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Flag City Chevron, 6421 Capital Ave. Lodi, CA 95242 Record ID PR0231706
<br /> 09/26/2017
<br /> PHOTO#6
<br /> On the DO monthl ins ection report, item#4 has not been filled out. -
<br /> *«+•�+�+r�►�� �z3r►>F��r tt)It MO NT111,y INSPECTION REPORT
<br /> ! Lu) 1 II\ e'Ipewle,n In,pccn,at D:uc: 6/8/17
<br /> C.if)it,ll Avt` Lodi
<br /> 01 I%,• ......ur,l 1 t,p,�.n„i q �aalncnnr• In,perrnnl. Alex Jabbafl
<br /> .,i m,w1 e cntli-mon No ,243897 UC ----- pxpiration Date:
<br /> 10/3/2018
<br /> v Phone: (925) 389-1262
<br /> NIA=N'm Applicabie
<br /> /aro \It)\I1()ItING VANEL/ALARM IIISTORY IYesl No NtA
<br /> I,the nt v not ui_ . ,w:iii Ia,,,rlrJ,n,wnJ III proper opcnullip mode? El 11
<br /> 1,11" :it, nr• •trim n„!,unroll\ ,hn„ills am leak.ikllIlls'r
<br /> .. AI.,un 111,"Te Report 1„c I;n the la, loll,In('nth:n,ulablc.and has it been reviewed by the
<br /> Il:,t.n.u,a I "I Opc I.11 r In,"h .1Ihr,dol f"huh+rl' ,ur!'lu la,Ihi.,�intipectin[ orm.)
<br /> a_�I la,each alarm tow the la.,uv,nn"nlli birch 1',lu,nd"I In;11111 prialely'' TTFIT
<br /> --- - — -- - -UST SYSTEM INSPECTION
<br /> Ire tank-top p contanlo nI tllllps free of w uer debt Is and hazardous substance? Noire If the aaaeer ro trent d s }es. or
<br /> ti q- All0/,m h 1 / uIre r r W rim h r —n-ed 1 r r hv p rrr rnwah mw he rnsperired if a goat fled Service rechnicran has nal responded
<br /> anti ,:N h:ndin xse•d dire cause of rhe;!I nw! !int a rrmons n Should he attached to rhit re rl.
<br /> ;_ No sumps alarm Tl cs lI No Yes I No
<br /> w Stump Locatmtl: _ Li LJ St1111 p Location:
<br /> Sump Location: _ U SLIMP Location:
<br /> n. Are spill buckets containment stnlctLresl free ol's,auer,debris,and hazardous substance?
<br /> Y'es No N/A I 'A
<br /> lank I ID-Regular Master N 10 11 Ll I 'Tank 3 ID Premium
<br /> I ink 2 ID-Regular Salve 1= Ll I Sank 4 ID Diesel
<br /> \re under-dispenser containment areas free of water.debris.and hazardou,stilpstance?
<br /> Yes I No I N/A Yes No NIA
<br /> DJs.enser N ❑ Dispenser-9:1U
<br /> f Ot�pcn,era l ❑ llis enser 1112 ❑
<br /> Ui:pen,er
<br /> <O Dispenser_- 1-1%!-1 ❑ _
<br /> Du en�cr I ❑ DiL)cnscw - 15/16 ❑
<br /> S Leak detection is properly located within under-dis enser containment.
<br /> Yes No N/A - Yes No NIA
<br /> Dispenser I ' Dis enser-9/16
<br /> El
<br /> Dis enser-3 d Dispenser 11/12 ❑
<br /> llls enser -516 Dis enser-13/14
<br /> Dispenser-719 Dispenser- 15/I6
<br /> PAPERWORK INSPECTION Yes No N/A Date Dolle
<br /> 9 Monitoring System Certification was completed within the past 12 months? ® ❑ ❑ 9/26/2016
<br /> 16 i Secondarn containment tests completed within the required time frame? 7a 1/20/2016
<br /> 1 1 Spill bucket(containment structure)testing completed within the past 12 months? 9/26/2016
<br /> 12. 1 ank IILl trlcss testing completed within the required time frame'! —
<br /> 13. Line tiehtne's Icsting completed within the required time I'ranic? _
<br /> I S Ulher res uirrd restin 'maintenance was completed within required time Iratne? (Liss resrimu !rlrine r nrm.c h:ir,n_)
<br /> Describe'lest/Maintenance:Air Quality 9/26/2016
<br /> Describe I c,t/Maintcnance: El
<br /> —--
<br /> _ F.ACILITyEMPLOYEETRAININC _— __ 1'es No_ N:1
<br /> l G. I lave all lucility employee;recrn cd the required on-the-job training within the Ls(fir'' TO
<br /> ❑ _� _
<br /> 17 Have all facility em loyces hn d„Rhin the past 3l)da s received the required on-thrlob nai nine '
<br /> Noic Lspl;nn awn -No-answer~in the"i Imunents'section nn the following page. I hox•isuc;Ieeluu:.,mrcukc acuol ti-um
<br /> e I .I '"eucr%uperdlnw
<br /> Aaron Hang, EHS Page 6 of 11
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