Laserfiche WebLink
of 1) <br /> TANK (Page 1 <br /> GE TE e <br /> �uNp s G CERTIFICA CERS Ip3 ZIP God <br /> �N�YEE TRAn NFORMATION 1018143 9y219 <br /> �IJyEMPL- FACIL p,TION <br /> fAcl 1-13151-6�As) City -roN ORM <br /> S•ro INF <br /> Nam,o oBA_ OPERATOR <br /> ne�Ne6e SameaSFapGn ROUNDS TORACe <br /> GEcANCe Kcation.) P408)g71-2445 <br /> uNocth <br /> AL zAddNE UNDERG shown <br /> site D <br /> Phntas <br /> B,oreMAFCN pESIGN 0�E 9 the 7ralnin9 4 <br /> 2 if, ration()ate <br /> 2 <br /> T Operator Pr Exp 1/28/ erforming <br /> esignated U ICC Certifcation of P ed <br /> ar aGuarnelli 3�0$must be train <br /> Address San JoseCgg5112 ATION d Within <br /> EMPLOYEE IN bORM 2018 must be trat october 13, <br /> 680npuinn Ave <br /> FACILITY ee on and after <br /> CC Iertification# g158671 t contain <br /> III. before <br /> facility employee of the facility employ minimum,mus <br /> in the duties of the suming the duties ended list,at a <br /> Individuals a rhe app of Assuming <br /> Individuals ass e doges, loyes duties. to this fot7n• )ate <br /> r facilityemp y. facilityemp is appended Resp°nsibiliti yee <br /> before performing strained Date Facihty Erne <br /> ox if a list of the individual() ini ng <br /> Check this b in this section. Initial Tra <br /> ❑ all of the information 04/18/23 <br /> Name of Individuals)Trained p4/18/23 <br /> 12/08/21 <br /> 04/18/23 <br /> 11/27/89 <br /> Sally Rogan 04/18/23 <br /> Jackie Alvarez <br /> Jackie Null <br /> N. CERTIFICATION <br /> The facili BY DESIGNATED UST OP <br /> Titie21 employees listed abov h OPERA CCNDUCTIN <br /> Division 3,Chapter 1ti G THIS TRAINING <br /> Tramin ,S t n 15 completed a required trainin <br /> g0esignatedUST ( and the infor g in accordance with California Code <br /> �Perator S' t� ation provided <br /> herein is accurate, of Regulations, <br /> CERS=�'�m+aE�'ro <br /> �°` Repc��Svsem,i Date of Training <br /> I <br /> Identiftgtpn ICC=Int <br /> national Code Cou 4/1 8123 <br /> ncil,UST=Underground storaoe Tank <br />