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Appendix XIII Tank <br /> r rouind Storage rlspelatiorl Report <br /> �nde g rator�/sualted Insp <br /> US-r Ope <br /> pN inspec;tion Date 05/03/2024 <br /> OCHRDAMPM —_ - "YSTOCKTON (952 5de <br /> i00afy-Add <br /> _ � e554 855 SHINY 9 9 <br /> TOR INFORMATION <br /> Z GNgTED UST OI ERA Phone <br /> Hated UST Operator (888)500-2435 Ext. 2 <br /> dr AW ofDesi9 Certification Expiration Date <br /> j`t`f1*osa 03/11/2025 <br /> /CC Certfication <br /> 9209377 <br /> 3. COMPLIANCE ISSUES <br /> in/v by number al/com;fiance issues listed <br /> rssues <br /> C 1)AIl previous Report alarms were serviced by "Elite IV Contractors" <br /> 2)C1:87 Fill Sump -Sensor Out; Fuel Alarm 5/1/24. <br /> 4. CERTIFICATION BY DESIGNATED UST OPERATOR CONDO <br /> hereby certify that the visual ins CONDUCTING INSPECTION <br /> of Regulations, title 23, division 3,chapte 16 performed in Compliance with California <br /> herein is accurate, , section 2716 and all information provided <br /> Code <br /> Designated UST i� p ded <br /> Aerator Srqnature <br /> =jDatetion Report Provided toOwner <br /> (ERS = California E�nvironme 24 <br /> Identification, Environmental Re - ----- <br /> )IOra9e Tank NA - AlotApplicable, U��in9 System, ICC = International Code <br /> Under-Dispenser Containment, US Council, ID = <br /> T = Underground <br />