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RECEIVED 03/24/2014 09:13 <br /> P <br /> 2014-03.24 08:47 Manteca �' 2099821205 > 1/10 <br /> P P r- <br /> EIVED <br /> - 416 2"Street Phone;(209)74&01 i' <br /> ffordaTe <br /> Galt,Cc 9MO2 Flkx-(209)744.0116 APR 0 7 2014 <br /> afforda2softeenLnet <br /> owner Statements of Designated Undergreund Storage TULU OP oENVIRONMEA <br /> And Understandiag of and Compliance with UST Rea 'Up <br /> ENTAL HLTH <br /> f—Facifity Name: Tulare Farms UP Facility N. P0#7 =ENT <br /> Address: 277)X French Camp Rd Franch Cimp,CA 95336 upodatted Hers st6ment <br /> Facility ftope 0:209-95u691 change of De 4palka operator <br /> Ll Stw DeAzaaNd()perlior <br /> DESj4GNA=.jLST,0jPr--RAT0R FOR]ES EACILITY� <br /> PRI:YS <br /> DesiW.ted Operftto:-'-iNamur ZANx-,NIMMO Service TeeIc n, <br /> Rusims Namoz AFFO.RDA TEST ICC IMP. 5 2-vt <br /> Desh'snated Operstors Phone' 209-74.4-0112 xpirntloil <br /> ALTERNATEi <br /> Vk"jgngttd operator's Name*. FELIX RAMIREZ Sorvicat To-Ahajoia. <br /> Basinori%Name; AFFORDA TEST ICC##t 52 3393.4juc <br /> Bet!g—pated-Operator's Phone. 209-744-0112 Ex P i rns Tdi onn ata: 3a <br /> ALTERNATE2 <br /> Miku+.edOqerator'sName: DAVID WINKLER Service TWA616211:: <br /> Buslzo'-15 NO-At. AM RDA TEST ICC#,- "373-U..0 <br /> DeakInt-ted Opwrator's Phone: 2094/4"112 RXj)1jr2ti0R 02te.- V10116 <br /> ALTERN.A.'11,3 <br /> Designatad Opemtor's Name: EDWARD STEARNS Service <br /> Te "5C <br /> Dust-Less Name- AFFORDA TEST ICC 1P. <br /> Dvsigt�aa Optrutor's Phone, 209-74"112 Expiration <br /> �MI16 <br /> I cmfly that,for the Atifity indicatod at the top V*,his page,the irdiAdPAIS[Lqtd AbOVO Will SNWO as 1040ad UST <br /> Operators. -i tic iidividuals will 66nduct and doqu-tat montblY facUltY Inspections and annual Acili emplo* <br /> In <br /> Accord.jace with CAjlfbrftjS Code ofRqu!a-.jo=titre 23.section 17'S(e�)-(fh <br /> I understand and am in cotApHafte With the re4alrements(statutes.regulations.and loal, <br /> Onflat;-cm) applicable toundergrouadForane tanks, <br /> NAME OF TANK OWNER/Operator'Pritt); A&M Fimts <br /> SIGN,;XURS Of TANK OWNEWOperatur: <br /> 0"1hrNBRS IPHONI: <br /> qI114411'r-.jjjSC0,MPL"rf FOk'#.170 THE LOCAL AGENCY(NOT SWRCB)AVfZR SIGNINP,T14rh LOCAL <br /> A,CE14'M'LW IS AVAILABLE M',RM&A1000 <br /> 21, NOT.'711 THE LOCAL AGENCY 017 AXY Cp.:dtiC-!�S'rO IkJ18 11,FOR.MATION WITHI.'4 30 DA- OF t"HE <br /> county, 5'JQ. Date Fazed: Date Acadret. DAttFMzd1@d <br /> 209-44--q�w <br /> 144-0/39 <br />