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i <br /> UNDERGROUND STORAGE TANK (UST) <br /> OWNER 1 OPERATOR AGREEMENT <br /> UST OB2jF' <br /> As the o4ner of the underground storage tanks,I, MiLw�w� ZLOgii <br /> Ou certify <br /> (OWNER'S NkMFY <br /> that has been provided a copy of the monitoring and <br /> OPERATOR'S NAME) <br /> reporting requirements contained in Title 23,of the California Code of Regulations. <br /> 1; [,k I also certify that9-,6h,2 has been <br /> (O�VN R'S NAME (OPERATOR'S A,ME) <br /> provided a copy of the penalties for noncompliance as specified.in Section 25299, <br /> chapter 6.7, of the California Health and Safety Code. <br /> SIGNAT DATE: �- <br /> PRINT N _)4t,, <br /> UST OPE 4-ATOR: <br /> As opera�or f the underground storage tanks, I hereby certify that I understand the <br /> monitoring a d reporting requirements contained in Title 23, of the California Code <br /> of Regulatio s and 1 have received a copy of Section 25299,Chapter 6.7,of the <br /> California H alth and fety Code. <br /> SIGNAT DATE: , IZZ� 'zI <br /> PRINT NAME: L,c <br /> DBA NAME r 9At �r c- <br /> OPERATO NAME: <br /> LOCATI N <br /> 7!5!07 <br /> I <br />