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SUITABILITY FOR SERVICE STATEMENT <br /> The Facility AST and ancillary equipment have been visually inspected for compliance with <br /> California Code of Regulations , Title 22 , Division 4 . 5 , Article 10 , Sections 66265 . 191 to 66265 . 202 <br /> and were found in acceptable condition . <br /> CERTIFICATION <br /> California Code of Regulations, Title 22 Division 4. 5, Chapter 20, Article 2 Section 66270. 11 <br /> I certify under penalty of law that this document and all attachments were prepared under my <br /> direction or supervision in accordance with a system designed to assure that qualified personnel <br /> properly gather and evaluate the information submitted . Based on my inquiry of the person or <br /> persons who manage the system , or those persons directly responsible for gathering the <br /> information , the information submitted is , to be the best of my knowledge and belief, true , accurate , <br /> and complete . I am aware that there are significant penalties for submitting false information , <br /> including the possibility of fine and imprisonment for knowing violations . <br /> Engineer and STI Certified Inspector: Daniel K. Barber <br /> Signature: <br /> Date : December 15, 2018 <br /> Professional Engineer Registration Number: C 21 , 210 State : California <br /> Expiration Date : September 30, 2019 <br /> STI/SPFA Certification Number: AST-R802-04 <br /> t <br /> ti o NIG. 21 ,210 <br /> eF OF cw�ki . <br /> Professional Geologist and STI Certified Inspector: Wesley P. Greenwood <br /> Signature: Date : December 15, 2018 <br /> Professional Geologist Registration Number: G8669 NPL Gfp State : California <br /> Expiration Date: March 31 , 2019 <br /> STI/SPFA Certification Number: ASTA832 cz WESLEY P. <br /> CL GREENW00p <br /> * No .8669 <br /> F <br /> 0F C ��� <br />