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:®R- P <br /> - EC <br /> L� <br /> INf rc a-.Tem . 4162 od Street Phone: (209)744-0112 APR 0 7 2014 <br /> Galt,Ca 95632 Fax:(209)7440116 <br /> affords softcom.net <br /> Owner Statements of Designated Underground Storage Tank OPOWRONMiENTAL HEALTF <br /> and Understanding of and Compliance with UST Requirements <br /> Facility Name: Fast N Easy 416 Facility##: PO# <br /> Address: 1399 E Yosemite Manteca CA 95336 Z Updated Owners Statement / <br /> Facility Phone#: 209-823-3460 ❑Change of Designated Operator. ��1 <br /> New Designated Operator <br /> •DEti IGNATED UST OPERATQR FOR THIS FACILITY: <br /> PRIMARY, Service Technician <br /> Designated Op&ator's Name: ZANE NIMMO <br /> Business Name: AFFORDA TEST ICC#: 5263322-UC <br /> Designated Operator's Phone: 209-744-0112 Expiration Date: 313/16 <br /> s <br /> ALTERNATE 1 <br /> Designated Operator's Name: FELIX RAMIREZ Service Technician <br /> Business Name: AFFORDA TEST IGC#: 52733934-CJC <br /> Designated Operator's Phone- 209-744-0112 Expiration Date: 3/3/16 <br /> ALTERNATE 2 <br /> Designated Operator's Name: DAVID WINKLER Service Technician <br /> Business Name: AFFORDA TEST ICC#: 5263373-UC <br /> Designated Operator's Phone: 209-744-0112 Expiration Date: 3/10116 <br /> ALTERNATE 3 <br /> Designated Operator's Name: EDWARD STEARNS Service Technician <br /> Business Name: AFFORDA TEST TCC#: 5250492-UC <br /> Designated Operator's Phone: 209-744011.2 Expiration Date: 313/16 <br /> 1 certify that,for the facility indicated at the top of this page,the individuals listed above will serve as Designated UST <br /> Operators. The individuals will conduct and document monthly facility inspections and annual facility employee <br /> training,in <br /> Accordance with California Code of Regulations.title 23,section 2115(c)—(f), <br /> Ftsr!Wmoee,l d artd am In eompgad ae,with dte rpaireoia&(sortatee,t4PWdm,sad local <br /> OyMMM) q*ft Wa t4 em"mad atone tsekL <br /> NAMR OF TANK OWl*U M tt* V 1 h&A tA V o H IZA ,I Y I N A" 44ZA <br /> SIGNATURE OF TANK OWNRIL' <br /> nA►T : OVAI(M HONE-. _S59-21 L01461 <br /> 1)a1USMf>rl'77118 cow==RM "M IV-4L&CWMV{fiiC�!fiVYi}C�Awa 100MM LOCAL <br /> A6ll riW1aAV4R AWXAX: r loll <br /> 2) NMVYTRF UCAL AQVoc'Y tai*Alff cfs0Q0T0 'r"WM"N s0"V$Qr"M <br /> ire <br /> 0j7XF: ! <br /> Quatyt DYOr <br />