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<br /> Q 0 0
<br /> Q UNDERGROUND STORAGE TANK SYSTEM a �
<br /> DESIGNATED UST OPERATOR MONTIILY INSPECTION REPORT
<br /> N Facility Name Oasis Plaza
<br /> LO - _-- j In Tccm In t.nc June 20.2014 0) N O
<br /> Pncdity Adds.-as. 800 S. Cherokee Lane c art - -
<br /> _._... _ _ _ Lodi, CA 95240 - - -O a- �
<br /> Name of Dkmilm tttl US 1 nlxmlrn(','nJnctmy Impecn"m _ - _. - -
<br /> _ Alex Jabban
<br /> Intcnrauonnl Ctx,c C rnmcll l'cnihr ltu n NL' 5243897-uC - - _i I - -" - - �- -O
<br /> _ p tIu„n n:nc 1 01212 01 2 c O
<br /> -� r lr �i .— - 1925) 389-1262 O N
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<br /> MONITORING PANFI /ALA RM HIS fORI_' O N
<br /> k�— L P P rxlc - __- !ys,LNo.�NLt N N
<br /> I the nnnnit nnyacm mwlcd un and mpr, cru Brum r
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<br /> ],he monitc nne vt,lcm not curntnllY sltatvinganY Icak nlarms7 -- - Q L❑ �' O
<br /> J i Is the Alamt I h k n licport4u9 for the Previous month available,and bas n been reviewed by
<br /> rnrpectinnthe Q -
<br /> 'tell [IS) Nh+I� ❑ ❑pe alum; istaw
<br /> roar 1 O L
<br /> 4 Ila.each nhmn 6,r the ,1 rations month been reNrionded In appm rintcly' _ _ ❑ t -_°
<br /> UST SYCfE111i\SI U'llON - - - 0
<br /> _ r1r tvtk Lqn cantainuteul vamps Ire,of n neo dehn and It timd us+uh:hatce' ort 1/rhe amnio ro(rem a w,. � N
<br /> loom 4 Sumps where on alarm has ra vurred rn the last march mon III,/nrpega/rfn quuH/!ml servree taduthYnn hm nm r, C ++
<br /> :�-addinrsrs(the cmrn the alarm.IXcvmorsla...vm vn n m nate scrvlce rhaufdbemraehadraaas rr rt. E
<br /> No Sumps alarm I Yes I No - I O
<br /> Snnq,I ,t .0 n _ -' Sum I'm inn ❑ E -. `� 2
<br /> No Sum s alarm vr, N..
<br /> Location" E 0..
<br /> 0 0
<br /> Are,pill 1,0, -u i nnrncnt structures free of water,debris,and hazardous substance? R) y
<br /> L Yes No NIA -
<br /> ^, Ya No NIA O w
<br /> W I.mk_I 111 kcpnlar 'funk 3lD-Premium a
<br /> ltutk_' ID Ihe`el _ Tank4ID- l •v m
<br /> U An under ,1r 1 taco uonla M enl free of water,debris,and hazardous suhstana M tt)
<br /> No N/A _ Yea No I NIA
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<br /> U:.pcnw.r I^ Mi UDi cnscT-9/Itt _ _ Q) O
<br /> •race- I I/1_ I ® N
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<br /> 8. I eak deecu, u u so aly lutated tcilhin under-dis ansercontainment
<br /> 0 _ _ -._ - Yea Na N/A No NIA
<br /> co Dt pen,cr - LJ Dis nary'-9/10 _._. I ill M
<br /> [)I, -ru;er-. i D' nscr-11!12
<br /> Dnpenacr-56 -. t DxlxnaT IYI-1 ��- U
<br /> D.,lwnxr -7;x ❑ �f- Ua,.u�.0 I, - �_.� - O
<br /> L J 1113. SLpinilcl hGagchktnecr nr,ticc�art,nnEg cu.nmq pl l,r,-J1 ,uunthhutn,Itlu r-1µ,tr�nf❑m Innn. ;' t; _ .: -D—
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<br /> _ OPYPFftYOfth INSPEC1'IOV Yn Y11
<br /> 9. m Cc:nO�It n n•nq I It tdw, h I III I ' nthLl 3/ ne0
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<br /> Q 10. 3(22120
<br /> J325I20
<br /> cunmu,..l.av 111, 1 r l 1111-411" wI ❑12Tankughtnes- I, r I med Ill, L7 ❑ ri-UCN
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<br /> 15 CA- cored lila,g�mmnl a mac a,t+ mil_rat o,nun t .(orad run It.ilno' t/ tt r r o-nnsorr u n rat belay N d
<br /> 1 Deszribc Tc.t/Moimm�an. II'-at1 z nt I I I' _'til r, _ I�] ❑ 31258014 O
<br /> Describe TesUMamtcnwn _ -... - ❑ . ❑ r _- O O
<br /> NmT - -. — ye, Nn NSA -° '+'
<br /> FACIr F1Y tYtl I,M EE TRYININC N
<br /> 16. Hnx ell(ocher y cnl lover.recused rhe r put l"n hc.1 fy.,uu ng talar rh I vd t a' (6 Q
<br /> ^ 17. Have all facility employee,hand unhm the p:at 3o 11" 1('11
<br /> weenrd d:e m,uu cJ.,mnc�loM1 uatnm� ' to
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<br /> Net, Ecpfan am "hIa'arm era lathe l nmmant;'.can,n,n rbc toll.tang pa Ec fh"a„tines rcgwre amec7n'e aenm faun C o0
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