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1033 W. Charter Way, Stockton, CA 95206 Record ID PR0232352 <br /> 61A12016 PHOTO#7 <br /> November 2015 D.O re ort without the seconds spill container test da <br /> 1?I.i l'E IV CONTRACTORS <br /> besignaled Underground Storage Tank(UST) Operator <br /> t <br /> Mlllltllly Visual Inspection Checklist <br /> t, „t.,,,I n.,.,,i," - I. <br /> q�thmin <br /> ,'�lZip Code:95206-1105 <br /> ' ' "ni g the Inspadion Chri t Ph Adams <br /> - <br /> In n c,� , (o,it ..,t,r;,,h,827021R <br /> S' as _ Ex ne( Date. 2/16117 <br /> _ Phone: 2 209461-6337 <br /> hr•nl V= N=Na NA=NatA liable <br /> MONITORING PANEL I ALARM HISTORY Y N hA <br /> 1 i AlomtanuF s .51cm a powered on and in proper operating nandeI x <br /> Ahnutnnnp system unnt cuacialy showuna an alarms or warsungs. x —� <br /> t V.nn,hui,ec r�poi r for L Ir the previous month is available,and has been reviewed by the X <br /> tprI t,II t.iitach a co r o ole alarm histoLy report/logreporillog to this for,I i available.) <br /> t ❑r, u,us month has been res onded toappropriately. <br /> X <br /> p ., X !J <br /> rnoi.In:atc,lmcoiii ainment areas have no[alainmed in the past month. <br /> �a lPvr..,u:rrrav ehere alarms occurred in the past month: Nq <br /> c:•u.nm,:. ,..,..,.n n.r.a. a.,::, 4a c... .rr d rn rhe past month stall require immediom Invesugarion.Awadi docvmenmrm�ro rhe r pot. <br /> _ UST SYSTEM INSPECT ION <br /> It, 'rank-lop contairunent sumps are free of water,debris and hazardous substance. Sensors are located properly. <br /> Nae Vawlim piano ser 111 uirtd lamr&m com liannsmms minally and eriodically thanes ter. Y N <br /> Y N X <br /> Sum Location:Diesel l X Sum Location:87 X <br /> Sum Location.:Diesel X sy Sum Location:110 _ <br /> Sum Location:91 X Sum Location: <br /> Comments: Comments: <br /> 7 spill containment structures we Gee of water,debris,and hnu Sus substance. alar Unleaded % <br /> Y N NA Tank <br /> Tank I —Canlents:Diene! X Tank 4—Contents:Premium Unleaded X <br /> Ta <br /> Tank 2—Contents:Diesel X nk 5—Contents:110 Unleaded <br /> S Under-din nser containment areas are free of water,debris,and hazardous substance. Sensors are located to lv. <br /> X Dis eroer 1/10 x <br /> Dis nser 1/1 Dis Bruer 11//12 <br /> Dis uX ser 3/d X <br /> X Dis etuer 13/14 x <br /> ' user 3/6 Me s enser 15/16 <br /> nit mer?/8 „.-.. ,._-. ..... . <br /> ppPERWORKINSPECTION Y N NA DALTEDON£ <br /> Nott: Any answer of"N^should be explained In the comment section oa the following pagq 6(15115 <br /> sad teW 111"rollow-u action. x <br /> r 9 Monitonn �antatnment nests ha eabeen cos been omleted wiyih n the sl lwreed time frame x <br /> SM)14 <br /> 10 Seco x <br /> 11 Sill containment structure bucket)testis was com leted within the ant ear. x <br /> • was co leted within re aired timeframe. <br /> ti htnesS� x <br /> • was within uired timeframe. x <br /> -A Y <br /> Fatinah Zareef, REHS Page 7 of 19 <br />