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Appendix XIII <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 1. FACILITY INFORMATION <br /> CERS ID 10181291 Inspection Date 10/17121 C/) <br /> O- <br /> wY Facility Name Bank of Stockton <br /> �7 Facility Address City <br /> 1941 East Lockheed Court Stockton <br /> L2 DESIGNATED UST OPERATOR INFORMATION ;rARr IN_TANx LEAK TEST <br /> Name of Designated UST Operator Phone TEST B'f PROGRAMMED TIME <br /> John Kluenker 209-969-1 10-13-21 2:00 AM <br /> ICC Certification Certificatic TET LENGTH HOURS <br /> 8325567 8/21/2022 <br /> T I :JF JET FUE289 GALS <br /> 3. COMPLIANCE ISSUES ULLUMEE ME -_ 8338 GALS <br /> 9 <br /> _)0%U0%; ULLAi;E= 7175 GALS <br /> Identify by number all compliance issues listed TC VOLUME = 3258 GALS <br /> 1. Paper Out HEIGHT = 30.46 INCHES <br /> WATER VOL = 0 'ALS <br /> 2. Fuel Alarm IJATER = 0.00 I N`v HES <br /> TEMP = 80.1 PEG F <br /> 3. Delivery Needed <br /> 4. Low Product Alarm 0,20 GAL;HR FLAGS <br /> 5. Printer Error LOW LEVEL TEST ER OR <br /> x n K � X END <br /> Section 10: Overfill Prevention Inspection was rescheduled due to cc <br /> STOP 1N-TANK LEAK TEST <br /> T 1 :JF JET FUEL <br /> 10-13-21 4:00 All <br /> DANK OF STOCKTON <br /> 1941 LOCKHEED CT. de <br /> 3 _ <br /> STOCKTON CA <br /> L <br /> 4. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING I 10-13-21 4:DU Allal <br /> LEAK TEST REPORT <br /> I hereby certify that the visual inspection was performed in compliance T I :JF JET FUEL <br /> of Regulations, title 23, division 3, chapter 16, section 2716 and all infc [,ROPE ERIAL NUM 711566 <br /> herein is accurate. <br /> ' Designated UST Operator Signature TEST STARTING TIME: <br /> Date Inspection <br /> RE 10-13-21 2:00 AM <br /> 10/17/21 <br /> I <br /> CERS = California Environmental Reporting System ICC = International Coc TEST LENGTH = "O HRS <br /> i <br /> Identification, NA = Not Applicable, UDC = Under-Dispenser Containment, U; <br /> Storage Tank 5`rRT VOLUME3258.3 GAL <br /> � <br /> � I_FH1; 'FEST RESULTS <br /> 11,20 C,AL%HR TEST I NVL <br /> U.20 t;AL HR FLAGS <br /> e LOW LEVF_j_ TEST Fp <br />