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Jul 26 08 11:49a Chris 209-956-0214 p.1
<br />> Sitatements of Designated Underground Storage Tank Opera 0a
<br />derOf a Asa it USS' it uire en P - 20C')
<br />s�ru
<br />Facility Nflme: --D � i -Nh � � � � t' acil'sty #: � �� / � F ,. � JOgQUlA1 C Ur,, ..
<br />treason fdt' 41115 f6int:
<br />Address' 'y _ic C 1eC� ® Changi: of l)esignatied Operoktr��� �1 EJ . ,
<br />Faa°il;ty I'lttner 7 t 1,,late C errificalc t:xtt61'ttti0n Date
<br />Xi.s, 1 G rq ATE -1) US's' 0 PERATO R FOR TH LS -FAcu.i-rY-.
<br />P>ic':vaAKY
<br />llesig,rated Operate N tme: LYLF: D. N•IMN IC) ScrviccTeclutieiisn
<br />Frusiness 1Va4nc: ANFOKDA=Ib3T ZCL# 52491 15-13C:
<br />.,,�:...,e.m�t r t,,,•�,t erne 4: 709 744-0112 Ugpiration 1?atc: M/2009
<br />/2009
<br />A
<br />i certify tilaL for
<br />Operators- Thin i
<br />ac ,,:ordance with
<br />Furtbertnere, f
<br />ordinances) 11P,,
<br />I)SUBMITTH
<br />.rAFTERSIGN1
<br />ty indicated a1 the top of tllis Page, the irtdividuHlS f iste:d above will segue as De%igvated I.3S 1
<br />is will 4onduc;tand documcrlt cuctnthly fncitity incpeot Ons and annual trtcilitp erl1p10yee traiiatin-t', it►
<br />is cueje of Regulittian5, title 23, section 2715 (e) - (f7.
<br />and and am in compliance with the requirements (st:atutcs, regulations, and Incal
<br />to an erground storage Onks.
<br />K OWNER:
<br />PTIONE!
<br />WNER-
<br />PTtONE:
<br />PLF,TE D R TO THEIX) ALA(F"CY(K ,%-I'rATf.WAfER R U CESCU ULI';U AIM)
<br />t; LOCAt.AGEN Y L,la 1' 1SAVAfLABLF AT- www.watertwarcip.c u, y�usVccustauis/cu 3 a g $4a
<br />1.At.ENCYOrANYCHAN(XS n)'rfilSINFORMArJONWITH11430DAYSLIV1113F,CAAN ®E.
<br />DAVID A. WIN ER
<br />Service Tec11T1)cizIn
<br />17esignatc:d Operat Name'
<br />AFFORDA-TEST
<br />5263373 -UC.
<br />1it,s;nLSSMante:
<br />' 0111
<br />L'csigstated Operat r3 PbOnc
<br />#:
<br />209 44-0112
<br />Fx U
<br />Al T>Cla1+IATIs 2
<br />•
<br />ZA1tT1": A. NIM1A�0
<br />Service Z ecftniciHri
<br />Dcsigoaetcd f)pera r
<br />me:
<br />tcc:ts 5263:122-U(:
<br />BltStWt':tti 1Vxti'1C:
<br />At-Y'C)RDA-TEST
<br />E7(pini ion Tate: 311412010
<br />t)esigplflmjkeipOperat r 5
<br />Rolle tf:
<br />20744-Ut 12
<br />AL LINAi Y, 3
<br />FELIX G1 RA ' 7e
<br />Scgvir.e I'er'C1111tLtst49
<br />L)CSiguiltcd operar
<br />nine:
<br />acc� tr 5213934-L)6
<br />t3u5i nea.5 Nnrrtt;
<br />Al-racu)A-* t'lr$T
<br />Desivatte d (41= 411-S
<br />hone ft:
<br />209744-0112
<br />Ex iratiun!?aic: 012112010
<br />i certify tilaL for
<br />Operators- Thin i
<br />ac ,,:ordance with
<br />Furtbertnere, f
<br />ordinances) 11P,,
<br />I)SUBMITTH
<br />.rAFTERSIGN1
<br />ty indicated a1 the top of tllis Page, the irtdividuHlS f iste:d above will segue as De%igvated I.3S 1
<br />is will 4onduc;tand documcrlt cuctnthly fncitity incpeot Ons and annual trtcilitp erl1p10yee traiiatin-t', it►
<br />is cueje of Regulittian5, title 23, section 2715 (e) - (f7.
<br />and and am in compliance with the requirements (st:atutcs, regulations, and Incal
<br />to an erground storage Onks.
<br />K OWNER:
<br />PTIONE!
<br />WNER-
<br />PTtONE:
<br />PLF,TE D R TO THEIX) ALA(F"CY(K ,%-I'rATf.WAfER R U CESCU ULI';U AIM)
<br />t; LOCAt.AGEN Y L,la 1' 1SAVAfLABLF AT- www.watertwarcip.c u, y�usVccustauis/cu 3 a g $4a
<br />1.At.ENCYOrANYCHAN(XS n)'rfilSINFORMArJONWITH11430DAYSLIV1113F,CAAN ®E.
<br />
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