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Chevron Station #372736/2223 <br /> 9484 West Ln. Stockton CA 95210 PR0232601, PR0520254, PR0537764 <br /> 2/7/2025 <br /> PHOTO#12 <br /> Underground Storage Tank <br /> Designated UST Operator visual ins "OREN <br /> t, ----- - - -- n Report <br /> _ pectin <br /> on 3 "',�gT SY��INSPECTION - <br /> g, pelow and in Section 3 all containme u n - <br /> As that have <br /> Ific the previous Designated UST Operator inspection Repore andretease detection alarm <br /> s�by a qualified service technician- Containment surn have not been <br /> t0 g Sumps listed belo n responded <br /> I�spectlan for llama e,water,debris,hazardous substance, w require a visual <br /> Is the containment sump free of damage,water,debris,and h,and proper sensor tocatlon. <br /> ntrtent Sun1p 1D Yes No 1 Zardous substances? <br /> Containment sump in <br /> —— + ❑ ❑ Yes No <br /> ❑ ❑ -- ❑ ❑ <br /> qre all sensors in visually inspected containmentsumps located to detect a release at 13 ❑ <br /> the earliest opportunity? ❑ ❑ <br /> Is the spill containment free of damage,water,debris,and hazardous substances?Is the""pipe <br /> free of obstructions? Is fill cap securely on the fill pipe? <br /> Spill Containment Ei? ---�Yes No Spill Containment 1D Yes No <br /> Spill Bucket-T1 Supreme lZ ❑ ❑ ❑ <br /> Spill Bucket-T2 Regular H ❑ ❑ 1 ❑ <br /> Spill Bucket-T3 Diesel-B20 0 ❑ ❑ ❑ <br /> a ❑ ❑ ❑ ❑ <br /> V. ❑ ❑ <br /> 13 <br /> Is the UDC free of damag ,. ae w ter,debns,a❑nd ha rdous substances and aA sensors located to <br /> 1 detect a release at the earliest opportunity? ❑ No UDC(s)at this facility yes No <br /> Yes i No i UDG ID <br /> UDC!Q ❑ ❑ <br /> Dispenser-1/2 <br /> Dispenser-3/4 _—____ <br /> Dispenser-5/6 _— ❑ ❑ ❑ <br /> Dispenser-7/8 ❑ ❑ ❑ <br /> Dispenser-9110 H a [3 <br /> Dispenser-11/12 <br /> 13 <br /> __-- s UDCs. <br /> oat mechanism used in roperatorin section 3. <br /> ❑ Mechanical float designated LIS page 3 of 4 <br /> r must be described by <br /> the CHEVRON-37273®.0112A12026 <br /> All answers marked"Np <br /> IMG_0888 <br /> Lynsey Sammons, EHS Page 13 of 13 <br />