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Comments: W f-r c- Items Requiring Follow-up Actions; Instructions: Monthly visual inspection of the UST system must be conducted by a Designated UST Operator, who possesses a current"California UST System Operator"certification issued by the International Code Council. The UST Owner or Operator must maintain a copy of this monthly--visual inspection checklist and all attachments for the previous 12 months. The records must be maintained onsite or, if approved by the local agency, off-site at a readily available location. - ____-__------_-- If ATG alarm report shows alarm activity in the turbind-sumps,call maintenance to verify service response. Be sure to notate date,service company,and resolution of call. Schedule a service call with maintenance if alarm has not been investigated and inform O&E for follow-up. —, Retention in store is 1 year for-inspection. By signing, customer understands and acknowiedges that SVafley Underground Tank Monitoring is an inspection company only and that all repairs-are the tank owners responsibility. Valley Underground Tank Monitoring will go over all reports with tank owners representative to explain all comments or follow-up actions needed. Company Representative Name(Print):_ �a Sign: •' - .�..� Today's Date:� � [ Representatives Title: Today's Fees 5 �"` C.O.D. Charge -,C' P.O. . All charge accounts are due and payable within 30 days of inspection or prior to next inspection being performed. Valley Underground Tank Monitoring reserves the right to pull its name as designated UST operator at anytime for non-payment. All fees are due at the time of service unless prior arrangements are made with Valley Underground Monitoring. Payments are to be made to: Valley Underground Tank Monitoring Thank you, Dan MclLrath l'1 Valley Underground Tank Monitoring ;r