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4� <br /> UNDERGROUND STORAGE TA USAS <br /> T OP '�TU R£NF , <br /> ()WNER STATEMENTS OF DESIGNATEDITF( usT DEQ <br /> UNDF.RS"T'ANDINGthry <br /> OF OM <br /> AND CPL h�NaCF W <br /> FII, <br /> �arm„� c'N7 --• <br /> Aathoriry Ciied; Tit/e 23. Div. J Cdil FAOLRyVtR>NE y <br /> cncalTr NAME (209)95 <br /> March m Bianchi Chevron I rrykjon <br /> EAC n ley SITE ADDRESS rjtoc Pa"P `.0c1c. <br /> rJvc^+.. <br /> 1916 March Lane <br /> r Oni Wt°1Od _. <br /> REASON POR SIJRMnT'INL THIS FtlRA1 Ir'hrd Unrl ChmtK° ACg,tTY lL1'r�>A! ' <br /> PRIMARY DESIGNATED UST OPERATOR FOR THIS FAIL IATY 'Et.ATR1N nI I'SI F' <br /> ❑ rN+et/ 1Mt>t <br /> 1 hnAP 7 <br /> DESIGN.4TLU OPIfRA fOR NAME.' James Day & C,eferal C3 5erv>� I d" <br /> miiI <br /> BUSINESS NAME IUeijrm r!ynan,.<l. Mid Valley Consulting D 19f2Q1 1 <br /> DESIONATEDOPLRATOR PHONE (5530)749-9892 ext. E'XrRAM� <br /> INTERNATIONAL CODE COUNCIL CERTIPR'AI'ION NO. t3010935-UC W LTIV.f Ir':•`"; <br /> L ALTERNATE I DESIGNATED UST OPERATOR FOR THIS FACILITY "ad RELA fPM 70 urn [} tsKlar� <br /> ❑ Opo"M <br /> DESIGNATED OPERATOR NAME: Jason Haase Q y far f oo 0 <br /> ESV <br /> BUSINSNAME(/fd} , awabwr/,Iv Mid Vally Consulting y 13 <br /> DESIGNATEDOPERATORPHONE (530)749-8992 eSl' FXKKATRK'L DATt p3/Q1i"20 <br /> 1 <br /> INTERNATIONAL CODE COUNCIL CERTIFICATION NO. So 3232-UC � {filed{ages _ <br /> ALTERNATE 2 DESIGNATED UST OPERATOR FOR THIS FACILITY rOpda^°U �ULTON TO USr— <br /> DESIGNATEDOPERATORNAME.: C3 Owner Cl 1Twoo. <br /> 3lJSOJESS NAME(/fdi(]rrcnr/rwn ahme/: <br /> TeebnK+r' 30 <br /> DESIGNATED OPERATOR PHONE txt' ETR)N DATE _ <br /> ( �It1RA <br /> INTERNATIONAL CODE COIJNCIL CERTFICATION NO.. <br /> ALTERNATE 3 DESIGNATED UST OPERATOR FORTH IS FACILITY IOPna'r'I) REIA -to Ug'T tAt US"!Pira <br /> torr <br /> DESIGNA TED OPERATOR NAME 0 c»- 0 09cra r � (asa(wiQJ <br /> I-..• BUSINESS NAMEI/JdBrntuJiotn abate/' ❑ Sasiet Technician <br /> DESIGNATED OPERATOR PHONE ( ext. <br /> E.}(PIRATTON DATE <br /> INTERNATIONAL CODSCOUNCIL CERTIFICATION NO .�.. <br /> I certify that, for the facility indicated at the top of this page, the individusIts) listed abort will sone ti pio'cata'd <br /> Operator(s). The individuals) will conduct and document monthly facility inspections anurt Air mored Qa�cr+tawttaad <br /> in accordance with California Code of Regulations. Ti tlt 2J,tied Ktn 2715(c) through (n. ((vp <br /> in compliance with the requirements(statutes. regulations,and local ordinances)applicable at underXroand twrn" 'A*" <br /> TANK OWNER NAME: Bhupinder Uppal r <br /> TANK OWNER TITLE Owner OWNER Ptit E: X92514.3 I, <br /> ANK OWNER St(1N;N I LRE. DATE: O3R4a011 <br /> INSTRUCTIONS <br /> I. Repon the names s)of the Designated UST Operator(s)as registered with the IntcrnationAl Code Council OCIL) <br /> Information is mailable on-line at: www.icesafe.orgle/cerisearch.html. Search for-Cslifomia UST Sysa t <br /> Submit this completed form to the local agency that regulates this facility's USTs. Unibcs member abet <br /> contact information are listed on-line at: www.unidtw&org!members/whoregniateswhaLbtat CON0110cli <br /> local agencies within California is available at: www.swreb.cm.gov/cwphontetWWconvbmdocwuctt-weecy- <br /> 23 CCR 527 t 5(a)requires that you notify the local agency Of any changes to this infMnatlO I within :t0 dtevp of slut <br /> change. <br /> •9aa. I/1 rn.o.a.idors..wX <br />