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UNDERGROUND STORAGE TANK S)t'STUM <br />Off` NFR STA'rE'iN4F.NTS OF DESIGNATED UST OPERATOR AND <br />T."NDERSTANDING OF AND COIMPLIANCE WITH us -r REQUIREMENTS <br />A',- -edbv)oa, bcal,J'aris-ilmon <br />..ir use �,',mdrxs fWarber �-!g -pprvi 0 <br />genr!e.; or idiere a <br />,Iurhrw;f) Title 23, Ch 16 Califi2r?ria C*ode <br />FACII-r"AC' .1 fl V PHONT <br />CRYLLC #2706446 209-943-2082 <br />crry <br />FACI,JTYSM,ADI)MPSS <br />1403 COUNTRY CLUB BLVD STOCKTON <br />PRIMARY DESIGNATED UST OPERATOR FOR THIS FACILITY <br />riFS113N'ATf:DOMRATF-IR\A,'.'Eaniel Lawrence <br />rJESKI-NAIT.'D RATORPormr- (707)44"151 <br />j <br />AIMNAL CODE�t iLcL-'RTrFiCcA7n15i5 , 802"53 -UC <br />311412011 <br />ALTERNATE I DESIGNATED UST OPERATOR FOR THIS F&C I[X(O <br />LILL <br />---- -- <br />VESIGNAIT D OPPZ7A <br />it 't6—RP,MW--'R1chard Thomas <br />TO UCLUez�k tire, <br />1 R—ATIHONNT FATY (Ch <br />Environmental Corp. <br />ow'= Ll OPM-wr 0 F-fnplcylce <br />iij �s i �, "- T <br />ick -lechnician nt W -P WV I <br />N'MNATIONAL CODE CO MULCIMM-W&M. INXX: 6264730 -UC <br />1 <br />i 25i2b11 <br />ALTERNATE 2 DF-SIGNATED UST 0PERATOR FOR THIS FACILITY <br />OESSIONATIM OPUATOR N&MC- Michaol jllffike) Lawrence <br />RFLAMIN TO TAT FACIU7Y tch&,* ono <br />n <br />DuSN M- Nik., IE (if chffivemfi�mm aimys). Tank -Tek Environmental Corp. <br />own= opa'aw 0 Lintp-loxcc <br />j7 <br />67) <br />Serwre teehnid= <br />CRTWAMN NO: <br />1011212 <br />%LTERNATE 3 DESIGNATED VST OPERATOR FOR THIS FACILITY trij <br />it MSXNATED OPFRATM NAME, Virginia Fulgaro <br />RELATMIT() U.S]'FACiti ry one, <br />OUSINF-SS NWNTI" Tank -Tek Envlroniwti�mii�- <br />L UAneT C] Operator Lr -1 �.-npleyw <br />-F I.. R zkrvicc �"Ccmici in Third <br />Opt; (707) 446-6161 <br />N.TPRNATIC)INA1 CME CMMI'CIL CIERTIFFICAII)IN NO -1 5322544 -UC <br />ilM712009 <br />I eertify that, for the facility indicated at the top of this page, the tut ivAual(s) listed above will scrvt as Designated UST <br />Optr:itori(s). The individual(s) will conduct and document monthly facility inspections and annual facility employee traitting <br />in accordance with California Code of Regulations, Title 23, Section 2715(c) through (4. Furthermore, I understand and am <br />in complianze v0th the requireraeais(ttatutts, regulations, and local ordimances) applicable mundewground storage tanks,. <br />I A,",;K (AVIVER, INAME' CA <br />-"Poe <br />I'ANK 0%VNERT11-11 <br />0\VNFR PHONL <br />_"RE' DAJ F.: <br />f ANK OWNER �MNAI <br />z <br />INSTRUC-TIONS <br />J Rctport Lhc narrictis) ofthe -Designatcd UST Operuor(s) as rqgisreredwirh the 1-1ternacional Code Cciunci{ 1,"-"7 ce-r-,ificarion <br />Is avail ale on-hrw it: vw w4cesafe.o rWecertse.4rch.h rail Search for, :alis orrit'a USI S}5tern Ope;aiors <br />2 Submit this completed tJrrri to the local agency that regulates this fxiliryli US!,, Unidocs r-niner �qwywy itirisdicoans and <br />cent= informatian are tisied on-kne ai: %ww.unidocs.or7,imembers1whoregulateswhat.htmI ('ontac- jrio,"�ation othu, <br />I-Ocafl agerdt:-, %vithir� Califi)mia is alaiia ble at: wviw.stvreb.ca.govi'cwphDMeiUStcontacts/dDcsilocal, agent)r list.xis. <br />\ th, lo- 1 ch�,-ni4ci <br />R ;fa i -qu!i ei th'�t "Ll not! -ti <br />t - I " ilii 1\ ("', 22 it; <br />