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- --- C.01 Report <br /> I 11 j3l22 <br /> Designated U' WILSGId 'JAY `'HE'.",ON n Date <br /> 437 N WII:.4N a5•L05 CtIO (te <br /> 1. FACILITY INFORMATION I STOCKTOIJ. co <br /> 209-942-2344 <br /> 525 <br /> 11 :'?3 AI°� <br /> CERS ID 10181299 NOV 3, 20` 2 19 <br /> Facility Name Wilson Way Chep <br /> SYSTEM STATUS REPORT _ )n <br /> Facility Address - - - - - -ALL FUNFUNCTIONSNORr1AL <br /> 437 N. Wilson Way <br /> ne <br /> 2. DESIGNATED UST OPERAT 5 389-1262 ;ration Date <br /> Name of Designated UST Operatj rt; tion EXP <br /> Alex Jabbari 8/24 <br /> ICC Certification <br /> 5243897-UC ALARM HISTS>RY REPORT <br /> 3. COMPLIANCE ISSUES L - SENSOR ALARM -- <br /> --- <br /> 1 :REG ANNULAR <br /> SpACE <br /> No alarms and compliance issues <br /> ANNULAR <br /> FUEL <br /> FEB 3. 209-2 6:32 PM <br /> FUEL ALARM <br /> FEB 8. ''0- 11 :18 Arg <br /> FUEL ALARM <br /> FEF 8, 21722 11 :17 AM <br /> { <br /> END xxxx � <br /> - —ANN- <br /> 4. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING INSPECTION <br /> I hereby certify that the visual inspection was performed in compliance with California C <br /> of Regulations, title 23, division 3, chapter 16, section 2716 and all information provided <br /> herein is accurate. <br /> Designated UST Operator Signature Date Inspection Report Provided to C <br /> 1 <br /> CERS = California Environmental Reporting System, ICC = International Code Council, ID _ <br /> Identification, NA = Not Applicable, UDC = Under-Dispenser Containment, UST = Undernrmit <br />