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Chevron Station #372736/2223 <br /> 9484 West Ln. Stockton CA 95210 PR0232601, PR0520254, PR0537764 <br /> 2/7/2025 <br /> PHOTO#8 <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report �S�E <br /> _ _ ——_.----- - ----- el o re <br /> 5. OWNERIOPERATOR DESCRIPTION OF FOLLOW-UP ACTION In t e a <br /> Number the follow up actions to correspond to appropriate Compliance issues from Sec not 3 1 n li <br /> Sine a <br /> i.Will dispatch certified technician. 8 0ti7 <br /> lob�ecti t� <br /> S l0nta/ <br /> e <br /> the = <br /> js the <br /> P <br /> 5 <br /> 6. OWNER I 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/Operator(print) <br /> Estella Montelongo <br /> UST Owner/Operator Signature n ^^ Date Signed <br /> 7. INSPECTION HISTORY <br /> Lch follow-up action of Section 3 from the revi DYes No NA <br /> or Inspection Report been completed appropriately? <br /> documentation Verifying appropriate service to this report.) [( ❑ ❑ <br /> S. RELEASE DETECTION ALARM HISTORY <br /> Attach a copy of the alarm history reparUlog to p report. — -- Yes No NA <br /> Is the monitoring system powered on and in proper operating mode? <br /> Has each 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 ❑ 0service technician? <br /> All answers marked"No"must be described by the designated UST operator in Section 3. <br /> Page oof 4 <br /> CHEVRON-372736- <br /> 1 <br /> I M G_0884 <br /> Lynsey Sammons, EHS Page 9 of 13 <br />