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RECEIVED BY EHD VIA EMAIL: <br /> 2/23/2022 <br /> UNDERGROUND sirOKAGE TANK <br /> FACILITY EMPLOYEE TTRAIN NOEC RTIFJCATE(Fw <br /> -� lyarrw .q F.cti1R,,,y I. FACILITY INFO Rw► — cEFtS 10 as�3 <br /> �^Y 19u�irresa As) <br /> _ ZIP Cotte <br /> nri�ness SS e A � ` ` V C�tY <br /> n� oEsl E�a-1 �►Tloa <br /> ti40M UNDERGROUND STORAGE TOK OF <br /> tiatt�dd`UST opwWalcx p�ovldnq the tr n �a sAown on ►cc <br /> Ae�Baaptisla na(�`" X209 947-5675 <br /> 745 W North Bear Creek Dr. — ��2022 <br /> ICC "'�ruficsllo^E''D'rntxx+fate <br /> _8167864 lcc <br /> 710N `�� performing <br /> lr Q — In. FACILJTY EMPLOYEE INF ota must be trained within 30 da Mu <br /> U11135 <br /> e trained <br /> 1 individuals sumin the dutio6 0l the faculty employes before Octo� to oo on and after Dctober 13, <br /> facility employee duties.Individuals assuming lho duties of the fa610"emp Y - <br /> before performing facility ornPloyoo dutiea. - Bndod list,er a minimum•rnust contain <br /> Check this box if a list of the Individual(s)trained is apponded to rills form• �7e GDP _Q Assuming <br /> pitall of s of <br /> the information in this soction. -` -- .6ponsibilitY ase <br /> Initial Training Ott+d Faciirty Err+P_� <br /> Name of ktdlvldu d(s)Trakwd n r -— <br /> bro <br /> UN <br /> i <br /> DESI <br /> N. SAT`Y GNA�UST <br /> plated t11e taytlkot tfe"Ov In seo'e d.""`"'N i>Cc.^fatr:ir Coot tl+�� <br /> abQw4"ve unn' lon prt►etb�i MMA'K��„ur% <br /> Ito frrAtyemploy",C �r 16,Section 7715 c)and at tR!_ <br /> 7tt1s 73, <br /> OCC.iraw Godo Clu"UNT'U,liryuMWrage TV* 1t!-t 101011/e <br /> r C&losi EoAw.sd P4WwQ WWWyn"Oas ers <br /> ,J <br />