Laserfiche WebLink
--- UNDERGROUND STORAGE TANK <br /> FACILITY EMPLOYEE TRAINING CERTIFICATI=IRTHe 1 w 1I <br /> I. FACILITY INFORMATION <br /> Suginess Hamm'sarne es CER3 ID <br /> 76 Expfess Mart 10182157 <br /> suriness$ile k dress wry Z'Pzode <br /> 5777 S. French Camp Rd French Camp 95231 <br /> IIf DEMNATED LINQERGROUND STORAGE TANK OPERATOR INFORMATION <br /> ��Fajm.4 of 2esig,aled UST operawr Pr:':dirg'I�e Tnalelq f elrile-s*airfwn 1317 Vie i u G9rnocaAPn: f <br /> Alex A. ,lab ban <br /> Mailing Ad-4r z Phone <br /> 537 Amber5t Court. San Raman,CA 04-563 (925) 389- 12,52 Fxl <br /> ICC Cerllficafian ij ICG Cerrntaron Expiration[lair <br /> 5243897-U� 10111202-D <br /> III. FACILFTY EMPLOYEE INFORMATION <br /> Individuals a3srlmlw the Autlas of tiv facility employee hetare CIVi hnr 13.2618 rwa be 7airred within 30 days or perrorning iaciliLy <br /> mv, W yee Guu*& Individuals a saumrng the dutl46 of the Facility elnpwyae on;Ind after Oetober 13,3018 mUsf be Lrained hetore p iii-w- ring <br /> WAY <br /> Chuck this box f7aAstofNoakprm&uajt4uakue•dJ6,3ppgmdedhsaiifamr. TheaApmrfndfistaraitipomm1Pawstcnr%wnaftorVie <br /> tlrl4yfl melon In this smltdrr- <br /> Indil I Training 6&;e Tale or.4eeurning <br /> Name 4'In"y dualmi Trailed Ri]WonahVI ps a <br /> Facility Ernplayae <br /> Robin 5ingtl 1117!19 2017 <br /> Balvir Singh 1'117119 2'316 - <br /> Rarndaep Kath 1117119 2018 <br /> Isha Tiwarl 1 2017 <br /> iV. l;ERTIFICATION I3Y DE3lwivrvLTe`u UST OPERATOR i`.ONIOUCTINr,THI57RAINING <br /> The I'aclilty employees listed aboud hive camp]BL-d the required tminIng to accordance with cakirornis Cade of Rcyulatlons, <br /> Mie 23,division 3,chapter 15,seetlan 27115(a)and all 4he V formeihcm provide h4rein b MI CILIrat9. <br /> Tginng Oexlgnated L:BT Oeerator$ig.9aiu-e --FHata or-ralnnq <br /> fi� 1i 1l7+1q <br /> CERS-Calftrn iEnwrpruffratFoFodiigSysleIns,10=kWr6ficalinnFCC-iiLernaiimelCodeoraffa.Uff-Urdiw6vauidsumpsLank <br />