNER 375-2140 <br />TANK O%NI~R SIGN ATIJRF: DATE: JarTuary 1S, 20x_9 <br />ZS_TR Cr _0Ns <br />1. RMwAthe ll8tlie(5) of !hn Dt" nated UST Opemtor(x) nr; regisremd with the international Code Council (ICC). FCC coDi&catida <br />infom� dOn is uvaifable on-line st www.iccsafe argk/eertsrsreia,html, Searcy for "Cal9forssia UST System pC e <br />2. Submit thaw `n leDeti form to the local agency that rePlaras this f$cility°s USTa. Unidom murnber agepryy Judsctictivns aw <br />cOaiact InfOrmation are listed on-line at: www.nnldues QrVmembers/wlrorel;plateswhathtimL Ce <br />local ag=les within California is available at: www sWrrb c9.gaQ/C,phQ a.,��ntact9/d /loogl %ormafign for otTter <br />23 CCR §2715(x) requires that you notify the local agency g f any c to this informstian witWn 30 days of the date of <br />• 1/i <br />wwwmol <br />Received 7me Jarr.79.• 9: FRAM <br />