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Appendix XIII <br /> Designated U Underground Storage Tank <br /> ST Operator Visual Inspection Report <br /> 1 FACILITY INFORMATION <br /> CERS ID 10181565 <br /> Inspection Date 09/19/24 <br /> Facility Name PERSHING GAS FOR LESS <br /> Facility Address 4445 N PE RS H I N G City STOCKTO N 95207ode <br /> 2. DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator Phone <br /> David Winkler 209-712-6366 <br /> ICC Certification Certification Expiration Date <br /> 8883059-UC 02/22/26 <br /> 3. COMPLIANCE ISSUES <br /> Identify by number all compliance issues listed <br /> 5 <br /> C�vS� b � <br /> 7 �� v <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 /> herein is accurate. <br /> Designated UST Opernor '. nature Me-tospection Report Provided to Owner <br /> 09/19/24 - <br /> CERS = California Enviro ental 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 />