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13850 N De Vries, Lodi, CA 95240 <br />08/17/2021 <br />PHOTO 4: <br />ided to owner/operator on 02/02/2021 <br />Facility Address <br />13850 Devries Road <br />2. DESIGNATED UST OPERATOR INFORMgTION <br />Name of Desionated UST Operator <br />Kraig Kinder <br />ICC Certification <br />8296393 <br />3. COMPLIANCE ISSUES <br />City <br />Lodi ZIP Code <br />95242 <br />Phone <br />888-588-8737 <br />Certification Expiration Date <br />11/18/22 <br />PR0231547 <br />Program: UST <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 U�� erator `,jP"& ed by Date Inspection Report Provided to Owner <br />Aff Kraig Kinder <br />— Kinder Date: 2021.02.02 02/02/2 <br />07;26:044 -08 -08''000'' <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 />VICKY VANG-LEE, EHS <br />Y <br />r; <br />1?T FHULT <br />FRIAT <br />='t9 <br />im <br />r <br />Page 4 of 5 <br />