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Appendix XIII <br />Underground Storage Tank <br />Designated UST Operator Visual Inspection Report <br />FACILITY INFORMATION <br />CERS ID 1018455 Inspection Date 12/4/20 <br />Facility Name uNFI <br />Facility Address <br />1990 Piccoli Road <br />City <br />Stockton <br />ZIP Code <br />95367 <br />DESIGNATED UST OPERATOR INFORMATION <br />Name of Designated UST Operator <br />Erik Brown <br />Phone <br />209-470-7378 <br />ICC Certification <br />8883731 <br />Certification Expiration Date <br />6/15/22 <br />COMPLIANCE ISSUES <br />None <br />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 <br />C.'--'' ,5•2-BL4)-PL- <br />Date Inspection Report Provided to Owner <br />12/4/20 <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