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25651 N HWY 99, Acampo Record ID PR0231628 <br /> 5/18/2021 UST Inspection <br /> Photo 2: The designated operator failed to check and note all required items on the visual inspection reports. The incorrect designated <br /> operator report was used for the 10/17/2020 re ort. <br /> 2satnasasit�R yam FAclCrrrrNF <br /> 2 k dd <br /> ssa o U <br /> ., N.e W1'gg ��"ga mess R? ON at lN3pg071ON Ria <br /> Ra. <br /> 1 `'Rr(Aaye 7 <br /> w yJ <br /> UNDERGROUND STORAGE TANK lcr In°Perron - <br /> t DESIGNATED UNDERGROUND STORAGE TANK OPERATOR VISUAL INSPECTION REPORT(Payee-12) <br /> P <br /> ,i I. FACILITY INFORMATION f <br /> GERS ID Dale or Deefgnaiee uST OperaVx Inspection <br /> 10181469 10!17!2020 <br /> Business Name(Same as Facility Meme or D9A-pohlg Business As.) zp <br /> SCI Chevron <br /> Business Site Address � ZIP Code <br /> + 25652 N.HWY 99 Aim D 95220 <br /> II. DESIGNATED UNDERGROUND STORAGE TANK OPERATOR INFORMATION <br /> Name of Dealgnaled UST Operator(Ain!as shown on the ICC CeRiAcahbn.J (925)389-1262 Ext, <br /> .,_.. 1..1.6.... <br /> ICC CerRficadan F�piradon Date <br /> 9!2122 <br /> 11f. COMPLIANCE ISSUES -" <br /> If through Xl musf be expl—d in this section andmayrequire f,41—up acffon. _ <br /> Ist is not required for double wall tanks and lines <br /> cs1-1505 ad leak detection alarms since my last inspection <br /> were since my last inspection <br /> ACAHPO CA 95220 <br /> ST 92396 <br /> OCT 17. 2020 1:37 PM <br /> STEM STATUS REPORT <br /> • _ L FUNCTIONS NORMAL <br /> 4F • <br /> • r S <br /> • 1 [ION BY DESIGNATED UST OPERATOR CONDUCTING THIS INSPECTION i <br /> inspection was performed in full compliance with California Code of Regulations,title 23, <br /> • ? ALARM HISTORY REPORT 2716 and all the information provided herein is accurate. <br /> b i <br /> - SENSOR ALARM --- <br /> to <br /> L I:DIESEL STP <br /> pa STP SUMP ;OWNER l OPERATOR DESCRIPTION OF FOLLOW-UP ACTIONS <br /> SENSOR OUT ALARM trust have a descnpfian of Ins follow-up action taken,Or wm <br /> to be taken,to cct the issue nn the number line that <br /> MAY 4. 2020 2:40 PIN qe compliance issue;s l;sted abora in secffon I11. - <br /> SENSOR OUT ALARM <br /> MAY 4. 2020 2:39 PPI <br /> FUEL ALARM <br /> MAY 4. 2020 2:18 PM <br /> 10. <br /> 11. <br /> 12. <br /> V1. OWNER 1 OPERATOR ACKNOWLEDGMENT OF COMPLIANCE ISSUES .•, <br /> I have reviewed section III"COMPLIANCE ISSUES"and provided a description in section V.of the action taken or to be taken <br /> to c rrect the issues discovered. ' <br /> Nam of(UST 0-60p tw(pJ�n�n�tt) f ^} U erlOperator Si re D/efe Signa S� � <br /> lYL <br /> AL <br /> CERS=CaYerne FatriomrerrlalflapatGlgSYsfErrllD=Werrfirr�nlb =Urdaun>•erd siaraq_e�d61CC=Irdematiartai Cade Opmcll <br /> l=� <br /> John Alaniz, REHS Page 2 of 4 <br />