Laserfiche WebLink
i <br /> 1 <br /> Appendix XIII <br /> Underground Storage TanktionReport <br /> Designated UST Operator Visual Insp <br /> 1 FACILITY INFORMATION Inspection Date 09/21/2023 <br /> i <br /> r,EFZs ID 10749253 <br /> Facility Name Costco Wholesale-STOCKTON-0038 ZIP Code <br /> Address City 95210 <br /> Facility Stockton <br /> 1630 East Hammer Lane <br /> 2 DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator Phone <br /> (949)781-5765 <br /> Fernando Solis Expiration Date <br /> ICC Certification Certification <br /> 4/5/2025 <br /> 10293936 <br /> 3. COMPLIANCE ISSUES <br /> I <br /> I <br /> i <br /> I <br /> j� <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 Op r 'gnature Date Inspection Report Provided to Owner <br /> 09/21/2023 <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 />