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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 DHA-Doing Business As) CERS ID f <br /> FED EX GROUND l 0(.001 b�b <br /> Business Site Address City ZIP Code <br /> 5655 HOOD WAY TRACY 95377 <br /> II. DESIGNATED UNDERGROUND STORAGE TANK OPERATOR INFORMATION <br /> Name of Designated UST Operator Providing the Training(Print as shown on the/CC Certification.) <br /> DAVID TURNER <br /> Mailing Address Phone# <br /> 1100 N J ULARE CA. 93274 5596882799 <br /> ICC Certification# 8788650-uc ICC Certification Expiration Date 6-7-2023 <br /> 111. 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 dutles. <br /> Check this box if a list of the Individual(s)trained is appended to this form. The appended list,at a 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 /> Facility Employee <br /> DRIP <br /> f- IRAI'1.1 LY ChA S- y61 <br /> L4 2-011 <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 96,Section 2715(()and all the Information provided herein is accurate. <br /> i <br /> Training De ated 5 perator Signature Date of Training <br /> r DAVID TURNER 4-6-2022 <br /> CERS=California Environmental Reporting System,ID=IdenWicalion,(CC=International Coda Coundi,UST=Underground Storage Tank <br />