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Appendix }Llll <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 4. FACILITY INFORMATION <br /> ERS 1D 10182305 Inspection Date 09/06/2024 <br /> Facility Name 7-Eleven 41341 <br /> Facility Address City ZIP Code <br /> 4405 Pacific Ave Stockton 95207 <br /> 2- DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator Phone <br /> Fernando Solis (949)781-5765 <br /> IGG Certification Certification Expiration Date <br /> 10293936 4/5/2025 <br /> 3. COMPLIANCE ISSUES <br /> 1. Initial secondary containment testing completed on 6/24/24 has failing components. 91 STP failed. <br /> 4- CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING INSPECTION <br /> hereby ccrtifyr that the visual inspection was performed in comp liance 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 Op r na#ure Date Inspection Report Provided to Owner <br /> 09/06/2024 <br /> ERS = California Environmental 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 />