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i <br /> Appendix XIII <br /> Desi Underground Storage Tank <br /> gnated UST Operator isual Inspection Report <br /> �'� 1• FACILITY INFORMATION <br /> CERS ID 10180627 <br /> Facility Inspection Date 5/26/2023 <br /> Y Name CHEROKEE LANE GAS & ARCO <br /> Facility Address <br /> 900 S. CHEROKEE LANE C'� L O D I ZIP Code <br /> 95240 <br /> I 2. DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator Ph <br /> Zane Nimmo one <br /> ICC Certification 209-744-0112 <br /> 8883064-UC Certification Expiration Date <br /> 3 2/22/2024. COMPLIANCE ISSUES <br /> ;a <br /> Identify by number all compliance issues listed <br /> t <br /> L - 5 DIESEL STP SUMP ALARMED , POWER WASH GUY DUMPED HIS WATER OVER THE <br /> TANK PAD. SITE OWNER REMOVED LIQUID HIMSELF. <br /> Al <br /> ce <br /> -s <br /> I <br /> I <br /> r <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 /> I <br /> is accurate. <br /> Designated UST Operator Signature Date Inspection Report Provided to Owner <br /> 5/26/2023 <br /> -'CERS = California Environmental Reporting System, ICC = International Code Council, ID = <br /> Identification. NA = Not Applicable, UDC = Under-Dispenser Containment, UST = Underground <br /> Storage Tank <br /> Page 1 of 4 <br />