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Appendix XIII <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 1. NF <br /> I <br /> Y FACILITORMATION <br /> CERS TY NF67 Inspection Date 07/12/2023 <br /> Facility Name SAN JOAQUIN COUNTY PUBLIC WORKS PARKING GARAGE (DTG) <br /> ZIP Code <br /> Facility Address City 95202 <br /> 121 S. SAN JOAQUIN ST. STOCKTON <br /> 2. DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator Phone <br /> Bryan Kilby (209) 367-4800 <br /> ICC Certification Certification Expiration Date <br /> 9823281 10/21/2024 <br /> 3. COMPLIANCE ISSUES <br /> Identify by number all compliance issues listed <br /> 1 �( <br /> I <br /> w�� r <br /> �1lv � <br /> CERTIFICATION BY DESIGNATE!) UST OPERATOR CONDUCTING INSPECTION <br /> ereby certify that the visual inspection was performed in compliance with California Code <br /> Regulations, title 23, division 3, chapter 16, section 2716 and all information provided <br /> ein is accurate. <br /> ii�nated UST Aerator Signature Date Inspection Report Provided to <br /> 07/12/2023 owner <br />'= lifomia Environmental Reporting System, ICC = International Code Council, ID = <br /> Cation, NA = Not ,Applicable, UDC := Under-Dispenser Containment, UST = Underground <br /> Tank <br /> PaaE:, 1 ,.r . <br />