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Chevron Station #372736/2223 <br /> 9484 West Ln. Stockton CA 95210 PR0232601, PR0520254, PR0537764 <br /> 2/7/2025 <br /> PHOTO#6 <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 0S, loq, <br /> 5. OWNERiOPERATOR DESCRIPTION OF FOLLOW-UP ACTION ____ 9�lytp2 tt'k <br /> - — - --- <br /> Number the follow up actions to correspond to appropriate compliance issues from Section 3_ 510 a <br /> 1.Will remove liquid today. tp 5Vc- <br /> Ifi tr,e <br /> Z Will remove liquid today. _-_---- 5 <br /> 3.Will remove liquid today. <br /> 4.Will dispatch certified technician. - <br /> I <br /> ii <br /> I <br /> I <br /> I <br /> li l6. OWNER!OPERATOR ACKNOWLEDGEMENT OF INSPECTION RESULT rt—and rovided a <br /> I have reviewed the resutts of the designated UST operator Inspection repo p <br /> ---- <br /> �description of the action(s)taken or to be taken to correct any.compliance Issues discovered <br /> I Name of UST Owner —Operator(print) <br /> Delia Hermosillo _ <br /> UST OwnedOperator Signature It Zy I <br /> -- --� <br /> i 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? ; ❑ a <br /> (Attach documentation veriking appropriate_service to this report) <br /> 8. RELEASE DETECTION ALARM HISTORY Xes TNo NA <br /> --- <br /> Attach a copy of the alarm history reporUlog to this report --_ <br /> iIs the monitoring system powered on and in proper operating mode? — 0 i, ❑ <br /> Has e'-- ach alarm since the previous inspection been responded to appropriately? ' ❑ ❑ <br /> (Attach documentation verifying appropriate service to this report-)— ___—_ <br /> Have all containment sumps,that have had an alarm since the previous <br /> designated UST operator inspection report.been responded to by a qualified ❑ {i ❑ <br /> service technician? --- <br /> All answers marked"No"must be described by the designated UST operator in Section 3. <br /> page 2 of 4 <br /> CHEVRON-312736-1213012021 <br /> I M G_0882 <br /> Lynsey Sammons, EHS Page 7 of 13 <br />