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UNDERGROUND STORAGE TANK <br /> FACILITY EMPLOYEE TRAINING CERTIFICATE (Page i of 1 ) <br /> I . FACILITY INFORMATION <br /> Business Name (Same as Facility Name or DBA-Doing Business As) 7CERS ID <br /> UNOCAL 76 10181433 <br /> Business Site Address City ZIP Code <br /> 2701 MARCH LANE STOCKTON 195219 <br /> II. DESIGNATED UNDERGROUND STORAGE TANK OPERATOR INFORMATION <br /> Name of Designated UST Operator Providing the Training (Print as shown on the ICC Certification) <br /> Maria Guarnelli <br /> Mailing Address Phone # <br /> 680 Quinn Ave San Jose CA 95112 (408 ) 971 -2445 <br /> ICC Certification # ICC Certification Expiration Date <br /> 8158671 1128/24 <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 duties . <br /> Ei Check this box ff a list of the individual(s) trained is appended to this form. The appended list, ata minimum, must contain <br /> ail of the information in this section. <br /> Date of Assuming <br /> Name of Individuals) Trained Initial Training Date Responsibility as a <br /> Facility Employee <br /> Sally Rogan 04/18/23 04/18/23 <br /> Jackie Alvarez 04/18/23 12/08/21 <br /> Jackie Null 04/18/23 11 /27/89 <br /> Darren Eppler 09/19/18 09/ 19/15 <br /> IV. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING THIS TRAINING <br /> The facility employees listed ab ov h completed a required training in accordance with California Code of Regulations, <br /> Title 23 , Division 3, Chapter 16, S t n 16(1 and the info ation provided herein is accurate. <br /> Training Designated UST Operator Si to Date of Training <br /> V AYIVI 4/18/23 <br /> CERS = Califomia Environmental Reporting System, I V <br /> dentification, ICC = InIf tional Code Courd, UST = Underground Storage Tank <br />