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ARCO Station 130 S. Wilson Way Stockton, CA 95205 <br />r <br />NDFR <br />_9cr <br />GR jjND STORAGE TAN SYSTEM <br />UST OPERATOR MONTHUN INSPF'CTTONRFPOR-1 <br />DESIGNATED <br />Fncitity-.-c Arco <br />i3c Wilson Way ,locktori CA 95205 <br />Facility <br />Operator Conducting Inspection.- TN,_ANL <br />, ated <br />Nwnc r,m, <br />No.: <br />Intern on Coun�cstion <br />C <br />Sign la( <br />MONITORING PANEL.ALARM HISTORN <br />Meet mcojtoT�in system lK`ssered on and i <br />1. Is r, Int, art� leak <br />�-V)Mj_ . — - <br />Is noilort <br />L <br />, uh, <br />. <br />1, the Alarm islr,� Report log for the ro,vi­, rr"oll, .1111.mk and h h., t <br />_�_ .! <br />_91S, �to,, ihe­­ hst-,L <br />Dn aled US,V I f1tr. I <br />o. Has each alarm for the previous month <br />UST IYITF.Nl INIM <br />- 5. 1 Are t 1. sop containment sumps Iree oC whet dchn n 1 1 vardnu subsrn c (r h <br />, <br />S-vo -h— rm otarm k- -d "I I&- 1— 1-11. -:,N. -'-e <br />.. . . . . . . . . . . . . . -------- <br />Yes IN. <br />1—tion li-P El­h­ I -TT <br />Vc, 'N <br />7 <br />Sum L it a: L. -I 5 1 <br />j <br />Irrc ofvats ,. d, i, or, <br />.Yes -N. <br />Tank :ID - 97-2 <br />N/A <br />L <br />0 <br />nl, ID <br />-1 <br />L� L <br />, - <br />1 IF,) <br />� <br />Att underd¢pe!­rcortairintera a— free t cater, dchn and <br />N11. <br />Dispen­ - 17 <br />U <br />r- 7M <br />8. <br />leak detocnon is properly located with_ in ntler-dis sc C-t1irme or <br />- <br />--f fl, - 'A <br />D" 112 <br />U4 <br />9.welowfilia S'.. <br />10 <br />M It, <br />Jere <br />Required FnIlov—Up Action%: <br />I. The monthly tS,r s,, -ttd h% a OcsLP-W V�'f <br />. �Tcm inspection mu, 1.� ­aditc <br />Us"I - System 0pc.tr,,".x.rn issued b� the Cc4c kl":' <br />2. 11,e 1)� I itrrate,j I TST 0 or .1 Men di, IN"I 0-W, 0, ()VeMlm Of aoN conilitiOn tl%,�Vcra-a <br />inspection that may "Irle twic"11111p Action M to the 1L;ST 0��ner or 04'emot. A <br />A copy of this monthly inspection report must be prolide <br />a cops of cacl, men%hI% inspection report 101A)SM 0*1 <br />4 The tiSj'0%vncr or Operator must maintain <br />2 months. The records shall N maintained on-site or. it appix-M by the Iomllgeael <br />Ilocation. <br />Asks <br />A new designated operator, David Rouse was hired on 10-2-15 and notification was not provided to the EHD within 30 days of the change. <br />Page 2 of 2 Photo taken on 1-12-16. <br />