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18806 N Lower Sacramento Rd, Woodbridge Record ID PR0232388 <br /> 4/25/2022 UST Inspection <br /> Photo 1: A new designated operator, Amy Winkler, began conducting inspections on 6/18/2021 and notification was not provided to the <br /> EHD within 30 days of the change. <br /> Appendix XIII <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 1.FACILITY INFORMATION <br /> Inspection Date 6118121 <br /> CERS ID 10182()93 <br /> Facility Name oODBRIDGE ARCO AM/PM ip Code 95258 <br /> Facility Address 18806 LOWER SACRAMENTO City WOODBRIDGE <br /> 2.DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator Amy Winkler <br /> phone 209-744-0112 <br /> Certification Exp Date 312612023 <br /> ICC Certification 9951352-UC <br /> 3.COMPLIANCE ISSUES <br /> Identify by number all compliance issues listed <br /> 4.CERTIFiCAT14N BY DESIGNATED UST OPERATOR CONDUCTING INSPECTION <br /> I hereby certify that the visual inspection was performed in compliance with California Cade <br /> of Regulations,title 23,division 3,chapter 16,section 2716 and all information provided <br /> herein is accurate. <br /> Designated UST Operalor Signature Date Inspection Report Provided to Owner <br /> [*fes - 6/18/21 <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 1 014 <br /> John Alaniz, REHS Page 1 of 2 <br />