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Appendix XIII <br /> Underground Storage Tank <br />/ <br /> Designated UST Operator Visual Inspection Report <br /> g p p <br /> 1. FACILITY INFORMATION <br /> CERS ID 10184725 Inspection Date 1/5/2023 <br /> Facility Name West Valley Auto Service LLC <br /> Facility Address City I ZIP Code <br /> 2615 W Grant Line RD Tracy 95304 <br /> 2. DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator Phone <br /> Rick Branchini (925) 699-1396 <br /> ICC Certification Certification Expiration Date <br /> 8164986 6/3/2024 <br /> 3. COMPLIANCE ISSUES <br /> GVR TLS-350 AFN <br /> In alarm at time of inspection L-6 Fuel alarm <br /> Weather conditions; rainy and windy <br /> L6 fuel alarm fill sump January 4 2023 <br /> L7 fuel alarm December 31st, January 2nd, January 4th water intrusion from excessive rain <br /> Q3PLLD shut down December 10th December 11th December 20th December 27th December <br /> 29th December 31st January 2nd and January 4th contacted manager to find results or course <br /> of action and reason for this alarm awaiting manager response <br /> ISD gross pressure warning 1/4/23 self corrected NFA <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 Signature Date Inspection Report Provided to Owner <br /> Digitally signed by Rick Branchini <br /> Date: 2023.01.24 13:57:22-08'00' 1/5/2023 <br /> !l=c' <br />