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Appendix XI1I <br /> Underground Storage Tank <br /> Jl Designated UST Operator,Vjsua#Inspecton Report <br /> L1_FAC1LrrY:W0 TI13A1 — — — — <br /> i#r�Dss <br /> Facifrry Frame csr-sa-M1T0 y — — . I Insfbettion I}aGe GBr3#12a22 <br /> ZFPcom Kwumtyhdcrexs <br /> 962D7 L290S W.Inonjamin"apt r"'rY _� ZrP Code <br /> 2 60#011,�7'ED#1lIT - — —�' _ _ !Stomon — 9d207 <br /> e+4T4R IHFORJNATIQ'N �� <br /> Mum of D�Pgnatee LIST - - -— — — — _ <br /> 17pe+argd <br /> l4ndroa!:vans TPhorne <br /> 1n�4ep1 ICC C ,CaliOn _ — I PA S99-?mq <br /> tot 2�0 CerlilicaMrn Expirahw Drrme <br /> - — L0_111312D24 <br /> Appendix XIR <br /> t}ndergralmd Storage Tank <br /> LDesignated UST Operator VJSLfaI InSpectfon Report <br /> t. FACILfrYlflROr�ATlp4_ <br /> CERS ra <br /> _ rFarrrlty ffeme C5J=927`,d#70 -CNY — ilnspeclion J}ar 08f051262T <br /> _ Factixgl A, dreSa = _.`7ur�e .2a'9 0$Wo,ageos ig�n�FJIeI'1d licit — — <br /> _StY <br /> - ----� ZIP Co <br /> tg2. 6EST se OP 95207OR INFORLIAN_ — TIQN <br /> AV US'r OAea1ardExns . <br /> _— <br /> I <br /> rce Cerf_ ___ P#1or — <br /> ----�299irCa1 4 r. <br /> _ Cenrr.�liOn�H$lj6r} � <br /> Appendix XT <br /> Underground Storage Tank <br /> Designated UST OpefatOr Visual Inspection Report <br /> 1. FACILfTYINF-RMA- I—Qj —�-- <br /> CERRi'rD "l87J9133� _ _ _ Inspodian dale O7fa7f21}22 <br /> Facifiky Hama CSI TSf1705-CHV <br /> _3 -+ Address — =Skmm <br /> 290$ V_BJan amin Holt ZIP Cade <br /> _ _ 95207 <br /> IL <br /> f]E$14Nq I Ep LEST ppl<RA70R RHFOFiMATJOH — <br /> ��1aft7e 4f f3esigrxate#U5T DpefEitvr _ <br /> Arkfma Evans Phone <br /> PC G Certi 209 899.26548 _ <br /> 101g8220 Cerliracalionxplralan Date <br /> Appendix XIII <br /> Underground Storage Tank <br /> Designated UST Operator Visual InspeCtion Report <br /> 1. FACU Y INFORM.ATiON — <br /> CERS ID 10181M i Inspection Data U6r09r2022 <br /> Faciriry Name CSI-942 t5f 171!!S-C H V = <br /> FaoiriR Address ZIP — <br /> 4.2906 W.Bepjemin Noll — — Stackton I SS207 d0_ <br /> 2. f]ESIGNATED UST OPFAATOR INFORMATION <br /> LA <br /> of Deslg'Oted UST Operator P#Jone <br /> a Evans — 2r19}599-2640 <br /> iflcatm Certii- aibDn Fprration 0at$Date20 41i13 q <br /> `t ;' S. COMPUANCE ISSUES <br /> id-f,ly by rrumberag eompfrance issues frsre7 <br /> 4--No carnpIiancE�issues to re part at this limo, <br />