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3355 E Hammer Ln, Stockton Record ID PRO508352 <br /> 1/31/2022 UST Inspection <br /> Photo 1: The designated operator failed to check and note all required items on the visual inspection reports. Corrected on site. <br /> Ilii <br /> Appendix XIII <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 1. FACILITY INFORMATION--------------- <br /> CERS ID 10181655 <br /> Inspection Date 01111!2022 <br /> Facility Name CSI-37273612223-CHV <br /> Facility Address <br /> 9484 West Lane City ZIP Code <br /> Stockton 95210 <br /> 2. DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator <br /> Vivian Vargas Phone <br /> ICC Certification 510-561-7652 <br /> 8881083 Certification Expiration Date <br /> 11123/2023 <br /> 3. COMPLIANCE ISSUES — - <br /> Identify by number a!!compliance issues listed <br /> 1-Liquid present in Diesel spill bucket <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 ,division 3,chapter 16,section 2716 and all information provided <br /> herein is accurat . <br /> Designated Aerator Signature Date Inspection Report Provided to Owner <br /> 0111112022 <br /> CERS=Califor a Environmental Reporting System, ICC=International Code Council, ID= <br /> Identification, A=Not Applicable, UDC=Under-Dispenser Containment,UST=Underground <br /> Storage Tank <br /> Page 1 of 4 <br /> John Alaniz, REHS Page 1 of 1 <br />