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Appendix XII SA -20601 Underground Storage Tank Facility Employee Training Certificate (Page 1 of 1) I. FACILITY INFORMATION Business Name (Same as Facility Name or DBA -Doing Business As) Manteca CO CERS ID 10141507 Business Site Address 430 W Center St City ZIP Code Manteca 95336 Il. DESIGNATED UNDERGROUND STORAGE TANK OPERATOR INFORMATION Name of Designated UST Operator Providing Training (Print as shown on the ICC Certification) Kraig Kinder Mailing Address 4780 Cheyenne Way, Chino, CA 91710 Phone # (888) 588-8737 ICC Certification # 8296393 ICC Certification Expiration Date 11/10/2024 III. FACILITY EMPLOYEE INFORMATION Individuals assuming the duties of the facility employee before October 13, 2018 must be trained within 30 days of performing facility employee duties. Individuals assuming the duties of the facility employee on and after October 13, 2018 must be trained before performing facility employee duties. Check this box if a list of the individuals trained is appended to this form. Theappended list at a minimum must contain all of the information in this section. Name of Individual(s) Trained Initial Training Date Date of Assuming Responsibility as a Facility Employee Charles Cabrul 2023-09-06 2023-09-06 Greg Gomes 2023-09-06 2023-09-06 Antinesh Chandra 2014-12-15 2014-12-01 Christopher Miller 2022-09-06 2022-09-06 Tom Sigfried 2022-09-06 2022-09-06 Eric Rodriguez 2023-09-06 2023-09-06 Ciril Uganiza 2023-09-06 2023-09-06 IV. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING THIS TRAINING The facility employees listed above have completed the required training in accordance with California Code of Regulations, Title 23, Division 3, Chapter 16, Section 2715(c) and all the information provide herein is accurate. Training Designated UST Operator Signature lbw Date of Training 2023-09-06 CERS = California Environmental Reporting System, ID = Identification, ICC = International Code Council, UST = Underground storage tank