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10715 Trinity Parkway PR0541281 <br /> March 30, 2022 Program: UST <br /> PHOTO 3: Incorrect CERS ID on DO reports dated 4/30/2021 to 3/7/2022. <br /> u orage an <br /> Designated UST Operator Visual Inspection Report <br /> 1. FACILITY INFORMATION <br /> CERS ID 10186995 Inspection Date Lj j 0-'�j <br /> Facility Name Trinty Pkwy AM-PM <br /> Facility Address City ZIP Code h <br /> 10715 Trinty Pkwy Stockton 195219 _ <br /> 2. DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator II Phone <br /> BZ Service Station Maintenance,Inc -2380 <br /> ICC CertificationCertification Expiration Date <br /> - -z <br /> 3. COMPLIANCE ISSUES <br /> x} <br /> 4. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING INSPECTION <br /> I 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 U T Oerator Signature Date Inspection Report <br /> pL(-,7Q'Z <br /> Provided to Owner <br /> Da <br /> CERS=Caornia Environmental cable,UDC Reporting Under-Dispenser Containment,UST Council,Underground <br /> Identification,NA=Not App <br /> Storage Tank Page 1 of 4 <br /> Lydia Baker, SR. REHS Page 3 of 5 <br />