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T,'"£ ss <br /> s <br /> gAPPendix XI11 <br /> 0nated UST <br /> Under round Storage Tank <br /> FAC/ <br /> UTy I iDperator Visual Inspection Report <br /> 7. INS <br /> CERs Ip ORMA77oN <br /> ale Facility Na coo 99 <br /> D <br />' rforme n1e Inspection ate ivrz l3oza <br /> �40 E Main Street Petroleur„ <br />'w �mr• FaGIIhrAd( S <br /> air E Main Street ZIP Code <br /> z• 2. DESIG 7�: city 95205 <br /> Stockton <br /> ATEpf UST OPE <br /> z• Name of D RATOR INFORMATION <br /> fan Hall esignated UST O <br /> C—C Aerator <br /> 10zz Certification Phone <br /> 5311539-uC (868)500 2435 <br /> Certification Expiration Date <br /> S. COIypLIANCE/ 1,is/2o25 <br /> No compliance issues. ;;SUES <br /> p <br /> 4. CERTIFICATIO <br /> 1 hereb N BY DESIGNATED UST <br /> y cehWY that the visualsio ins OPEIRATOR CONDUCTING INSPECTIO <br /> Of Regulations, title 23 inspection was N <br /> herein is accurate. ' d�vlual i 3 P WOrmed in comt�liance <br /> chapter 16, section 2716 and all wlth Caliifornia Code <br /> Designated US 7 information provided <br /> operator Signature <br /> - Date Ins <br /> CERS _ pection Report Provided <br /> Californian 12/13/2024 ded to Owner <br /> Identification Environmental RE <br />,Store ' NA NotAppl;cable, �pC mg Sy <br /> Stem, - International <br /> 9e Tank m, ICC - <br /> Under-pis rnational Code C <br /> pE.nser containment °uncil„ ID <br /> UST UndE�rground <br /> Page 1 o <br /> �__ f 4 <br />