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Appendix XIII <br /> SUSD 40001 Underground Storage Tank <br /> STOCKTON UNIFIED <br /> 2963_LaW6iH-INETTI LN. isignated UST Operator Visual Inspection Report <br /> STOCKTON CR. <br /> 2099337145 1ON <br /> USA r' <br /> 05!28/2021 10:34:10 Inspection Date 5 2, ] �- <br /> ALARMS REPORT )N UNIFIED <br /> Last 30 Days City ZIP Code <br /> GAS DISPENSER UDC STOCKTON 95205 <br /> SN3 Sensor- On ERATOR INFORMATION <br /> Alarm = "` <br /> ! 05/18/2021 13:47: 10 T Operator Phone <br /> V 05/18/2021 13:47:26 VIE MURPHY, MARISSA MURPHY (209) 887-2639 <br /> GAS DISPENSER UDC Certification Expiration Date <br /> SN3 Sync Error <br /> Alarm (SM), 9715874 (MM) 9/12/2021 (GK), 10/1/2021 (SM), <br /> 05. 18/2021 13:47:04 10/21/2022 (MM) <br /> V 05/18/2021 13:47:04 <br /> GAS TURBINE SUMP omplian�e issues listed <br /> SN3 Sensor On ,� i <br /> Alarm <br /> ! 05/18/2021 13:46:36 <br /> V 05:•18/2021 13:46:46 <br /> DIESEL PUMP 1&2 UDC <br /> SN3 Sensor On <br /> Alarm <br /> ! 05/18/2021 13:31:25 <br /> V 05/18/2021 13:31:49 <br /> 4. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING INSPECTION <br /> I hereby certify that the visual inspection was performed in compliance with California Code of <br /> Regulations,title 23, division 3, chapter 16, section 2716 and all Information provided herein is <br /> accurate. <br /> Designated UST Operator Signature Date Inspection Report Provided to Owner <br /> CERS = California Environmen a rting System, ICC = International Code Council, ID = <br /> Identification, NA = Not Applicable, UDC = Under Dispenser Containment, UST= Underground <br /> Storage Tank <br /> 1 <br />