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Appendix XIII <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 1. FACILITY INFORMATION <br /> CERS ID 10151123 Inspection Date 12/06/2023 <br /> Facility Name STOCKTON SWITCH T-MOBILE <br /> Facility Address City ZIP Code <br /> 3807 Coronado Ave. Stockton 95204 <br /> 2. DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator Phone <br /> Erik Rogers (800) 339-9930 <br /> ICC Certification Certification Expiration Date <br /> 9367164 08/23/2025 <br /> 3. COMPLIANCE ISSUES <br /> No issues <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 Operator Signature Date Inspection Report Provided to Owner <br /> 12/07/2023 <br /> CERS = 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 />