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2185 E Fremont St, Stockton Record ID PR0231118 <br /> 12/17/2021 UST Inspection <br /> Photo 1: A new designated operator, Amy Winkler, began conducting inspections on 9/3/2021 and notification was not provided to the EHD <br /> within 30 days of the change. <br /> Appendix Xlll <br /> pate last Underground storage Tank - <br /> ierformed Designated UST Operator Visual inspection Report <br /> 9/28129 <br /> FACILITY INFORINFORMATIONc�Rs ID <br /> 10181081 Inspection Date 9/3121 <br /> 9/28/21 Facility NameFOOD MART&GAS <br /> ?/03/19 Facility Address 2185 E FREMONT AVE City STOCKTON ip Code 95205 <br /> 2• <br /> 1/15/19 DESIGNATED UST OPERATOR INFORMATION <br /> i Name of Designated UST Operator Amy Winkler Phone 209-744-0112 <br /> ICC Certification 9951352-UC Certification Exp Date 3126/2023 <br /> 3.COMPLIANCE ISSUES <br /> Identify by number all compliance issues listed <br /> as No f <br /> 4. CERTIPIC N BY DESIGNATED UST OPERATOR CONDUCTiAIG INSPECTION <br /> LI hereby certify that the visual inspection was performed in compliance with California Code <br /> of Regulations,title 23,division 3,chapter 16,section 2716 and all information provided ` <br /> herein is accurate. _ <br /> Designated UST Operator Signature Date Inspection Report Provided to Owner <br /> " cw, yff 913121 �. <br /> ERS=California Environmental Reporting System, ICC=International Code Council,4D <br /> identification, NA=Not Applicable,UDC=Under-Dispenser Containment,UST=Underground <br /> Storage Tank <br /> Page 1 of 4 <br /> John Alaniz, REHS Page 1 of 3 <br />