Laserfiche WebLink
1800 North California Street PR0231036 <br /> September 27, 2021 Program: UST <br /> PHOTO 8: Am Winkler is not on DO ID form in CERS. Zi code is incorrect. <br /> UndergAround Storndix age Tank <br /> Designated UST Operator Visual Inspection Report <br /> 1• FACILITY INFORMATION <br /> CERS ID 10181391 <br /> II, Facility Name Inspection Date 516/21 <br /> I ST JOSEPHS HOSPITAL <br /> Faality Address <br /> 1800 N CALIFORNIA STREETZIP Code <br /> City <br /> DESI <br /> STOCKTON I <br /> 2• GNgTED UST OPDIA TOR INFORMATION 95213 <br /> r ANmme of Designated UST Operator <br /> Winkler Phone <br /> ICC Certification 209-744-0112 <br /> 9951352-UC Certification Expiration Date <br /> 3• COMPLIANCE ISSUES 3/26/2023 <br /> I <br /> i <br /> 4. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING INSPECTION <br /> 1 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 O erator Signature Date Inspection Report Provided to Owner <br /> 5/6/21 <br /> 00 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 /> Lydia Baker, SR. REHS Page 8 of 22 <br />