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2009 06/22 12:07 FAX <br />121001/001 <br />Sep 03 na t2345pjad <br />x2iJ 744-®118 <br />(�•®q) `I' �-)tsar <br />gt�nated <br />Undo untd toarage T ank Oextsarand <br />Und <br />Complia ce with U'S'A` Requiremeuts <br />cillty Name! <br />� � ns C, <br />ReA�?A for this f <br />AdtMAV 33Q�s- 4* HA -0w <br />LN lopd,�-, ejeM07 <br />Cl Chans f dp <br />_-acilliy Phone #; y 4,f 78 <br />0 I <br />Update �ra�lon mate <br />' DESIGN)AAD <br />VSA O Roto Vii S.CAC M® A♦ <br />PROURY <br />NIMMO <br />Sc;T c fth ., <br />M. <br />3T <br />�riR <br />icC # <br />Business Alamo FORDA- <br />�pirdtioADBte: 7/i1,�4� l�'�� <br />Des*dr���orators Phone P: 219 <br />7"_01 12 <br />ALTERNATE <br />Designated QY0xW9 Namc; <br />AVXA A+•�SMV <br />. L etbnloS';M <br />ausinessWame: AF® <br />T <br />lcco 5263373 UC <br />11esignaftd c exater's Phone 0., 2 <br />7 <br />Ax.T ATE 2 Ah <br />Designated Opersuar's <br />A A. NXMM0 <br />S <br />q%isirms Name: ll • OPDA Ti E$T <br />5263322 -UC <br />Dftignated Operators Pb <br />74401 t2 <br />Tsx Date: 3/14/2010 <br />AI TIMRNATE 3 <br />Designated Operator's Natne: <br />LIX <br />Service Technician <br />Busium N o: <br />FO <br />ICC # 5273934.U6 <br />nertonamd 0o ator's Pholte& 2 <br />t <br />Egim6m Dow. 6/21/2010 <br />I wtify that, , or the facility,itadicated the top of this gage, the individuals listed above will servo 0. iacgwgmtcd ub t <br />opereWM The individuals will Qortduc and document monthly &oility inspections and anjitw Facility employe® Ulinialg, in <br />acr.,Qrdarace with California Code of Re isulationg, title 23, section 2715 (c) <br />Furthermore, X understand and nzn in coMpliance WMA the r6quircInents (statutes, regulations, and local <br />ordinances) appticable to undcrgro mad stotrap tanks. <br />NAME or TANK OWNER f hint) <br />SXGNAT - OF TANK OR: <br />DATE; OWNE, RIS PHONZI <br />0 <br />