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Appendix XI I I <br /> - Underground Storage Tank <br /> Dasigrtaled UST Opomtor Visual Inspection Deport <br /> ?. FACILr-1 I F'DRMATiON <br /> +� CERSi0 i0187}35 Inspecliaodale 0511WD22 <br /> F&dlity Name CS1�8+L274f�TU5-CI fV <br /> FaclhtyAddrass Criv <br /> [ IFP Coda <br /> 2905 W.een amin Hall Stockton 95 f17 <br /> 2. Oo MPJATF�#J9T OPt ZA70 — — <br /> _ _� R WFOFtA A'nobt <br /> Nam$0fsigri6led UST Operator — — Phon- I <br /> Andrea Evans �209J sFig•z59 <br /> ICC Gertrtahon — — <br /> .I Certdicalm)n Expiratlgal aatia I <br /> � � Oi1i3l�ry21 <br /> I i <br /> +APPendix Xill <br /> 1 Dssl Vnderg round StnrageTanis g+7ated US F Operator Visual Inspection Report <br /> Q. FACftFrlr IFf�01RIId�4TI0!'1 - --- <br /> CEF{S IU 70781935 <br /> FiRr NarraaJnspecttpn Date Qd12QJ 0 <br /> B42Tsr1}05HY —— <br /> FaCtilily <br /> Eil <br /> L 2905 W t�SnJarnin"oil <br /> Z66rP2 0C7a deE _ C <br /> MATM 4itanUSr OP _ORM110 — <br /> N <br /> UST OpQ�lar - —- <br /> And+ a�vns — <br /> Ll <br /> GC Crhfrcalron <br /> Q1<6220 — $ 2B4g <br /> -- CetlrhCaiiGn Exp�raGon <br /> — .0i1.rt3�202,rt, _ <br /> Appendix kijI <br /> Underground serge rank <br /> Designated MST-Operator VISUal Ins <br /> ion Report <br /> Lifts - <br /> Faoiriry i tn'clion Dare 03f22�2022 <br /> yAddress— <br /> W,Benjamin Halt <br /> r ___ _ city <br /> ZJR t�-4—amOe—`SM_NATED UT S# Co <br /> de <br /> PERATORMFORMAT*N 87 <br /> of Desigrratad t7S7 Operator — — — — _ — <br /> Andrea Lvans — <br /> ICC Certlrrcapon 209 69B`2$w <br /> �„�� C�rtif�ra�ion Expfrsti0n Date <br /> —-- APPea dix Xli <br /> ndOrg round <br /> Designate U[f 7-Operator Visual l s k <br /> __ tivn Report <br /> f 1, F+4CILJTY MFORMATIO�y —— <br /> CERS ID 10113 <br /> ✓`81ci6ty Mime CSI 8475l1705HV rnspeClipn adte 47l25i2022 i <br /> -r- Fecdjty.4ddr0ss -- _ <br /> ' 905 thr.Boma rnin Halt C ' =z- <br /> - __ Sbckto Cody _ <br /> 2. D ,SIGt#ATiEb J tST O✓ ik TOR lMFOFtAKin0M 9S2fl7———I <br /> Name of Designaled U T Operator _ <br /> ria Belmo —— — — — <br /> — j� i <br /> ,.�: . c nto Rernivet f�one <br /> rc CertGFIOn <br /> 8360137 _ CerGGoah4n Expiration Da19 <br /> r' S• CINPZIAkCB I6SUES — 49�2rTS <br /> 191r-rfy by number ah cof r7ca a .- - — ---_ — <br /> rssere� 4:{r; �- <br /> 1.-Llquid in Fe$ufar fJJI spill bucket, SM to clean as naadetr, <br /> 2.-EE Fshotu CaobreRTi�haer xpirod for annual rnfrirsh.SM to Schudulo training ASAP ' <br /> rc <br /> s� <br />