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Jwner Statements of Designated Underground.ae Tank(UST)Operator and Understanding of and Corre with UST Requirements-continued ALTERNATE 1 O tiona Designated Operator's Name:Blake Hemess Relation to UST Facility(Check One) Business Name(Ifdierentfromabove):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:951/288-1519 ❑ Service Technician © Third-Party International Code Council Certification#:5249180-UC Expiration Date: 12/19/2006 ALTERNATE 2 (Opdonat) Designated Operator's Name:Cindy Padden Larson Relation to UST Facility(Check One) Business Name(Ifdierenifrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:760/947-1260 ❑ Service Technician O Third-Party International Code Council Certification#:5243667-UC Expiration Date: 10/31/2006 ALTERNATE 3 (Optional) Designated Operator's Name:Darrell Riley Relation to UST Facility(Check One) Business Name(If dierent from above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:619/206-8379 ❑ Service Technician Rl Third-Party International Code Council Certification#:5248975-UC Expiration Date: 12/13/2006 ALTERNATE 4 (Optional) Designated Operator's Name:Darren Austin Relation to UST Facility(Check One) Business Name(If dii ferent from above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:858/699-2751 ❑ Service Technician El Third-Party International Code Council Certification#:5250436-UC Expiration Date: 12/18/2006 ALTERNATE 5 (Optional) Designated Operator's Name:Eric Banghart Relation to UST Facility(Check One) Business Name(Ifdierentfrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:310/467-2529 ❑ Service Technician O Third-Party International Code Council Certification#:5250118-UC Expiration Date: 12/9/2006 ALTERNATE 6 (Optional) Designated Operator's Name:Rayna Guttman Relation to UST Facility(Check One) Business Name(Ifdii ferent from above):GilbarcDlVeeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:951/850-2318 ❑ Service Technician ❑x Third-Party International Code Council Certification#:5245973-UC Expiration Date: 11/16/2006 ALTERNATE 7 (Optional) Designated Operator's Name:Jim Palmer Relation to UST Facility(Check One) Business Name(Ifdii ferent from above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:831/840-5235 ❑ Service Technician ❑O Third-Party International Code Council Certification#:5254109-UC Expiration Date:02/21/2007 ALTERNATE 8 (Optional) Designated Operator's Name:Daniel Perez Relation to UST Facility(Check One) Business Name(Ifdierentfmm above):Gilbarco/Veeder-Roof ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:916/718-0139 ❑ Service Technician D Third-Party International Code Council Certification#:5246161-UC Expiration Date: 11/30/2006 ALTERNATE 9 (Optional) Designated Operator's Name: Relation to UST Facility(Check One) Business Name(Ifdierentfrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#: ❑ Service Technician O Third-Party International Code Council Certification#: Expiration Date: