Laserfiche WebLink
Appendi K Xlll <br />Underground Storage Tank <br />Des1gnated UST 0peratorVEsuall Inspection Report <br />ACILWY INFORMATION <br />R S I Q 10207021 <br />Facility AddreSS <br />07 L INCOL M A0 — -- <br />DESIGNATED USA' OPERATOR INFORMATION <br />NBfne PACaFpACIIC aELL. TEL PHONE CO- DBA AT&T CAI. Pr- O NIA <br />City <br />STOCKTON <br />T�-!5pection Date a-rall2024 <br />JName of Designated UST Operator <br />CATHERFNE FOWLER <br />!C e0 rkiflcakion <br />9339126 <br />.. r^"131 1AKIr-F 1ckQL IL= <br />JO NEW COMPLIANCE ISSUES FOUND. <br />Designated UST Operator <br />4jiFAW� <br />UF-04 i <br />zw Code <br />(-Mo? <br />Phone <br />{7�Q} 995-08� <br />erti ir-00n Fxp+ratiorx [}ate <br />4. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING INSPECTION <br />I hereby L:er#i#y that the visual Inspection was performed 271 and all information alifornia prov�ddatle <br />of Regulations, title , division 3, cha ter M s <br />herein is accurate. <br />Date inspection Report Provided to Owner <br />gnature, <br />OE01 t2024 <br />EFZ�: California Environmental Peporting Kstem. ICC International Code Count+[, 0 = <br />IdentIfication, NA = Not Applicable, UDC = Under -Disperser C ontamment, U ST = U nderground <br />Storage Tank <br />Page I of j <br />