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Appendix XIII <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> PC <br /> . FACILITY INFORMATIONERS ID 10180839 Inspection Date 10/20/2022 <br /> Facility Name DINO MART - MONTEREY FUELS <br /> 1901 S. EL DORADO ST City STOCKTON 91i206de <br /> Address <br /> Facility <br /> 2. DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator Phone <br /> 209-744-0112 <br /> Edward Stearns <br /> C <br /> ICC Certification tific <br /> eration Expiration Date <br /> 8883080-UC 3/3/2024 <br /> 3. COMPLIANCE ISSUES <br /> Identify by number all compliance issues listed <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 Operator Siqnature Date Inspection Report Provided to Owner <br /> 10/20/2022 <br /> RS = California Environmental Reporting System, ICC = International Code Counci9, ID = <br /> CE Not Applicable, UDC = Under-Dispenser Containment, UST = Underground <br /> identification NA = <br /> ir Storage '('ank <br /> Page 1 of 4 <br />