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Appendix XIII <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 1 . FACILITY INFORMATION <br /> CERS ID 10181433 Inspection Date 4/18/23 <br /> Facility Name UNOCAL 76 <br /> Facility Address City ZIP Code <br /> 2701 MARCH LANE STOCKTON 95219 <br /> 2. DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator Phone <br /> Maria Guarnelli (408) 9714445 <br /> ICC Certification Certification Expiration Date <br /> 8158671 1 /28124 <br /> 3 . COMPLIANCE ISSUES <br /> Identify by number all compliance issues listed <br /> All Functions Normal on Monitor @ Time of Inspection , no alarms to report. <br /> "Need to review, respond and sign previous inspection report. <br /> "Need to have liquid removed from UDC 9/10 <br /> "Need to schedule Karen Montgomery for refresher employee training . <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 , division 3 , chapter 16 , section 2716 and all information provided <br /> herei curate . <br /> De i n tor o Si nature Date Inspection Report Provided to Owner <br /> 4/18/23 <br /> — mom <br /> CERS = C lifornia Envir nmental Reporting System , ICC = International Code Council , ID = <br /> Identifica on , NA = Not Applicable , UDC = Under-Dispenser Containment, UST = Underground <br /> Storage Tank <br /> Page 1 of 4 <br />