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UNDERGROUND STORAGE TANK <br />FACILITY EMPLOYEE TRAINING CERTIFICATE (Page 1 of 1) <br />FAC:II ITY IIUFYIRMATInA1 <br />Business Name (Same as Facility Name or DBA -Doing Business As) CERS ID <br />VALLEY PACIFIC PETROLEUM SERVICES, INC. <br />Business Site Address Cit <br />152 FRANK WEST CIRCLE SUITE 100 �STOCKTON <br />95206 <br />II. DESIGNATED UNDERGROUND STORAGE TANK OPERATOR INFORMATION <br />Name of Designated UST Operator Providing the Training (Print as shown on the ICC Certification.) <br />G.Michael Eliason <br />Mailing Address Phone # <br />152 Frank West Circle, Stockton CA (209) 993-8798 <br />]CC Certification #1 ICC Certification Expiration Date <br />5250416 <br />5/30/2021 <br />III. FACILITY EMPLOYEE INFORMATION <br />Individuals assuming the duties of the facility employee before October 13, 2018 must be trained within 30 days of performing <br />facility employee duties. Individuals assuming the duties of the facility employee <br />on and after October 13, <br />before performing facility employee duties. <br />2018 must be trained <br />Check this box if a list of the individual(s) trained is appended to this form. The appended list, at a minimum, must contain <br />all of the information in this section. <br />Name of Individual(s) Trained <br />Initial Training Date <br />Date of Assuming <br />Responsibility as a <br />Facility Employee <br />KEN TONN <br />1/1/1985 <br />1/1/1985 <br />HANK MINNEMA1/1/1999 <br />1/1/1999 <br />JOHN GOODING <br />12/10/2003 <br />12/10/2003 <br />ANGEL ELISARRARAZ <br />4/23/2007 <br />4/23/2007 <br />RAFAEL GALVAN <br />2/16/2010 <br />2/16/2010 <br />WILL HARP <br />3/24/2010 <br />3/24/2010 <br />OSCAR NUNEZ <br />5/4/2010 <br />5/4/2010 <br />AARON PETERSON <br />7/6/2017 <br />7/6/2017 <br />ART OBREGON <br />3/25/2019 <br />3/25/2019 <br />NIC POBLANO 1/28/2020 <br />1/28/2020 <br />ALECX SNELL 11/5/2020 <br />11/5/2020 <br />JUAN ROMO-CARRILLO 11/23/2020 <br />11/23/2020 <br />ABRAHAM MUNOZ-CARO 3/4/2021 <br />3/24/2021 <br />JUSTIN YATES 2/1/2021 <br />2/1/2021 <br />HAU DINH 3/4/2021 <br />3/4/2021 <br />JOSEPH MILLER 4/19/2021 <br />4/19/2021 <br />IV. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING THIS TRAINING <br />The facility employees listed above have completed the required training in accordance with California <br />Title 23, Division 3, Chapter 16, Section 2715(c) and the information <br />Code of Regulations, <br />all provided herein is accurate, <br />Training Designat UST O turd Date of Training <br />: <br />4/29/2021 <br />CERS = California Environmental Reporting System, ID = Identification, ICC = International Code Council, UST = Underground Storage Tank <br />