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Address Stockton Food & Gas, 1605 EI Dorado, Stockton CA 95206 Record ID PRO504388 <br /> Date 6/29/2022 Program: UST <br /> PHOTO 1: <br /> Missin date of when re ort was rovided to the owner. <br /> Appendix XIII <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 1. FACILITY INFORMATION <br /> ERS ID 90182043 Inspection Date <br /> Facility Name 07/28/21 <br /> STOCKTON FOOD&GAS <br /> Facility Address 1605 S ELDORADO °it"STOCKTON ZIP Coda <br /> _ .08 DI <br /> 2. DESIGNATED UST OPERATOR INFORMATION 952 <br /> Name of Designated UST Operator Phone 4 <br /> David Winkler <br /> ICC Certification _ 209-744-0112 <br /> 8883059-UC Certification Expiration Date <br /> 3. COMPLIANCE ISSUES 2117/2022 <br /> ldentiry by number all compliance issues listed - <br /> � <br /> w <br /> 0 <br /> 0 <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 UST Operators Signature Date Inspection Report Provided to Owner <br /> �r l <br /> CERS=California Environmental Reporting System,ICC=International Code Council,ID= <br /> t' Identification,NA=Not Applicable,UDC-Under-Dispenser Containment,UST=Underground <br /> Storage Tank <br /> Page 1 of 4 <br /> Gabriela Garcia-Mejia, EHS Page 1 of 5 <br />