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14nr -- <br /> me Appendix XIII <br /> LQw pry u°t `'°lU Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> i!IMCILITY INFORMATION <br /> CERS ID 10181573 Inspection Date 2,0 <br /> Z <br /> Facility Name STOCKTON UNIFIED <br /> Facility Address CityZIP Code <br /> 1932 EL PINAL STOCKTON 95205 <br /> Name of Designated UST Operator Phone <br /> GREG KAISER, STEPHANIE MURPHY, MARISSA MURPHY (209) 887-2639 <br /> ICC Certification Certification Expiration Date <br /> 5252318 (GK), 9383552 (SM), 9715874 (MM) 9/12/2021 (GK), 10/1/2021 (SM), <br /> 10/21/2022 (MM <br /> am <br /> Identifylpy nymberrall compliance�ssues listed <br /> f <br /> oWK <br /> I hereby certify that the visual Inspection was performed in compliance with California Code of <br /> Regulations,title 23, division 3, chapter 16, section 2716 and all Information provided herein is <br /> accurate. <br /> Designated UST Operator Signature Date Inspection Report Provided to Owner <br /> � 52021 <br /> CERS = California Environments rting System, ICC= International Code Council, ID = <br /> Identification, NA = Not Applicable, UDC = Under Dispenser Containment, UST= Underground <br /> Storage Tank <br /> 1 <br />