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15237 N. Thornton Rd. Lodi, CA 95240 Record ID# PR0517272 5-3-16 gas - (VIC) '° At spm'; )YaatTwamr „ OCrOBER I Yr; �20f cf1L#Xof t SIL ._ _ --- nai<a`tl"T3S`ft'Sprirairn' +n ai�tria`. c�n�."' �„�,T#1 VR {�4 �sl�. yR a M 4A NCE YORK U31 8 •�'-- 7th ❑ r� �a avnry rrc�ffi TardE'tmaaarLsa "'.'" L T;ft, t .L) ❑ 1 ' 9296369 UC(.AUGUST 12 2016v/L 87 F 10 ❑ ENQ.. T3 VR ,. ,� u,, @,� Fp # a neeunGar=4t3#tbtnab�+sitiaTfltnnr�EW )sr�s°Freeanifree Cei qnt �.y4�ptyCY6)"()� � �wafet,dat#kt,aMS hfYti Bl{)OUf lCp(P6)anatla'S kY5 its a utlr '� � c„...,,. (4>llr aenwM CmcTiwMa res6P'i481Wl adetGnildNYUf YEK+fitUNY/ No.52Rg385-liC - �' ...��'R{IGGf � JE,��_�� 4�1�� 5lb-Atlt`O SLDE .W Q ❑ �" .Ct S;i ,^:�s „�. ':. t� .,. A O.AL 7/8 AU'T'O SKOE �; greckGsetaihe - s!>O AUTO sxoe � 00 7W__." 13/!2 .AUTO SIDE p9 ❑ ❑ [ , 4 tGeaotremd _ vt ; 113 R!V sI6E L3 flCt- .,Ck �_. Lftr1wram d gtete�r a 14/15-AN SIDE 0 ❑. lacet(an.)'atog.. Nmio'sepeatiw 116/17--RV S2t)E.. ❑ ❑ L7 C] •� ❑ ❑bWaft Q mode(1,4L,functional and not bypassed)? ❑' ❑ 19-MAIN A SAT-TRUCK ❑ L7. ❑ ❑ 56 ❑ ❑ �,, of v�ail a l ( atl Trtnenans nonnar')� C9 ❑ ❑'.. -.fit ❑ ❑ available andnd has a been W.7 by 20-MAIN d BAT-TRUCK the Dm .mrne.Gw n,mo��.ny.ea oen. eommr„rss�,r. ❑ ❑ 21 -MAIN A SAT-TAU61C 69 ❑ ❑ ! Q U a')oMtt f>emt sontled to appmpriatety actio ding to the 22-MAIN d SAT.TRUCK ❑ ❑ t ❑ ❑ - i W °^+* ^�*N• ns o- o reM� p,__— Oa ❑ ❑� 23-MAIN A SAT-TRUCK G7 1 ❑ ❑ ❑ Yt{ir`y:RRctn L'#iBk;qo M1nsn+s6b be i3gca�A�Whas�3&. A� i Zt .- :.. ue emHmnrenat ae;ns me rest o0 maav�wrrm 4 24-MAIN 6 SAT-TRUCK ' ❑ ❑".. ttC �1 Cl aiariTdbeen it pge ed wfthntbe past months V p ❑ 25-MAIN B SAT-TRUCK W ❑ ! ❑ 1 3r ❑ ❑ 'tA "MeG mo ti4betae a� « �.a m� 26-MAIN 4 SAT-'TRUCK ❑ �1, 2! 27-.MAIN d SAT-TRUCK 0 ❑ 1 ❑ ! M a 01 113 No record 28-I MAIN A SAT-`.TRUCK M ❑ ❑ o No reeomF 29-MAIN A SAT•TRUCK' i ❑ ❑ ❑ L#' _* �°t2 ❑No recon! 30-MAIN d SAT'-TRUCK ❑ ❑ £E ❑ i7 No rewrd 9.Hasa hbnilon'ng System'CertMcation been completedw0h the past 12 momet? a"„*s'' ❑No record to.Have the SB H$9 secondary Containment Testa been Completed within the past 38:nsonths? I t.Have fill/split containment:boxes beentested within the past 12 months? Ytpreoordcta 4asd service —technician response,answer questions.&and ea balsa. WA 12.Has precision tank tiphtnesa testing(0.1;ph)been completed wahyt the required tknahama? ❑ Q z 13.Has predawn One tightness testing i nt(0.1 gph)been completed wahin the regvire6 tynaftrr,=. .. am, Are tank-top sump Probes Presently property loeatea(ie,,at _._._____,... lowest point m sump) 14.Have cher required tarts or maintenance been eanPteted within the requvad ttneaames? artY�Kyywl lull Genars Conaaxr.awNewnrorowamtinwua aeaw•.�woa> .—_' Mechanical Line Leak Detector testing? Prentatzed Lina Leak Detector(PLLD or WPLLD)tatting? f� ' ❑ ❑ vapor Recovery System Re.Vedacation testwp 41 zt3 Q ❑ ❑ E ; 1b kava eO YadA'tY emptcyeas'(F£s)msponsMIe to respond to onstatm,oftOW,appl'GrttAdT ❑ o0 0�ustayerom can r anca w utm tna peat to month'? ,, 0 '.❑ ❑ 1s. Have all FEs responsible to respond to as alarm,over(M.spla qr 10 1 UST system comp lance tminina by the OO? NOTES.'FWY+.b vaM�lB./I±Hix fir'arzY'NO'e:4NwartMVM r'aG�� WGr+x►GUrp Ih IPO g? .cdmwrv.aasrmtx+uaxRaarmorwtstmcrwwatr.aa}r.wwa5r ► -;F- 1 9�� Photo 2: The designated operator failed to check and note the correct test dates for the monitoring system certification, spill container, and mechanical line leak detector tests on the 10-22-15 designated operator monthly inspection report. The date for these tests were listed as 5-3- 15. These test dates should have been documented as 5-13-15. Aris Veloso, REHS Page 2 of 3