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=D <br /> — RECEIVE <br /> a.,Te t 416 rd Stred rhonc 74"112Aftftord NOV. I '� Z 2 <br /> Gait;Ca ,7 <br /> .G95632 Fax:M44-0116— <br /> ��A a m2fteowmt ]=UNTY <br /> ()W]Ier SfttMer"of Designated jUnduVOU0.4 to 'dank Opemtor ENVIRONMENTAL <br /> and Undeirstandina of and Colnv*mce with tyST I7 eAuircweqts HEALTH DEPARTMENT <br /> vitality Triamr-QWck N Stop Mort FacWty#.- 1277 <br /> Address; 1001 E Yosemite Ave M=tcca 95336 <br /> Facility Phone 1h Change ufD:skuafWOP-A&W <br /> IM New D=P*Ld Operator <br /> PRIMARY <br /> valimsedoperawsNot ac ZANENDWO <br /> S.Anew r4aux,- AFFORIDATEST ICC 9.SWIM-K <br /> Wqx%tedOpLTbftnrbunc. 205-74,0112 UplatignDatt;3IM4 <br /> AUMNATE I <br /> OuWated OpuretW3 Name FELIX RAMIE= Servi"TechnIcbm <br /> Bu81QMN#jW: AFFORDATEST 1CC#.,5273YO&W <br /> oeskumdope—GrIfirhme. Exphaflull Due,9/2lk4 <br /> ALTERNATE I <br /> oesisubd 0PMW$,Wxww ]DAVID WRUQLXR <br /> BudomMm. AIS ORJDATM ICC#;32M73-UC <br /> Deg"aweptrzowsyto— N%N"112 Expirafioubaw.V=4 <br /> ALTERNATE 3 <br /> peftutedoptraWsNamr. LVLENU*MO Service TecbuEc� <br /> EzdumNaftm- AFFORDA TFST <br /> 8mtpated*pMtsr'5Fkoiu'. 209-744-0112 zqlradon DAM=4 <br /> AI,T19RKAT9 4 <br /> D=tgvAtadop=tueajq*mu FlYWARDFITARNS Soviet Tec wtian <br /> SualuenName" AFFORDA TEST ICCO S2W2-UC <br /> V*eWjjtrA0jWrgfttf$Pko=- 209L74"It2 sxvimdoo Dam lvaVlz <br /> I certify that fortba facility indicated at the top ottins page.,the Wirividuds listed above will SWVG as Designated W <br /> Operaftr&The Individuals Will Cokiduct and dOCREWnt MANY tKilft inspections and adned ftelft CM1110yea <br /> tMinjue,id <br /> AccordoncowM CaftWin Code of V%%dations,title 23,beetion M!5(4-()- <br /> Furthermore,I umlerstaind and=I,%cuFaplimee vpii*the mquiremeefs(statutm npkativus,and local <br /> Onftems) appikable to madergroued storage%a <br /> NAM OI'"TAPX OWNM(PriB* - ...P-, — <br /> ;1 <br /> SIGNAWME OF TANK OWNER. A <br /> DATE: j OWWRSIPlacm: <br /> NOM -RW LOCAL <br /> 1)WWftTTHIS �,QW <br /> Mj6p FORM-w-[M T,0CALAGE(4CYtW0T SWRCS)OTM SIGrUNG. <br /> ,AVAILADUAT' DMM.-aterboar werjj= <br /> A,GENCY LW IS gLC2�/u � Or THE <br /> IMS RW0Bt4ATTQN WrrM 30 DAYS <br /> 2)NOTUY TRE LOCAL AGENCY OF Ylt, <br /> OFFIC-F., <br /> coulity. rt DaftF=d: Scotmed- <br /> t'd <br />