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Tokay Shell —420 W Kettleman Ln, Lodi, CA 95240 Record ID PR0544259 <br /> 1/7/2022 <br /> PHOTO# 10 <br /> IMG E1227, Violation#208 <br /> Latest designated operator report, 12/10/2021. Report not signed by owner/operator. Incorrect test dates written for monitoring system certification and <br /> s ill container. <br /> ink <br /> Designates TOKAY SHELL ispection Report <br /> 420 W KETTLEMAN LN <br /> 1. FACILITY INFORMATIOI l.onl,cA 4524C <br /> CERS ID orc lo. 21721 1,4U P11 ispectioln Date <br /> 12J1o121 <br /> Facility Name Tokay Shell <br /> SYSTEM ETHTUS REPORT <br /> Facility Address - - _ - - - - - - - - - ZIP Code <br /> 420 W.Kettlman Lane ALL FUNCTIONS NORMAL i ` 95242 <br /> 2. DESIGNATED UST OPE <br /> Name of Designated UST 01 Phone <br /> Alex Jabbari 925-389-1262 <br /> ICC Certification Certification2 Expiration Date <br /> 5243897-UC ALgRM HISTORY REPORT <br /> 3. COMPLIANCE ISSUES - -- SENSOR ALARM -- - <br /> L 1:87 STP <br /> Waste Oil tank monthly vis FTP SUMP <br /> JAN 27, 2021 6:22 AM <br /> No compliance issues and FUEL ALARM 1 <br /> JAN 27. 2221 6:21 AM II <br /> FUEL ALARM <br /> JAN 27, 2021 6:21 AM <br /> 4. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING INSPECTION <br /> I hereby Certify that the visual inspection was performed in compliance with California Code <br /> of Regulations,title 23,division 3,chapter 16,section 2716 and all information provided <br /> herein is accurate. <br /> Designated UST Operator Signature Date Inspection Report Provided to Owner <br /> 1 <br /> CERS=California Environmental Reporting System,ICC=International Code Council,ID= <br /> identification, NA=Not Applicable,UDC=Under-Dispenser Containment,UST=Underground <br /> Storage Tank <br /> UN-ttt w .unido -arg Tee,.1"'W Pa7F 1 e`4 <br /> ----- t___ 13 <br /> 7 <br /> Carol Presto, EHS Page 10 of 16 <br />