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-1 O 0 AW <br /> 0 0 <br /> m <br /> m <br /> CDC) <br /> Designated Underground Storage Tank (LIST) operator .--�- <br /> a Monthly Visual Inspection Checklist <br /> QFacility Name.- S rint Stockton SwitchDate: r <br /> I ! <br /> (D b Faciiir\ Address: 1807 <br /> .807 Coronado Avenue - 0 <br /> Citti: n zipCode: 95204 <br /> a Designated USS"Ope or ConducLin,the Inspection: Darter Rieck <br /> O lnremetional Cade Coun it Certification 31 1-006"UC Ex iration Date: 05'01.'1 <br /> Signature: Phone: (3 10)693-2486 <br /> 1 �Nm',='o.tiA=\otX leLI <br /> 1V <br /> NA <br /> O item MONITORING PANEL 1 ALARM HISTORY _ <br /> C C3j <br /> Nlonitoring system is powered on and in pro2er operating mode. <br /> (n Monitoring system is not currently showving arty alarnis or warnings. <br /> Alarm history report/loo for the previatls month is available,and has been reviewved by the <br /> Designated UST Operator. (.Attach a copy of 1he alarm history report1log 10 this forma if cn'ailab,re w <br /> 0 -1 i ;each alarm for the revious month has been responded to a ro riatel}. <br /> Sensors located in tank-top containment sumCD <br /> shave mat alarmed n the ast month- c <br /> - List all rank-top sumps tr'hcre alarms occurred in the past month. <br /> cte. Sumps!rfrere urr atarnr has occvrr c'd in rlrz post+nornh mus[be+,tspecied[ovless a quulyted sen!ce technrcion resparrded[c. <br /> properly addressed, the cause orthe Diarm .1 trach docun+enr:7lr6rr ver{&mg approrprfare secs:ice ro Mrs report <br /> 1;sung r,rspecrran rs required,record results+n ileo 6,befoir <br /> O <br /> 1rtsT SYSTEM INSPECTION <br /> N6 Tank-top contairurrent stumps are free of water,debris,and ftazardous substance- Sensors are located properly. <br /> -0. h c!e r'rsual rnspecnon or.stimps is onlw required nr stumps,There an aiavm Trus occurred in rhe post nront{!,Tor which There is no service <br /> ET Y N 1 N co <br /> in Location: Tank 1 Pr• ineSump Location: <br /> r a N t;mp Location: l Sump Location: r <br /> CD <br /> t:,ra�I.kation: Sump Location: <br /> 'pill containment structures are free of wvater, debris,and hazardous substance. <br /> � Y NA <br /> Y N <br /> ark 1 -Conrents Diesel „ Tank 3 -Contents. ..I <br /> Tank 2-Corarerlls X Tank 4-Cotsterlts: I M (] <br /> -'_r-dispenser containment areas are fi-ee of water, debris, and hazardous substance. Sensors are located pro <br /> 0_ - Y I N NA Y <br /> X Dispenser 9110 ` Q <br /> CD --- ' X Dis eraser 1 C/1? O <br /> �- X Dispenser 13/ 11 <br /> 0 _ f X Dispenser 15,1 16 <br /> O �. <br /> 0 — T <br /> p PAPERWORK INS'P'ECTION Y N NA DATE D <br /> - ton has been completed within past I7_ monLk. <br /> lave b+en ctAmpleted ww�itllin the required tin"kefratne. rr� <br /> ucl t) is till tierz, Colnplctcd wvithin the Aust vent- VJ <br /> lrll;f,1^:ll "'iII1III rcr{uracil nivel-ratltle. Ctn Q <br /> t <br /> 0 (n <br /> ._ rnl,�cl•_(1 '::Ilill!I pcc�!Illc+� tll]J!'liallYc: kT <br /> ^. �,�.! ! I!.::I ;, , !.�rllls,��_I�_�1 swlllllll rcyllrcd 1i111el'1;HT1C (0-4f .)"t+1!(11tt1L11.nk c' 11YI)IS /♦ <br /> Cr o - <br /> rn <br /> 1 :At IIC) CD -fl 1' I,M1)1,0vl'J. 'I ItAlw` INt; <br /> � I A"ii - -- _ <br /> �rt I <br />