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Tokay Shell —420 W Kettleman Ln, Lodi, CA 95240 Record ID PR0544259 <br /> 1/7/2022 <br /> PHOTO# 11 <br /> IMG_E1228, 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 /> spill container. <br /> 4,0. <br /> ' 0G0"1s�A y�j��h a6°s roe nS <br /> art �IBpa ��o a <br /> Un ppera to <br /> agsfgngd USS `t,oyy_v�ACTON Section 3- <br /> �4 liance issues from <br /> o�$CRrprrropriate comp <br /> EILPPPRATO ons M correspond to aAp <br /> 5- O�a/ollow✓A ec <br /> N✓mper <br /> 8. OWNER t OPERATOR ACKNOWLEDGEMENT OF INSPECTION RESULTS <br /> I have reviewed the results of the designated UST operator inspection report and provided a <br /> description of the action(s)taken or to be taken to correct any compliance issues discovered. <br /> Name of UST Owner 1 operator(print) <br /> UST Owner/Operator Signature Date Signed <br /> 7. INSPECTION HISTORY <br /> Has each follow-up action of Section 3 from the previous Designated UST Yes No NA <br /> Operator Inspection Report been completed appropriately? ❑ <br /> Attach documentation very in a ro nate service to this re ort. <br /> 8. RELEASE DETECTION ALARM HISTORY <br /> Attach a copy of the alamr historyreport/log to this report <br /> Is the monitoring system powered on and in proper operating Yes No NA <br /> g mode? x <br /> Has each alarm since the previous inspection been responded <br /> (Attach documentation verifying appropriate service to thito appropriately? xs re <br /> Have all containment sumps,that have had an alarm since Port.) <br /> designated UST operator inspection report,been r the previous <br /> service technician? espondedX <br /> to by a qualified <br /> All answers marked"No"must be described by the desrynafedUSTp��/o��a <br /> ion 3 <br /> Of! <br /> Carol Presto, EHS Page 11 of 16 <br />