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0 • <br />Designated Underground Storage Tank (USI) Orator <br />MonWv Visual bmeefion Checklist <br />Facil- Name:,21 ! _ 5to: <br />Facility AddresS: z <br />,P Cade: <br />City. <br />Designatod USTI06cratof Conducting the n_ John Dale <br />luternationaI Codecation # 800(*63 - UC Fxpbndm Date: November 24, 2011 <br />Si Phone. 916 217-1373 <br />. /1 1 -I_- Y — Ye& N — NO NA — Nat Abblf able <br />follow-up actioa. <br />Page I of 2 <br />tree, aua WIR require <br />Novcmber 2004 <br />ST/CT 39Vd bT�TISO 6vT066S_60z bE:L0 TTK /E7,1Z0 <br />fieri <br />MORM WSTORY Y N <br />G PANEL l ALARM <br />NA <br />�.. � <br />.4.:E5r^ a'Ni,h?1 :;# <br />lv.on♦o ' 1spowered and {npTM mode, <br />4 <br />imm system is not showiag agy alarms Or <br />3 <br />Alarm history nepdr0og for the pmvww mon& is available, and has bem reviewett by the <br />Ueesi LEST" Opmaton (4riach u — -fa- tt1-m history -sporplog to this orm !( mble j <br />4 <br />Eaa alarm fir the prmqous nxm* bas beelr W toPPT dy. <br />5 <br />Sensors located xatatlk-t containment have not alarrmd Ili the past MOEth. <br />Sa,Gist <br />all tturifr Ea'p sumps where almms occurred in tip past ntonth: ... — 4-/ <br />Note: Sumps whale an ala m has aaexrred hl the past Mft* rause ba irripe<*tuf Hnlwsr rr geeQiSfisd eerwte tse69eramrorpon ed to, and <br />PFOP¢rfy addmmd, the ¢aKw of the alarm Anach dvcxmmtar1dw vol5irg appropriate serwee to Mitis repom <br />90#11 red record nU1*s is herr a below. <br />UST SYSTEM INSPECTION <br />6 <br />Tarek -top Cont unment Mips are free of water, dehn.% and k&rd©ns substance_ Se=ts alp located properly, <br />!Vote: Visual ms rion-M s is is :w s where art al4rrs has a=wed is the 4st month which there is no savire record <br />Sunt I ovation; 9l a Sum L aiian- �' 87 <br />slim iacatfon.` 89#, <br />Stan�oraricur Ihriysl <br />€: <br />4ittnt L+-+[:CItlOJt: <br />f .�jj <br />7 <br />Spill corm inMent SUVC tM are free of water, <br />- and �s substance. <br />Y ,Iii NAY N <br />1— C.Ontelds. 91 Tanit 3 - Conlents: 87 <br />NATAnk <br />Tank 2 _ Cdrttetlts: 89 Tat* 4 — Csrytttt}, ])mini <br />follow-up actioa. <br />Page I of 2 <br />tree, aua WIR require <br />Novcmber 2004 <br />ST/CT 39Vd bT�TISO 6vT066S_60z bE:L0 TTK /E7,1Z0 <br />