Laserfiche WebLink
UNDERGROIJ:N0 S MRAGE "FANK s'vs'rENM <br /> OWN�ERS'fATEMENTSOFDL'qlG.,N-ATED USTOPERATORkND <br /> L.:NDERs'rAN1MN(; OF AND CONTPLIANCE WITH UST REQUIREIMENTS <br /> t,c:r dt ' . I/ I � <br /> out LUC14 UrIS4111110ti <br /> jurlrwrn c ed Tit?: 2.3 DW -4 Ch p <br /> 4qqla <br /> LA(',t FY <br /> 28-1522 <br /> CRLLC#2705447 O9-47 <br /> r,a-k(TV SIM-ADDRESS <br /> 1469 E. HAiMEES LANE STOCKTON <br /> R FASON'F0k Sri r <br /> PRIMARY DESIGNATED UST OPERATOR FOR THIS FACILIT <br /> M-W TLI <br /> nM)OPERATOR MIME Daniel Lawrence it. w=, R USO ILITY V_'hn <br /> Q <br /> owner El om" Fmloyrc <br /> Tank-TakEnvi tat Corp. p <br /> servicc Ttchr.;V ion <br /> NOATE 311412011 <br /> Mj�F, 14ATF i DESIGNATED UST OPERATOR FOR THIS FACILI <br /> -Tr-AVU.1TY(C <br /> j�I-",ATI ONN TO t N <br /> f­r%skw,%'rr.,")wrmk'rox�NANIR Richard Thomas <br /> 7 -- ----- <br /> ahs-w;, Tank-Tek Environmental Corp. !1 FJ OUMCT <br /> 0 <br /> !)ESIGNATM OPEZk"M PHON (707)446-6151 <br /> r*ITERNATJGNAIL CODE CM-NCIL Cts.-67XATION NO: 52S4736-UC '._%PM.AV0M:)ATF 112012011 <br /> ALTERNATE 2 MIGNATED UST OPE RATORFOR THIS FA <br /> m*NAMD OPERATI)R NAw' Michael(M*O)Lawrence <br /> ULSKM ANN"i w&P--ft— Tan Tek Environtmntal Corp. Owner (11peratur <br /> RFPONP; (707)4"51 ext <br /> XPIluIvONDATE, i'0112120M <br /> NA t Cr <br /> ALT 4j'it 3 DFMGNAT; D UST OPERATOR FOR TIUS M A!�0_ <br /> t*SIG.NATED0)1FRAV()RNAJ%`(� Virginia Fttl t1-0 USTFACUIV(Ch&i Orw <br /> su .M a <br /> s N- p-&S xkvE fif dodruntfiv t&­):eT nk-Tarik E vironme I Corp. <br /> -- tm <br /> Servicc Tanici <br /> (707)448-6151 <br /> 6322644-UC 1111712009 <br /> I certify that, for the facility indicated at the top or this pup, the indivWual(s) listed above will serve as Designated UST <br /> Operatotfsj, The individual(s)will conduct and documat monthly facility Inspections And annual facility employee traming <br /> is accordance with Cafforob Code of Regulations, ritle A sectlon j7is(c)through(f). Furthermore, I understand and am <br /> in compliance with the requirements(statutes,regkflatiOM 0111d local ordinances)applicable to underground storage tanks. <br /> T AN K 0 WN,FR N A ME: <br /> ['ANK OWNLR 1`111E.- OWNER MONS <br /> !'ANX ONVNER SIGNM URF� 'DA FE. <br /> STRUCTIONS <br /> i Rcparz the nalnels)of the Des(gnated USFOpaalslr(s)as regisicrW'Mth the tMe"ational C-odeC ttan it(IM Icccertification <br /> allionnalioa is a�ailablc ov.1itle at., Search ibr'(.alifoaiizI U'S T Se'SWM opetator-"" <br /> 2 &Ubmil Thii U)Mpt;,�tCd t6rUl to the local a.,enc:' fliat reivilates this facility's USTS.- Ulti-jocs inem. ber a�,cncy J,.-risdictinns anj <br /> contact infoanation, are listed on-line at, si,%-w.unidomoraimemberslwhoreeulates%vhaLhtmi. Conlac, information or other <br /> local avericies%ithir,Uifian.-Iia jN avaiLlhic at- <br /> o of -i-7� hangc-to!h& ni me'I'Iro'ill <br />