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N cwr N zT = W <D <br /> 0 0 O zt <br /> E3 O <br /> 0 0 0 0 <br /> m Appendix VII <br /> OUnrinrr.v.....� T 1< <br /> N CC D <br /> M Appendix X111 <br /> v o <br /> Underground Storage Tank Q U) <br /> U) Designated UST Operator Visual Inspection Report o m <br /> 1. FAcrtrrr INFORMArroN <br /> -0 < <br /> D <br /> CERS lD (D 10184725 Inspection Date 1!712022 0 <br /> Facility Name C7 <br /> West Valley Auto Service LLC <br /> FacilityAddressN <br /> City Z!P Code N rn <br /> 2615 W Grant Line RD 95304 <br /> Tracy oN cn <br /> 2. DESIGNATED LIST OPERATOR INFORMATION _ <br /> Name of Designated UST Operator <br /> Rick Branchini Phone m <br /> !CC Certification f925)699-139fi <br /> v � <br /> 8164986 Certification Expiration Date <br /> 6/2/2022 3 0' <br /> 3. COMPLIANCE ISSUES o m <br /> 0 <br /> TLS-350 AFN 1/07/22 9:01 pm Veeder Root time r <br /> repoopo rt this period me ament required ' <br /> Needing Overfill Protection certification o 0 <br /> J <br /> JL-7 STP Sump 12125121, 113122 self corrected NFA <br /> L-9 12/12/21 Vents urnp self cleared NFA C7 <br /> I <br /> 1A0-3 PLLD Shutdown 12113 16,22,23,25,s7,1/3/22 further investigation required reason for C D <br /> larms c <br /> i 3 <br /> -0 w <br /> 0 <br /> o � <br /> w <br /> N <br /> O <br /> N <br /> N <br /> Z <br /> 0 <br /> 0 <br /> 0 <br /> 0- <br /> (D <br /> 0 <br /> CT <br /> N <br /> m <br /> 4. CERTIFICATION 8Y DESIGNATED < <br /> m <br /> I hereby cern UST Opl; <br /> fy that the visual inspection was po mQdCON 4mCTING IN <br /> Of Regulations, title 23, division 3 in <br /> herein is accurate. , chapter 16,section 2716 and pllance with California Code o <br /> all information provided <br /> Designated UST Operator Signature <br /> Qd Digitally Sin -0 <br /> ""°ick Date:2422 p12B 08'»Branch ini date Inspection Report provided tocn <br /> 'ERS - oao4 Owner 0 <br /> - California Environmental Re 1172022 <br /> entification NA Not Applicable,Reporting SYstem o' <br /> orage Tank UDC=Under Di5 ICC = International <br /> � � <br /> penser al Code Council, o <br /> Containment ID = v UST = Und o <br /> v <br /> erground Q <br /> CD **w•unidocr.org o 0 <br /> o Rev.10101/20 c o' <br /> ry <br /> Page 1of 4 3 <br /> Cl) <br /> V <br />