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1033 W. Charter Way, Stockton, CA 95206 Record ID PR0232352 <br /> bIA12016 PHOTO # 12 <br /> Ma 2016 D.O re ort with alarms missin <br /> ELITE IV CONTRACTORS <br /> Slgnated Underground Storage Tank (UST) Operator <br /> Monthly Visual Inspection Checklist <br /> Truck and Awn Playa i nae 5^7,16 <br /> rens: 1033 W.Chaser Wa <br /> kron Cnde 4520611f15 - <br /> peei ted U57 raver Conducun the I ion:Chris Frcr Adame ' <br /> y�ternational Code Cnuncil Certification N:8210218 Ea earn Drae 2t la'1' <br /> Si nature: _- Phone(2rA 06t L337 _ <br /> MONITORLNG PANEL t ALARM nISTtTRY Y la + <br /> 1 Monitorin s stem is veered on and N o tin ¢toric. X <br /> -� 2 Monitorin s stem is oo[current! showin an alarms or gamin s. x ' <br /> 3 Alarm history reporVlog(or the previous tm¢th is available,and has hien rrnered Ue 2 s `-`-' `' <br /> Desi Haled UST eralor. (Artnch a rn o the alarm hirm r orU1 io this �Jo++akrNe 1 <br /> 4 Each alarm for the revious months has been res oiled a r natal It.t _ <br /> 5 Sensors located m containment areas have¢ot alertned in the st rtw¢th. i Y I, <br /> 5a List all containmcnl areas where alarms occurred in the past month. -. <br /> Canminmenl areas where an alarm has occurred ln+hepa¢mr mA shaft repWrr mmeEwu weugawat Urea Lrcv����u'�. <br /> e.l/vin a elate anion m ala.m conditiom <br /> v UST SYSTEM INSPECTION <br /> 6 Tank-top containment sumps are free of water,debris,and harardats subatan.c. Scmors act Wcaud peuocA <br /> Nol,'Visaal ins co,a sum s is re aired mens�m w^fianw 11arus'Ma,14 aril 4.r+nr• Y tl <br /> X ,:'. Sum Location:87 X i <br /> Sum Location:Diesel 1 C, <br /> Sum Location:Uiesel 1 X Sum Locarwn:llU <br /> Sum Location:9/ Comments X " Sum encs nn <br /> Comments: <br /> 7 Sill containment structures are free of water,debris,and hazardous subrc <br /> stac. <br /> Y N NA Tank 3-Contents:R ar L/auvissi X <br /> xTank 4-Contents: Pre®eaa th"it" d X <br /> Tank I -Contents:Diesel X Took 5-C .enua 10 Unleaded X <br /> Tank 2-Contents:Diesel <br /> I 8 Under-dis enser containment areas are tree f water,debris,and huu dO"s it ataace. 5edsoss M beard <br /> Do enter 4 i 10 <br /> Dis enser 112 Do eraser Ill!I? a <br /> ' D+s enser 3/4 X X <br /> X Do near 13/11 <br /> ' Dia enser 5/6 DI ants 13/16 a <br /> Di.r enser 7/8 `Y <br /> PAPERWOR '-.6C7lON Y N NA pAygppPli <br /> Note: Any answer of-N"should be esplalned In the co at section on the foliew'tat fate, (+fLSi15 <br /> and will re ulre foliow•u Action. t t 2 riSt�D10 <br /> 9 Monitonts a stem certification has been cam leted wuhin t <br /> I0 Secondary conwirtment tests have been completed within anhm d�t11p0w"� <br /> 1 W5lIS&JOS <br /> I I S ill containment structure bucket Iasis w a <br /> 12 Tank tightness testir was complete within required u s <br /> Fatinah Zareef, REHS Page 12 of 19 <br />