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Appendix XIII <br />Underground Storage Tank <br />Designated OJ S T Operator Visual Inspection Deport <br />1, FACILITY INFORMATION~� <br />-&E--RS 1D ir,spectlon bates <br />Facili Larne ��sar2a�a <br />PACIFIC DELL ZELEF'FMwe CO. 08A AT&TMrFQRmA <br />Facility Address �� <br />ty <br />7 i7 D• STOCKTON <br />.pESIGNATEDUST0PERATORINFORMATION — <br />J Name of Designated UST Operator � —~ phone <br />jcnii iiI FO4+lLER _ (760) 99S458se <br />icc Certification Certi�icati€, <br />933912b ?M2025 <br />3. CC)MPLIANDE ISSUES <br />ISO NEW COMPLIANCE GWES FOUND, <br />U E046 <br />ZIP Code <br />6520? <br />Expiration Date <br />4. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING INSPECTION <br />nereq certify that this visual inspection was performed in compliance with California Code <br />)f Regulations, title 23, division 3, chapter 16, section 2716 and all information provided <br />ierein is accurate. 1 <br />)esignated UST Operator Signs <br />c.� <br />Date Inspection Deport Provided to ()Wner <br />1z+I9r2oza <br />�DEI = C,10cmia Environmental Reporting<stme. ]CC = Iriterr�abonal Code Council, 10 <br />tdenVficaM)n, NA = Not Applicable. UDC = Undef-Dispenser Containment, UST = Underground <br />Storage Tank <br />Page 1 of 4 <br />