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Received by EHD: <br /> 9/21/2022 via email <br /> UNDERGROUND STORAGE TANK <br /> FACILITY EMPLOYEE TRAINING CERTIFICATE (Page 1 of 1) <br /> I. FACILITY INFORMATION <br /> Business Name(Same as Facility Name or DBA-Dorno Business As) CERS ID i <br /> FED EX GROUND f i <br /> Business Site Address Cily ZIP Code <br /> 5655 HOOD WAY TRACY 95377 <br /> Il. DESIGNATED UNDERGROUND STORAGE TANK OPERATOR INFORMATION <br /> Name of Designated UST Operator Providing the Training(Print as shown on the ICC Certification.) <br /> DAVID TURNER <br /> Mailing Address Phone# <br /> 1100 N J ST TULARE CA. 93274 5596882799 <br /> ICC Certification# ICC Certification Expiration Date 6-7-2023 <br /> 8788650-UC <br /> III. FACILITY EMPLOYEE INFORMATION <br /> Individuals assuming the duties of the facility employee before October 13, 2018 must be trained within 30 days of performing <br /> facility employee duties.Individuals assuming the duties of the facility employee on and after October 13,2018 must be trained <br /> before performing facility employee duties. <br /> heck this box if a list of the individual(s)trained is appended to this form. The appended list,ata minimum,must contain <br /> all of the information In this section. <br /> Date of Assuming <br /> Name of Individual(s)Trained Initial Training Date Responsibility as a <br /> 1 Facilit§Employee <br /> n e Z 1 -2-2- <br /> P-i ( ho,rcA h,) u n -\ja e. <br /> ?fin c-h u i Ile rr-el 1? 12-2- <br /> p�Av) i --h no I 2,412-v i �� -2,1'I zo <br /> 14 M'e i f 1"7 [ <br /> kh o a Phire �-a r jr�k-hPnGee i1. 11201-11 . n 1-� rq <br /> e us C�oh' <br /> 10I. 11-7 11 <br /> � I n 6 r <br /> --ubfn err-erA /I - ! tki-III <br /> S( a mou if) 211.201 . tbl'�q/7M- <br /> IV. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING THIS TRAINING' <br /> The facility employees listed above have completed the required training in accordance with California Code of Regulations, <br /> Title 23,Division 3,Chapter 16, Section 2715(c)and all the Information provided herein is accurate. <br /> Training Desig USTper or Signature Date of Training <br /> DAVID TURNER 4-6-2022 <br /> CERS=Califomla Environmental Reporting System,ID=Ident's ration,ICC=Intematlonal Cade Caundl.UST=Underground Storage Tank <br />