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Undergrouna ,Zvragv idi <br /> Designated UST Operator Visual Inspection Report <br /> 1. FACILITY INFORMATION <br /> CERS ID 10184725 Inspection Date 8/7/2022 <br /> Facility Name West Valley Auto Service LLC <br /> Facility Address City I ZIP Code <br /> 2615 W Grant Line RD 777777Tracy 95304 <br /> 2. DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator Phone <br /> Rick Branchini 1 (925) 699-1396 <br /> ICC Certification Certification Expiration Date <br /> 8164986 1613/2024 <br /> 3. COMPLIANCE ISSUES <br /> GVR TLS-350 AFN <br /> Not in alarm at time of inspection 11:40 am 8/7/22 <br /> L-4 High Liquid 7/28, 7/31, 8/4 Self corrected NFA <br /> ISD VWL 8/1/22 Manager notified awaiting resaponse <br /> 4• CERTIFICATION BY DESIGNATED UST <br /> hereby certify that ',, visual inspection OPERATOR CO <br /> ND Regulations, title 23, division NDUCTING INSPECTION <br /> Herein is accurate. n 3, chapter pe�Ormed in corn <br /> Ater 16, section 2716 and all inforce w�t information <br /> Cod <br /> esignated UST Operator Signature mateon pr°vided e <br /> Digitally signed b Date Ins <br /> Date:2022.08.31 14138 02 0V ouou, Inspection Report Provided to Owner <br />?S = California Environmental Reportin S 8/7/2022 <br /> tification, NA - Notgppliental UDC = Under-DispenserR <br /> eporting ICC - <br /> tge Tank er DispenserlContational Code Council, <br /> Containment, C°un . ID <br /> ' UST _ tln.4,._ <br />