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UNDERGROUND STORAGE TANK <br /> FACILITY EMPLOYEE TRAINING CERTIFICATE (Page 1 of 1) <br /> I. FACILITY INFORMATION <br /> Business Mame(Same as Facility Name or DBA-Doing Business As.) CERS 10 <br /> San Joaquin Regional Transit l 10642219 <br /> Business Site Address City ZIP Code <br /> 2849 E. Myrtle Stockton 95202 <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 /> Bryan Kilby <br /> Mailing Address Phone# <br /> 2370 MAGGIO CIRCLE #4, LODI, CA 95240 (209) 367 - 4800 EX:. <br /> ICC Certification# ICC Certification Expiration Date <br /> 9823281 10/21/2024 <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 facility <br /> employee duties. Individuals assuming the duties of the facility employee on and after October 13,2018 must be trained before performing <br /> facility employee duties. <br /> i7, Check this box if a list of the individual(s)trained is appended to this form. The appended list at a minimum mustcontain all of the <br /> information in this section. <br /> Initial Training Date Date of Assuming <br /> Name of Individual(s)Trained Responsibility as a <br /> Facility Employee <br /> Marco Manzano 8/1/2022 8/1/2022 <br /> John Coose T 1/23/2019 1/23/2019 <br /> Daryl Woods 1/23/2023 1/23/2023 <br /> David Lawley 1/29/2018 1/29/2018 <br /> Daniel Baker 5/6/2019 5/6/2019 <br /> Rey Sauceda 6/19/2005 6/19/2005 <br /> Sabino Rocha 10/10/2022 10/10/2022 <br /> Albert Tamba 08/22/2015 08/22/2015 <br /> Maria Romero 09/27/2022 09/27/2022 <br /> Elizabeth Pron 01/23/2023 01/23/2023 <br /> Angela Manvel 01/05/2023 01/05/2023 <br /> Martel Peterson 01/10/2023 01/10/2023 <br /> Pongsay Liemvongsa 11/04/2019 11/04/2019 <br /> Ignacio Gonzalez 12/10/2022 12/10/2022 <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 provide herein is accurate. <br /> Training Desi ed LIS rator Signature Date of Training <br /> 1/24/2023 <br /> r:FRS=r.alifnmin Fnvinu+manfal Ranrvfinn Suefame in leianfifinnfinn Ir:r.=InMmafinnal r'.nrla r:rw fined LIST=I Inrfomrnivuf ctrwnro+nnk <br />