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77M <br /> aWlft site <br /> ,CHEVRON STATION#99840* CEPS ID <br /> !4344 E WATERLOO RD 10181341 <br /> STOCKTON,CA 95205 LIST Tank is <br /> TA0507190...-(Tl) 1 <br /> i....._.................................................................................................................................................................................... ................................................................................................................................................................................................................... ............ <br /> rdkeeplIM: <br /> Yes Alarm Logs <br /> Visual Inspection Records <br /> Tank Integrity Testing Results <br /> SIR Testing Results <br /> Tank Gauging Results <br /> ATG Testing Results <br /> Corrosion Protection Logs <br /> Yes Equipment Maintenance and Calibration Records <br /> TOW <br /> ini <br /> Yes Personnel with LIST Monitoring Responsibilities are Familiar with Training Documents <br /> 'Yes <br /> UST Monitoring Plan <br /> -.'YeS Operating Manuals <br /> CA LIST Regulations <br /> CA UST Law <br /> SWRCS Handbook for Tank Owners-Manual and SIR <br /> SWRCS Publication:Understanding Automatic Tank Gauging Systems <br /> Other Training Documents <br /> ,Yes <br /> Designated Operator Training <br /> CO <br /> Comments and Additional Information <br /> UST TURBINE(STP&UDC SUMPS MONITORED BY VEEDER ROOT SENSORS 208.ATG SYSTEM WITH IN-TANK VEEDER ROOT MAG PROBE FOR INVENTORY ONLY. <br /> OVERFILL PREVENTION METHOD:FILL TUBE SHUT OFF VALVE(FLAPPER)PRIMARY&EXTERNAL ALARM.EVR ISO SOFTWARE INSTALLED. <br /> personnel Responslbili�#es <br /> jName of First Person Having Responsibility Name of Second Person Having Responsibility <br /> -IULIA KADERIK DIANE PROVINCE <br /> :Title of First Person Having Responsibility Title of Second Person Having Responsibility <br /> STATION MANAGER BUSINESS CONSULTANT <br /> Applicant,Certification <br /> ;Applicant Name Applicant Title Signature Date Signature Representation <br /> PON STEVENS RETAIL OE/HES SPECIALIST 1/16/2014 Authorized Representative of Owner <br /> z 1, <br /> Printed on 1/20/2014 11:07 AM <br />