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Lodi Food & Liquor 1225 W. Lockeford St. Lodi , CA 95240 <br /> *'W a <br /> l ank SY—m Design—d UST Operator mentht�I-P— —N <br /> t� <br /> L da.rU d ti[ -4 Ftiba FlND t.•r@tilN2 F. `yL,r�"'L° #r. W l� "t�"� 4 <br /> "",, L2?5'b1EeT.t,[(,y^ Olt, <br /> l//J k <br /> 4 <br /> ra rTtQq <br /> $iary�r:Fpert w, StlM mitt.; r; ��"' y•car `� <br /> :To a s <br /> Fr 5En—r-Open r_sr•pi- <br /> --- -- 66491.2614 ee rl v:d6 This form is to bo completed every time one tll <br /> ` Cleared (aa applicable at each,811e)Quea into elann F w £ <br /> x. -- — 86/6If29fF ob.tq.it Electronic tank gauge 'r t <br /> Tank lntpxaUtx+monitor a!� <br /> Wetly LfY lege Pres�tre L Cizbundwater monitor <br /> Ua mg 11111 rimer monitor + .- <br /> 0ccurreri Vapor recovery riser monitor <br /> .iequired Follow-Up Actions:_ 8N®ir2024 00..v6:&31 <br /> ,— L1lectmnlo tank gauge monitor <br /> MonitoringSyukarh Dattl of Tlme of AOd01#TakOtlr <br /> ----•---- 1—klg:Uilage Pressure L �r Aternr ..�.- <br /> _ Llarrtx r,9 - r �.._ 1 r.3 <br /> .09-06 <br /> 6 <br /> _—�-- C1e.Yg� — �5^r ~7 r�P�6� �(`•�t,./1 _ M.,«.,w�' iii tie <br /> B5i2'Y". <br /> �v <br /> Pr.� —t '.: 'C <br /> - 0cna^rerl <br /> '. 9J/ Xl 4.80:011:11 <br /> _ �Nldl.2B14.�t 163:35 <br /> r <br /> t. Thi monthly US t slatem inspection muse be cotrduUed by a peatgnated UST operator why pa55essasa.curtent Cal f rn�a �J <br /> Code Couttnl(ICL�. A,xs+i ,jam �( <br /> UST System Opetetvr"exam issued by the IntentaCional ,.a o"tiou di....ered durhtg the monthly visualr?•.. <br /> ?, T}ve Ik mated UST Oporator must alert the UST= TOr MOpefatar - <br /> nspecn n that mal'require fvllow-ap'scvorts orrator. <br /> A copy of this monthly inspection report must bC pmvlelod 1PA� wtd all attachments for the most recut <br /> 4: <br /> The UST Owner er Operator must mainlam a copy'of eaGtt>$ `ire `agwey oitaite at r <br /> 12 months, no records shall be manttained on-site ofif W <br /> looation- - <br /> On 5-25-14, a diesel sump alarm occurred. The designated operator and the facility operator did not document this alarm. <br /> Page 2 of 3 Photo taken on 11-19-14 <br />