Laserfiche WebLink
8660 N Lower Sacramento Rd, Stockton, Ca 95210 <br /> 06/04/2021 Program: UST <br /> PHOTO 1: <br /> Pa e 1 of the desi ated o erator monthly ins ection report which identifies compliance issues in section 3 <br /> IF Appendix Ai" <br /> Underground storage Tank <br /> Report <br /> Designated UST Operator Visual Inspection <br /> 1 FACILITY INFORMATION Inspection Date 4/9/2021 <br /> CEPS ID 10181351 <br /> Facility Name <br /> Chevron City ZIP Code <br /> Facility Address Stockton 95210 <br /> 8660 Lower Sacramento Rd <br /> 2. DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator Phone (916)704-6948 <br /> Adam Smitheram <br /> - — ICC Certification Certification Expiration Date <br /> 9084899 1/22/2023 <br /> 3. COMPLIANCE ISSUES <br /> SO#3707 <br /> Monitor States:All Functions Normal <br /> -no recent liquid alarms <br /> Spill buckets need to be cleaned out <br /> 1 A/Q testing is past due <br /> v <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. y <br /> Designated UST rator ign re Date Inspection Report Provided to Owner <br /> 4/9/2021 <br /> CERS=California Environmental Reporting System, ICC=International Code Council, ID= <br /> Identification,Tank NA=Not Applicable, UDC=Under-Dispenser Containment, UST=Underground <br /> Storage <br /> Page 1 of 4 <br /> VICKY VANG-LEE, EHS Page 1 of 2 <br />