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�^ AECEIVED JUN 2 6 2015 Owner Statements of Designated Underground Storage Tank (UST) erator and Understanding of Compliance with UST Requir=,RONMENTAL Designated UST Operator(s)for this Facility HEqI Tf r?r-pev rW=RIT Facility Name: Facility ID#: Facility Address: Reason for Submitting this Form(Check ❑ Change of Designated Operator Facility Phone ❑ Update Certificate Expiration Date PRIMARY Designated Operator's Name:Jacob Weaver Relation to UST Facility(Check One) Business Name(If d fferent from above):Franzen-Hill Corp. ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone 559-688-2977 X Service Technician X Third-Party International Code Council Certification#: 8338858-UC Expiration Date:3-5-2017 ALTERNATE 1 O bona[ Designated Operator's Name:Gary Rummerfield Relation to UST Facility(Check One) Business Name(If d fferent from above):Franzen-Hill Corp. ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#: 559-804-4618 X Service Technician X Third-Party International Code Council Certification#: 5246124-UC Expiration Date: 2-25-2017 ALTERNATE 2 (Optional) Designated Operator's Name: Gabriel Venegas Relation to UST Facility(Check One) Business Name(If d fferent from above):Franzen-Hill ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#: 559-331-8769 X Service Technician X Third-Party International Code Council Certification#:8123651-UC Expiration Date: 7-1-2016 ALTERNATE 3(O donal Designated Operator's Name:Adam Taylor Relation to UST Facility(Check One) Business Name(If different from above):Franzen-Hill Corp. ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone#:559-731-0271 X Service Technician X Third-Party International Code Council Certification#: 8036233-UC Expiration Date: 1-21-2017 ALTERNATE 4(O donal Designated Operator's Name:Jose Ochoa Relation to UST Facility(Check One) Business Name(If different from above):Franzen-Hill Corp. n Owner ❑ Operator ❑ Employee Designated Operator's Phone 559-688-2977 X Service Technician X Third-Party International Code Council Certification#: 8004551-UC Expiration Date: 1-21-2016 ALTERNATE 5 O donal Designated Operator's Name:Junior Sinco Relation to UST Facility(Check One) Business Name(If d fferent from above):Franzen-Hill Corp. ❑ Owner ❑ Operator ❑ Employee Designated Operator's Phone 559-331-8769 X Service Technician X Third-Party International Code Council Certification#: 5246152-UC Expiration Date: 11-11-2016 Page 2 January 2015