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1033 W. Charter Way, Stockton, CA 95206 Record ID PR0232352 <br /> (C/a$12016 PHOTO# 10 <br /> Au ust 2015 D.O re ort without the secondar sill container test date <br /> IC IV CONTRACTORS ` <br /> nested Unelcreruond Storage Tank(UST) Operator <br /> MonihlN \ isual Inspection Checklist <br /> m.S and Aut. I'la�a <br /> Chatter Wao D 8/'t6 IS <br /> rxnn Z'P C de'95 06 I I05 <br /> i- <br /> --1In�1ytenm:1IalIlLL-i�o'nal nt-'ad—T <br /> _ onduc18 ristoher Adams <br /> 'no, Ex <br /> piration Date-2,, 16,,17:iowuil Cenitic820_ <br /> �- Phone(109)461-6337 <br /> 1'=Yes.\=Ka.SA=\o1A ',,.ble <br /> Item MONITORING PANEL/ALARM HISTORY Y N SA -, <br /> I 4 Ntonnvnn system isosc—,i on and in ri,o er o eratin mode. ' <br /> Monitoring system is not currently showingan alarms or warnings. ' <br /> Alami history report log for the previous month is available,and has been reviewed by the I X <br /> Designated LST 0 erator. (Attath a co o rhe alarm history re ort/lo ro this form i available-/ <br /> 4 Each alarm for the revious-tooth has been responded to appropriaLelY. X <br /> 5 Sensors located in containment areas have not alarmed in the east month. X <br /> 5a i List all coraainmew areas where alarms occurred in the past mmnih: <br /> �' � Cmtamnrrntauras vhrrr an claim Las occurredmthel .r :si:.:il :o.r,:. rrnrv:yaaon.9«ad:documemauon to ths.rnmi <br /> writiwig appropriate action to alarm conditions <br /> .j UST SYSTEM INSPECTION <br /> 6 Tank-top containment sumps are free of water,debris,and hazardous substance. Sensors we located properly. <br /> \otr n5saal a;v°-ton of sung s is rc uimd io con irni cote liarice status nurmlh,and eriodicoll virerealrer <br /> Y N iY ', <br /> I <br /> Sump Location:Diesel I X Santo Location:87 X <br /> ' <br /> Sump Location:Diesel X Sau++ Location:110 I X <br /> ! Sum Locntiorr:91 X Sum Location: - <br /> Cammens: Con+ments. <br /> 7 Spill containment structures are free of water,debris,and hazardous substance. <br /> Y N NA Tank 3-Contents. Regular Cnleaded I X <br /> Tank 1 -Contents:Diesel X I Tank 4-Contents: Prendurn Unleaded I X 1 <br /> Tank?-Contents:Diesel X I Tank 5-Contents:110 Unleaded X1 l <br /> 8 I Under-dispenser containment areas are free of water,debris,and hazardous substance. Sensors are located to erl <br /> Dispenser 1/2 X Dispense 9/ 10 ' <br /> Dis ewer 3/4 IV Dispenser ]1// 13 x <br /> Dispenser 3/6 X Dispenser 13/14 <br /> Dispenser '/8 X Dis enser 15/16 x <br /> PAPERWORK INSPECTION <br /> Note: Any an5hCf of"N"should be explained in the comment section on the following page, Y N NA DATE DONE <br /> end will r uire folio- <br /> -u action. <br /> 9 1 Monitoring s -stem certificmion has been completed within past 13 months x 6125/15 <br /> ' Ip. SV,0fidUy containment tests have been completed within the required time frame. x Si2014 <br /> MUM111 structure(bucket)testing was completed within the past year. x <br /> Fatinah Zareef, REHS Page 10 of 19 <br />