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Appendix XIII <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 1. FACILITY INFORMATION <br /> CERS ID 10181387 Inspection Date 3/4/2024 <br /> Facility Name Ryder Truck- Stockton <br /> Facility Address City ZIP Code <br /> 3633 Duck Creek Dr Stockton 95215 <br /> 2. DESIGNATED UST OPERATOR INFORMATION <br /> I"Nameof Designated UST Operator Phone <br /> James Keltner (408) 942-8686 <br /> ICC Certification Certification Expiration Date <br /> 8178558-UC 11/25/2026 <br /> 3. COMPLIANCE ISSUES <br /> L5 T2 Diesel Fill Sump Alarms on 3/1/2024 & 3/2/2024... <br /> L8: T3 MO Fill Sump Alarm on 2/19/2024... <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 /> 3/412024 <br /> CERS = Cal ifornia'Environmental Reporting System, ICC = International Code Council, ID = <br /> Identification, NA = Not Applicable, UDC = Under-Dispenser Containment, UST = Underground <br /> Storage Tank <br /> UN-111 www.unidoes.org Rev.10ro1120 Page 1 of 4 <br />