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law <br /> o CCn <br /> :3� � <br /> _ ,rb ( )I ar:+ drr <br /> SPCO'Imln 'Ilc"Lkh' I <br /> Monthly isutl ]n <br /> �. <br /> Q7— <br /> (n ac�htyName 5nhllStncklonSwilclr — - <br /> rI _., acihIN Address. )807 C'oroiitoo Avcrarry <br /> C CD ria Stockton s <br /> R --- — <br /> C 0 esignaled LIST Operator Conducting tlrc Instiecti�+n i)aiacn ft a,.ct; I ir.riirr l la;lrr +l i'. <br /> ternalaorraI CottF1'e pcil Certr(icauran II,��11-006 L1C_ <br /> {p =r <br /> ._ —._ <br /> 4 <br /> em MONITf]RINC_PANT"L t AI Al2M 11IS"'"" <br /> a) 1 Mon itoring system is owered on and in icier o ctattnI mode <br /> i? Monitoring system] is not currently s4tow'ine,any •alar Ins or%varmnes. [+ <br /> 3 Alarm histor re ortJlon for the previcaus monllti is avail ibie,and has been reviewed ICY the ly e <br /> Desimtated UST O orator. (Artacl7 a co�)r of tJ7e aJcrrrrr history reporb'!a t!,r17i,ti/c,r_ixt rf avarJ J,Jr: , <br /> U) 4Each alarm for the reviou;month has been re�cndad to a ropriately. <br /> 01) <br /> Sensors located in tank-top containment sum s have not alarmed in the_pat month. <br /> a _ List all tank-top sumps where alarms occxrrred it?117e pass month <br /> Wore.Sumps where all alarm has ocrur,ed is the past rrrnnllr ruus7 be Irupec•ted unless a qualified service wI;s7ic r r+ <br /> Nprol,erl} acldrr,ssed,the cause of 117e alarm.ANach doctrmerrr.rlrolr ver 'irrg cppr nprr re s�rvrce to this repot! <br /> "" Ifsvr1ep naspecrForr is rer,nred,reccrd resulis sa idem 6.he'orr <br /> CL <br /> 0 UST SYSTEM INSPECTION <br /> fD Tank-top containment sumps are Free of water,debris,and hazardous,substance. Sensors are located p r <br /> ZI xe: r rs��al inspection ofsunrps is only required in sumps where ail alarm loos occurred w die pass n707111(or n�hrch there rs a <br /> 0Y N <br /> (D O% Sum LOCat1017: Tank I Pi in r Sunt Location: — <br /> CF) 5'rrn Location: Sump Location: <br /> O w+ Sxu7rp Location: Strnr I.r catJon: co <br /> W N 7 Spill contahtment structures are free of mater,debris,and hazardous substance. <br /> rt Y N NA _ <br /> to Tan]: l -Contents: Diesel Tank 3--CDJ7te+7tCD s: <br /> 0 Tank 2--Contents: X Tattle 4-Contents: } X r`1 <br /> Under- isenser containment areas are Free of water,debris,and hazardous substance. Sensors are located xo erly. J <br /> Y N NA Y N NA 0 <br /> X Urs eraser y r"10 X <br /> Dispenser J/2 P - O <br /> r► Dispenser 3/4 �` Dis)eraser 11/12 �' X <br /> NDispenser 5/b .� Dispenser 13 14 V X <br /> Q Dis eraser 7/8 _x Dispenser 15/16 `� CL <br /> 0 PAPERWORK INSPECTION Y N NA DATE DONT <br /> 9 Monitoring system certification has been completed within hast 12 months. 1 ' ' <br /> 0 Q' 1(J Secondary containment tests have been completed within the required tinlefranle. �-' I <br /> 0 7 I Spill containment structure(bucket)testing was compl ted within the past year. - -r <br /> r+ <br /> W o 12 Tank tightness testinry was completed within required time'rame '� Continuous M <br /> M 13 Line tightness testing was cram leted within required timeframe. X <br /> 73 14 Ot11cr required testingltnainte:rance%vas completed within re aired timeframe. (List te,sthnaJ171 17x11 e items htltnl'1 r^ <br /> TestlMain1cncnace - h Vim, <br /> z Test/Rlaintenance: X <br /> O 0 TesllMainteraunce X n <br /> (D -a FACILITY EMPLO I,6;TRAINING Y N NA <br /> r-F <br /> l5 A]I facility ernpinyees have received the required an the job[sitting within ilio past year. <br /> 16 All facilit% employees hired within the past 30 days have received the required on-the-job trainin i <br /> I Note: An}'ans45er of"N"should be explained in the comment section on the following page,and % ilI require t <br /> IV follow-up action, <br /> j � mss...... <br />