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UNDERGROUND STORAGE TANK <br /> FACILITY EMPLOYEE TRAINING CERTIFICATE (Page 1 of 1) <br /> I. FACILITY INFORMATION <br /> Business Name(Same as Facility Name or DBA-Doing Business As) CERS ID <br /> VANCO TRUCK AND AUTO PLAZA 10181461 <br /> Business Site Address T City TZIP Code <br /> 1003 W CHARTER WAY ISTOCKTON 195206 <br /> 11. DESIGNATED UNDERGROUND STORAGE TANK OPERATOR INFORMATION <br /> Name of Designated UST Operator Providing the Training(Print as shown on the ICC Certification.) <br /> Edward Stearns <br /> Mailing Address Phone# <br /> 416 2nd Street Galt CA 95632 209 744-0112 <br /> ICC Certification# ICC Certification Expiration Date <br /> 8883080-UC 2/22/2026 <br /> Ill. 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 on and after October 13,2018 must be trained <br /> before performing facility employee duties. <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 /> aN of the information in this section. <br /> Date of Assuming <br /> Name of Individual(s)Trained Initial Training Date Responsibility as a <br /> Facility Employee <br /> MIKE BOPARAf 2/15/2019 2/15/2019 <br /> RAJ SINGH 2/15/2019 2/15/2019 <br /> BRAD MASSONIIf 2/15/2019 2/15/2019 <br /> SUKH SINGH 4/12/2019 4/12/2019 <br /> JANEEN WILSON 2/15/2019 2/15/2019 <br /> LARRY JOHSON 6/3/2020 6/3/2020 <br /> STEVE JASPER 2/15/2019 2/15/2019 <br /> YVONNE HAYMON 2/25/2019 2/25/2019 <br /> PREET SINGH 4/12/2019 4/12/2019 <br /> GAVIN BOPARAJ 2/15/2019 2/15/2019 <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 Code of Regulations, <br /> Title 23, Division 3,Chapter 16,Section 2715(c)and all the information provided herein is accurate. <br /> Training Designated UST Operator Signature Date of Training <br /> 5/2/2025 <br /> CERS=California Environmental Reporting System,ID=Identification,ICC=International Code Council,UST=Underground Storage Tank <br />