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Address EI Dorado Food Mart, 1901 EI Dorado, Stockton CA 9506 Record ID PR0231092 <br /> Date 8/25/2022 Program: UST <br /> PHOTO 4: <br /> Over 30 days between D.O. report. <br /> W Appendix Xlll <br /> Appendix XIII Underground Storage Tank <br /> Underground Storage Tank Designated US's Operator Visual Inspection Report <br /> Designated UST Operator Visual Inspection Report / 1. FACILITY INFORMATION <br /> I. FACILITY INFORMATION CERS ID <br /> 10180593 SINCLAIR OAS AND FOOD Inspection Date 06-03-2022 <br /> CERS ID 10180839 Inspection Date <br /> ty Name <br /> P 04/08/22 Facility --- <br /> Facility Name DINO MART-MONTEREY FUELS aci it <br /> y <br /> Facility AddressZIP Code 1901 SOUTH ELDORADO city ZIP Code <br /> 1901 S EL DORADO ST city STOCKTON 95206 -----_---------------- STOCKTON 95206 <br /> 2. DESIGNATED UST OPERATOR INFORMATION -- <br /> 2. DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator <br /> Name of Designated UST Operator Phone Felix Ramirez Phone <br /> David Winkler 209-744-0112 ICC Certification - 209-744-0112 <br /> ICC Certification — <br /> E883059-UC Certification Expiration Date 8883072-UC Certification Expiration Date <br /> 2/17/2024 2-15-2024 <br /> 3. COMPLIANCE ISSUES <br /> 3. COMPLIANCE ISSUES <br /> Idontify by number all compliance issues listed <br /> Identify by number all compliance issues listed <br /> site had testing 9-30-21 <br /> CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTINGINSPECTION <br /> 4. OERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING INSPECTION <br /> hereby certify that the visual inspection was performed in compliance with California CodeI 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 of Regulations,title 23,division 3,chapter 16,section 2716 and all information provided <br /> herein is accurate. <br /> herein is accurate. <br /> esipnated UST Operator Signature Date Inspection Report Provided to Owner Designated UST operator Signature Date Inspection Report Provided to Owner <br /> 04/08/22 � � 06-03-2022 <br /> e <br /> ERS California= Environmental Reporting System,ICC=International Code Council,ID= _California Environmental Reporting System,ICC=International Code Council,ID= <br /> ntificaCali NA=Not Applicable,UDC=Under-Dispenser Containment,UST=Underground RS tion,NA-Not Applicable,UDC=Under-Dispenser Containment,UST-Underground <br /> orage Tank ntifica <br /> Page 1 of 4 tora9®Tank Page 1 of 4 <br /> Gabriela Garcia-Mejia, EHS Page 4 of 4 <br />