Laserfiche WebLink
Design ection Report <br /> 1. FACIL,TYINFORMATION Inspection Date 11/16/23 <br /> CERS ID 10180877 <br /> Facility Name Western Food& Fuel <br /> City I ZIP Code <br /> 95205 <br /> Facility Address Stockton <br /> 3032 Waterloo Fid TOR INFORMATION <br /> 2. DESIGNATED UST OPERA Phone <br /> Hated UST operator 925-389-1262 <br /> Name of Desig iration Date <br /> Alex Jabbari Certification Exp <br /> ICC Certification 8/18/24 <br /> 5243897-UC <br /> 3. COMPLIANCE ISSUES <br /> L8: UDC 5/6 alarm on 10/12/23 fixed by ElittelV u <br /> SB 989 test is over due <br /> I <br /> I <br /> 4. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING INSPECTION <br /> I hereby certify that the visual inspection was performed in compliance with California Code <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 Owner <br /> 11/16/23 <br /> CERS = California Environmental Reporting System, ICC = International Code Council, ID = <br /> Identification, NA = Not r Applicable, UDC = Under-Dispenser Containment, UST = Underground <br /> Storage Tank g nd <br /> UN-111 <br /> www.unidocs.org Rev. <br /> 10101120 page 1 of 4 <br /> ra . ` P /FF: <br />