Laserfiche WebLink
3304 West Hammer Lane PR0516354 <br /> June 14, 2021 Program: UST <br /> PHOTO 1: DO re ort with an incorrect ins ection date. <br /> Appendix XIII <br /> I Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> J I t• FACILITYNN OFI <br /> CERS ICM•4TION <br /> 10184253--- Inspection--Ie 12/:?0/20 <br /> Facility r la . Elm <br /> Facility q,ddresF 33IC FUEL CHEVRON <br /> (,ity ZIP Code <br /> 04 W Hi4MMEFt LN STOI:.KTON 95219 <br /> 2• DESIGrygT S r OPERATOR INFORMATION <br /> Name of Design d iST Operator <br /> David Winkler Phone <br /> I ICC Certifi atio� 209-744-0112 <br /> f 8883=: Certification Expiration Date <br /> 3• COMP 7 ]ft <br /> L.igyCE ISSIJES <br /> ldenti ryb rybumberyjl compliance issues listed <br /> I <br /> 4. CEiRTIFICATVON BY DESIGNATED UST OPEIL4T R COR CD ONDUC— INSPECTION <br /> 1 hereby certify that the visual inspection sawtion saw p'rfO d n compliance htwl Calif Inro a <br /> of 'Code <br /> Regulations,title 23,division 3,chapter 16,section 271i6 a❑ 'formation provided <br /> herein is accurate. <br /> DeSI nated UST O erator Sic natu ��- <br /> -—_ Date Insp��� <br /> 12/29/20 Report Provided to Owner <br /> CERS=California E:nvir m tal R <br /> Identification,NA=Not A licable,UDC=g System,ICC- <br /> pp Under- n International Code <br /> Storage Tank penser Containment, Council, g! <br /> UST=Underground <br /> Lydia Baker, SR. REHS Page 1 of 1 <br />