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*2013-05-14 11:47 #''"""G 2098253893 >> 2094gffd2 <br /> UND STORAGE T I* IVED <br /> Ur,UGRO AN K YSTXXI <br /> OWNER 'STATEMENTS OF DRSIGNATED UST OPE °1. ANDY 14 2013 <br /> UNDERSTANDfNG OF AND COMPLIANCE Wn'H UST REQLIQ REKENT S <br /> Fk'*#u 4;4 thsklor'l m,Whare qpj#%nwt1k,ojui,Lexw1Jurhd1v3genENV1 RON MENTAL <br /> A whoritv Citod, 744 23, W J, Ch 16('sr#W Cak,of HEALTH DEPARTMENT <br /> 9AC1111 V NAMC <br /> FACIISTY PHONE' <br /> Kaiser Permanente Manteca Medical Center (209)$25-3848 <br /> 1777 W. Yosemfte Ave Manteca <br /> ............ <br /> )P40(Tv. Expirwi(m <br /> RPA"KWORM WFINOTHIS wt. <br /> .............. .......... <br /> PRIMARY DESICNATED UST OPFRA'MR.FOR THIS FACILITY <br /> .......... ........... <br /> M-SIONATED QVF1tA1X*MAW: Kenrw.*W. 'Bud" Mc Cuaig (0wrk ltbioi <br /> PANNESS XAMF P,OBOX 2301, Orinda, CA 94563 0 0 (hwnitor 0 <br /> ('925)253-05-91 <br /> EXT-11RATKiN DATR. <br /> 5234,51 <br /> .....................-.............-.------- <br /> AI�TKRNATF,I DESIGNATED UST OPERATOR FOR THIS. rACILIT Y <br /> .......... <br /> DUMSAUA)OPERMUR NAW Tair Hingston <br /> Ii is Environmental Services <br /> (707)98-1-4770 tj <br /> Jf_CrjkTjFr -66 <br /> 'ATKM W)..' 5, <br /> fRRVA50NA FAUDETY1 INC Jbi 1011912014 <br /> -r i It l <br /> 1. SiGNATED I7 'I`OFEUTOR FOR THIS it t'. <br /> 1 2 DL <br /> 1ANGUATUDOMATOR NAME; vo usr FActury viwd.(ko <br /> (kna 0wraw r""Plam <br /> f <br /> CWCANKM tit, U, Sxr�*c TcAnicial t.)PSIONATPO <br /> AU"ERNAI'EJ DWGNATED UST0PERA.TOR FOR TRIS FAC)LITV <br /> V&SKINAMERATO <br /> MOR NAME: TO(MY'FACf.U1Y <br /> RUPNESK NAME QfoWnW. [I rj (1 Vrwof [j <br /> .............._...._................._...,....__..w.._. <br /> IW14RXTX)N DATE, <br /> .......... <br /> I ft"- that, for the fadifty Indleated tit the top of this pap, the ludividual(s) Wed nbuvL,will Atrye as Designated UST <br /> Opvmfortx). The individuals)wHI madua and dwoment manthly ratxjjjty luslmetimm and annual,rhedity emplayou training <br /> lu amor4pary svitit Callibrula Code of RqulatWos.Titic 33,8u.1h)a 2715(c)threat o(f). Furthermore, 1.understand and am <br /> [a couipliancewith tbe requIrementf,(statule-s mgolations,and loral ordlunneov)spplionble to uadtrgfvvuo storage taukg. <br /> TANK OWNfilk NA.M.F., Sam Corbin <br /> Chief Engineer <br /> ,rA,NK owwrx-rrmr-.t Kaiser M edical Center OWNER PHONE•. (209)825 3781 <br /> TANK 5/1412013 <br /> i b UA L&--I RM, <br /> t. kCrAftt than 00MV(S)Of(11,C 1),q8j1WWd UST tor(s)as registered with the Inlefoatlatial Cxxt CxKw6f(ICC' JCC criuriwitat <br /> inl4rnmfionis oval'(able ini-line rar"Cali furitia I)ST Systc-In Opoarots," <br /> Wwnk this complete(] fivni to ft kiefif q*kqy tit Tq'MIAW this FACIlky's USTI. UoWcs owodw agency jwiWktimv� W <br /> V0110CI: 1140timt(m an listed w4hw- W. vcmtua inforillabon for Qtha <br /> It aies Ivilbul California is avt0labir, <br /> 3. 23 CCR.§271 5(;a)roquircs that y nolffy the local agwvy car any chanps to this hiformation within 30 days arthe claw vfchartje, <br /> MPS' <br />