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m y10o, Cl) <br /> MC <br /> O <br /> oo cn <br /> � 01 NC1 <br /> v apo <br /> -n *k O <br /> O N W o <br /> O O v <br /> AppenUIX Am m <br /> M s�usD a�ae2 Underground Storage Tank } v, <br /> = STOC TK ON ONLFIED <br /> cn 2963 SRNGUINETTI LN. esignated UST operator Visual Inspection Report No Q <br /> STOCKTON CR. <br /> 2899337145TION41 N W <br /> iJ5R -- N <br /> 0312312022 18:10:14 Inspection Date - 7i 2 nl <br /> RLRRMS REPORT SON UNIFIER N <br /> Last 30 Days City <br /> ZIP Code <br /> sUSD 40001 N v <br /> STOCKTON UNIFIED � STOCKTON195205N <br /> 2953 9LN. <br /> 5TOCKTdN cR. OPERATOR INFORMATION S=; ,,. - iv 7 <br /> 2899337195 UST Operator Phone N o <br /> lisp <br /> 03'23/2921 10:10:14 ANIE MURPHY,MARISSA MURPHY (209)887-2639 I j � <br /> RLRRMS REPORT Certification Expiration Date N 0 <br /> Last 30 Days 52(SM),9715874(MM) 9/12/2021(GK),10/1/2021(SM), <br /> 10/21/2022(MM) D <br /> No Records Found <br /> ti4IES' w <br /> Identify+by number all compliance issues listed w <br /> d <br /> CD <br /> K <br /> (D <br /> O <br /> CD <br /> CD <br /> V O <br /> 4.CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING INSPECTION �• <br /> I hereby certify that the visual inspection was performed in compliance with California Cade of CD <br /> Regulations,title 23,division 3,chapter 16,section 2716 and all information provided herein <br /> accurate. <br /> Designated UST Operator Signature Date Inspection Report Provided to Owner <br /> 24 <br /> CERS=California E iro me tal Reporting System, ICC= International Code Council, ID= c CD <br /> Identification, NA= Not pplicable, UDC= Under Dispenser Containment, UST= Underground D - <br /> Storage Tank <br /> Cn <br /> � m <br /> CD o <br /> CD <br /> v <br /> O <br /> cn - <br /> - -Y s <br />