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underground <br /> XIII <br /> -- _�_'�eSlghated UST9raund Storage Tank <br /> Operator Visual Inspection Report <br /> 1• FACILITy IN OF RMATION ----—_._ <br /> CERSID -- <br /> 10898140 <br /> Facility Name Inspection Date 09/1012024 <br /> _— —_— _ <br /> 7-Eleven 41342 - <br /> Facility Address — --_-- <br /> [ 1233 E Doctor MLK Jr Blvd City ZIP Code <br /> 2 D Stockton 95205 <br /> ESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator - --- —- ---- <br /> Fernando Solis Phone <br /> _ (949)781-5765 <br /> ICC Certification Certification Expiration Date <br /> 10293936 415/2025 <br /> 3. COMPLIANCE ISSUES <br /> 1. Unable to locate work order for L8 PUL-DSL ANNULAR LOW LIQUID ALARM on 912124. <br /> 4. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING INSPECTION <br /> ornia Code <br /> mplince With <br /> y <br /> I hereb certify that the visual inspection was performed in co <br /> anformation provided <br /> of Regulations, title 23, division 3, chapter 16, section 2716 and all <br /> herein is accurate. — ---_ -_----- <br /> T O `~r 'gnature Date Inspection Report Provided to Owner <br /> Designated US P 09/10/2024 <br /> �. Environmental Reporting System, ICC = International Co de <br /> °Underground <br /> CERS = California <br /> NA = Not Applicable, UDC = Under-Dispenser Containment, U <br /> Identification, <br /> Storage Tank Page 1 of <br />