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Home My WebLink AboutSLOUNIFLOW_FS1 Admin iRC3926i Color_0166_001Owner Statements of Designated Underground Storage Tank (UST) Operator and Understanding of and Compliance with UST Requirements Desienated UST Operator(s) for this.Facility PRIMARY ALTERNATE I AI,TERNATE 2 ALTERNATE 3 Facility Name; United Parcel Service, Inc.Facility ID #: FA00048 I 0 Facility Address: 3601 Sacramento Drive San Luis Obispo, CA. 93401 Reason for Submitting this Form (Check One) tr Change of Designated Operator t Update Certificate Expiration DateFacility Phone #: 805-544-?186 Designated operator's Name: Aaron Shultz Relatiirn to UST Facility (Check One) tr Owner tr Operator tr Employee r Scrvice Technician I 'l'hird-Party Business Name (l[ different ./'rom above): B&T Senice Stalion Contractors Designated Operator's Phone #: 805-929-8944 lnternational Clode Council Cerlification #: 5266795UC Expiration oate: 03/19/L4 Designatcrl operator''s NamE: Tino Ramirez Business Natne (lf diJferent from above): B&T Senice Slation Contractors Designatcd operator's Phone #: 805-929-8944 Relation to UST Faoility (C.heck One) I Owner I Operator ! Enrployee I Service Technician u Third-Party lnternational Code Council Cerlification #:8009625-UC Expiration Date: 01/1 1/13 Designated Operator's Narne: Shawn Byham Relation to UST Facility (Check One) I Owner tr Opelator tr Enrployee I Service Technician ! Third-Party Business Name (lJ'dffirent front above): B&T Semice Station Contractors Designated operator's Phonc #: 805-929-8944 International Code Council Certification #:8017004-UC Expiration o ate: 08 127 I 14 Dcsignated Operator's Name: Marcus Garcia I{elation to tlST' Facility (Check One) E Owner C Operator i Employee I Service Technician tr Third-Pat1y Busincss Name (lf dffirent Jrom above): B&T Service Station Contractors Designated operator's Phone #: 805-929-8944 International Code Council Certification #:8074063-UC Expiration Date: 07 ll6lL4 I certify that, for the facility indicated at the top of this page, the individual(s) listed above will serve as Designated UST Operator(s). The individual(s) will conduct and document monthly facility inspections and annual facility employee training, in accordance with California Code of Regulations,title23, section 2715(c) - (f). Furthermore,I understand and am in compliance with the requirements (statutes, Ot.n"Xsround sffie tanks.regulations, and local ordinances) applica OWNER'S ONE #:626-8t4-6269t Z-r'DATE: 8-';t-;., NAME OF TANK OWNER (Please Print): _N SIGNATURE OF TANK OWNER: