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UNDERGROUND STORAGE TANK <br /> OWNER I OPERATOR AGREEMENT <br /> OPERATOR: <br /> As operator of the underground storage tanks,I hereby certify that I Hnderstand tide <br /> monitarmg ana reponmi reilw eIIImm cum tainva lm wma-:J,-jr ai» r-A,% <br /> of Regulations and I have received a copy of Section 25299,Chapter 6.7,of the <br /> California Realty and Safety Code. <br /> SIGNATURE: DATE: r �' <br /> t <br /> DSA rJAME: 34 1 d f <br /> UPERATOR [AME: d <br /> LOCATION: ac Ig <br /> 1 � <br /> a <br /> As the Owner of the underground storage t nk,, 1, <br /> certify <br /> that ,� {� (OWNER'S NAME)) <br /> less been provided a cDDV <br /> repotting requirements contained in Title 23,of the California Cade of Regulation <br /> IS. <br /> [DWNER'S NAME) I assn certify that r. <br /> Provided a cv t°PETVR'S NAMES has been <br /> COPY Of the Penalties for noncompliance as speciFied in Secrlcen 252999 - <br /> chapter 6.7,of the California Health and Safety Cade. <br /> DATE: <br /> 75407 <br />