COMPLIANCE INFO_2006-2008 - Laserfiche WebLink

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i r ALTERNATE 19 i Designated Relation to UST Facility(Check One) Onerators Name, Daniel Balderose Business'Name ❑ Owner Business ❑ Owner Name Designated ❑ Service Iechnician ® Third-Party Clnetatnr'%Phone it- (949)460-520f) Intemational Code Council Certification#: Pending(Please see attached.) Expiration Date: 04/17/09 ALTERNATE 20 Designated Relation to USI Facility(Check One) operator's Name: Business Name ❑ Owner ❑Operator ❑ Employee (If di erent from above). Designated ❑ Service Technician ® Ihird-Party Operator's Phone#: International Code Council Certification#: Expiration Date: ALTERNATE 21 Designated Relation to UST Facility(Check One) Operator's Name: Business Name ❑ Owner ❑ Operator ❑ Employee (If different rom above). Designated ❑ Service Iechnician ® Third-Party Operator's Phone#: International Code Council Certification#: Expiration Date: ALTERNATE 22 Designated Relation to USI Facility(Check One) Operator's Name: Business Name ❑ Owner ❑Operator ® Employee I di emnt from above). Designated ❑ Service Iechnician ® Ihird-Party Operator's Phone#: International Code Council Certification#: Expiration Date: ALTERNATE 23 Designated Relation to UST Facility(Check One) Operator's Name: Business Name ❑ Owner ❑Operator ❑ Employee (If di erent from above). Designated ❑ Service Iechnician ® Ihird-Party Operator's Phone#: International Code Council Certification#: Expiration Date: ALTERNATE 24 Designated Relation to UST Facility(Check One) Operator's Name: Business Name ❑ Owner ❑Operator ❑ Employee (If di erent rom above). Designated ❑ Service Iechnician ® Ihird-Party Operator's Phone#: International Code Council Certification#: Expiration Date: