Laserfiche WebLink
16 East Harding Way PR0231136 <br /> February 15, 2022 Program: UST <br /> PHOTO 4: Initial Trainin Dates & Dates of Assumin Res onsibilit as a Facilit Employee are not consistent. <br /> U <br /> C <br /> iCl- <br /> rid — z <br /> .Q � T'37•"� <br /> NO <br /> 30 <br /> 2 3( <br /> 3 2( <br /> 4 <br /> UNDERGROUND STORAGE TANK <br /> FACILITY EMPLOYEE TRAINING CERTIFICATE IPea.1 all <br /> I. FACILITY INFORMATION <br /> (sameee Ee�pn. o.pAa-ro; ee ae/ CERSID y,L Jf <br /> /U <br /> nw Liry LP Lotle <br /> If �I-GA-. <br /> Name II. DESIGNATED UNDERGROUND STORAGE TANK OPERATOR INFORMATION <br /> ^I De.v1.1d UST OP,,-1 Pmaidina IM TralMy(Motes alwwn w tln Icc CeNrceam+.1 <br /> 4"a ma Ink ler <br /> met Galt CA 95632 <br /> fi 2nd Pne 209 744-0112 <br /> cc caNfi�15t <br /> ion pJCC CeNfioaon E.plmtlon Deb <br /> 8883059-UC <br /> III. FACILITY EMPLOYEE INFORMATION Z1-7 l <br /> tllvid <br /> facility-yloyee Guts.lntl,.Id..,.assumediae of tire l Ing the dudes oI....ItryemployeeounEane I Octobened ri1n 30 day,If 13,2018 muatbe trained <br /> bPlore PeMorming facility employee duties. <br /> O Check this bor Xallsfo/Ne/ndlvidual(sJ fralneG is appendedfo Mis/arm.The eppendeG lla4 afaminlmum,musfcomaln <br /> all o/the Informedon In M/s sect/on. <br /> Deb of Assuming <br /> Name of lndivitluallsl Trained Initial Training Date Responslbilny.sa <br /> Facllny Employee <br /> �2. *7 <br /> 71 <br /> Walt: =1y-7A I I-I -T- <br /> f16 u «mE 1 11.1A t,IM,1n <br /> CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING THIS TRAINING <br /> The facility employees listed above have completed the required training In accordance with California Code of Regulations, <br /> Division 3,Chapter 16,Sect 2715(c(and all the information provided herein is accurate. <br /> a led UST Ope,,i,,sign— , Da of We <br /> F11Warrenal RePoeeV Syyenl.ID2 demScaten.ICC=Intnmeo yl Code Ceund,UST=Undagm«q Stelage Tack <br /> Sf <br /> Lydia Baker, SR. REHS Page 4 of 4 <br />