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ALTERNATE) <br /> Designated Relation to UST Facility(Check One) <br /> r'q Name- Reid Woman <br /> Business Name ❑ Owner ®Operator ❑ Employee <br /> (If different from abayel- Belsbire Environmental Services,Inc. <br /> Designated ❑ Service Iechnician ® Third-Party <br /> International Code <br /> Council Certification#: 5243838-UC Expiration Date:10/16/2008 <br /> ALTERNATE2 <br /> Designated Relation to UST Facility(Check One) <br /> Business Name ® Owner ❑ Operator ❑ Employee <br /> Designated ❑ Service Iechnician ® Ihird-Party <br /> Phone fi-(9491460-5200 <br /> International Code <br /> Council Certification#:5247974-UC Expiration Date: 12/01/2008 <br /> ALTERNATE3 <br /> Designated Relation to UST Facility(Check One) <br /> anmtor's Name. Jac de RQuahertv <br /> Business Name ❑ Owner ❑ Operator ❑ Employee <br /> Designated ❑ Service Technician ® Third-Party <br /> International Code <br /> Council Certification#:5234433-UC Expiration Date:07/26/2008 <br /> ALTERNATE 4 <br /> Designated Relation to USI Facility(Check One) <br /> Business Name ® Owner ❑ Operator ❑ Employee <br /> MdiffPrPatfPnmahny&)- Belshire Environmental Services. Inc, <br /> Designated ® Sei vice Iechnician ® Third-Party <br /> Cineratnr',z 2hone#-(949)460-5200 <br /> International Code <br /> Council Certification#:5295245-UC Expiration Date:09/19/2008 <br /> ALTERNATE 5 <br /> Designated Relation to USI Facility(Check One) <br /> Onemtor's Name- Donoylas Shearer <br /> Business Name F-1 Owner ❑ Operator ❑ Employee <br /> Designated ❑ Service Iechnician ® Third-Party <br /> International Code <br /> Council certification#:5289249-LTC Expiration Date:07/26/2008 <br /> ALTERNATE6 <br /> Designated Relation to USI Facility(Check One) <br /> Business Name ❑ Owner ❑ Operator ❑ Employee <br /> Designated ® Service Technician ® Ihird-Party <br /> International Code <br /> Council Certification#: 5244506-LIC Expiration Date:09/29/2008 <br />