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06/27/2017 11:24 2098392001 <br /> TRAG PACS 03/1f <br /> OCT 0 3 2017 <br /> Monthly InspectionCheCkltat NVIROr7"'./ItFYTn� H <br /> h EALT t-.Y <br /> ,tC <br /> Designated Underground Storage Tank(VST} Operator <br /> iVionthly Visual Inspection Checklist (l aF2) <br /> Roti " -NameDatc: <br /> Fatili Addrts: <br /> DeeCody 77 <br /> lli 5T C.anduc' the i att: <br /> • lnlarnational i tsttton N• B iradon Date: ! ! <br /> Si tire: Phcstkt <br /> Item MONA TURING PANEL/ALARM H Y`Yea.N-N MAl Het AprnrnWe <br /> --• - t)RY Y VAft N N�4 <br /> i Mont is veered o l and ht made. <br /> 2 Monitoring fs not curseotl allowin alarms or warnings. <br /> 3 Alarm history mpmmog ftrr the previous month is available,and has been revicwcd by the <br /> lhsi ted UST 01poerator. Aaceh oo the alame AWory mmqftto tfds&rm i avm7ab <br /> 4 Tach alarm far the vMviowrWith has be" ndad to apptop, IV. <br /> 3 Sensors located in tonic containmertt have rat alarnned in theust n1orrth. <br /> Sa - Lxrf al!tarrhfOp s MF r-*arms alamt din the pastmonth., <br /> s <br /> ej <br /> Nwe�irnyra+►hntan ars+rx oernredfa rrrohuh 8t trrspertrd ertlrq cd mw.er trcllrridvn <br /> Frvperlyaldrrstrrk art eKrrar.�ehrelenre drr�di doc�meorterfonym.and <br /> "e+ilSinX *rv�lese atrvrer trr rhir re�arr <br /> rceardnnlQ tR item 6.bitlaw, <br /> UST SYSTEM ENSFECfION <br /> 6 �kaop CwtainrMW sumps ar&free of water,dcb:is and harAwous catrstanoc. Scpsots are located properly, <br /> arr'triarar ore 6 encu ■rd is aro orprin has acurr*:d in tba MrA or which there•it no xn kr Frtorrl <br /> err Li:caflan: - Lvcarfma: <br /> 5rmr Locatfdn: s r Senn Gacadon . <br /> 5 I..acatten: _020 <br /> simm 7 S eontairrrtrcnt structiires are frre of water debris and ha7andow substance.' <br /> 71 <br /> Y N IVA Y N NA <br /> Tack i Girrtenfr: Tank 3—Conrettts: <br /> Tank.2—Corrtmw err Tank 4--Cc <br /> rtfrnu <br /> R Under-di xT carrtYintnent,arem arc Fwater dabriA and hn ous substmrtee. Seatsors arx 1a <br /> YNA Y NA <br /> r J94Tewr ri <br /> 1?rs <br /> r7trer <br /> 4 2 <br /> - <br /> D errser <br /> DtrrJer <br /> - <br /> PAPERWORK MPEG riot <br /> 9 Y 1p NA DATEIION>r <br /> Mattitaria cortificadim hes been c ew�trilhin 12 months, <br /> 10 Car$sfnrnert trnU bave be=CoWlctcd within the reguired timcih me- <br /> 1 i 5 ll canlainmettt structure ucicel tm3fmgoras EMelcted whin the pga <br /> 12 Tank ti mess Festirr was co kted withm rad tirnefmme" ' 7+ <br /> 13 Line ti tn= tetttin was co acted within Tcqjdrcdfi@ncfi rnc, <br /> 14 Other lmd tesdnitttraintenenct was co lcted cvit]siri tamfratrie C,tstfesdneatrrre owrtee ileeru hclarv, <br /> Test/MairrtenanCz- <br /> Tetr/Marrrraisance: ' +�' <br /> Tear/Maimanasfce: <br /> 1FACR.TIY i4f41E;'LOYEE 7RA1NliVG . <br /> 15 411 fac�li a Ic havetrAeivedthe red on-the-'o6 train' widtinlhe Y+ N ISA <br /> !6 All!nasi ami Aired wifi>in ibc act 30 bave EsFivtd the ott-th 'ab trainin <br /> action, <br /> Tw'obE: Aery aeawcr aF R1V"should be explained in the coereeaenl eect;en on the failowmg po lm and Won require folinw-up <br />