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w m <br /> Comments: rC r . <br /> J <br /> Items Requiring Follow-up Actions, <br /> Instructions: <br /> Monthly visual inspection of the UST system must be conducted by a Designated UST Operator, <br /> who possesses a current"California UST System Operator'certification issued by the international <br /> Code Council, <br /> The UST Owner or Operator must maintain a copy of this monthly visual inspection checklist and <br /> all attachments for the previous 12 months_ The records must be maintained on-site or, if approved <br /> by the local agency, off-site at a readily available location, <br /> If ATG alarm report shows alarm activity in the turbine sumps,call maintenance to verify service <br /> response. Be sure to notate date,service company,and resolution of call. Schedule a service <br /> call with maintenance if alarm has not been investigated and inform OSE for follow-up. <br /> Retention in store is 1 year for inspection. <br /> By signing, customer understands and acknowledges that Valley Underground Tank Monitoring is t <br /> an inspection company only and that all repairs are the tank owners responsibility_ Valley <br /> Underground Tank Monitoring will go over all reports with tank owners representative to explain all <br /> comments or follow-up actions needed. <br /> Company Representative Name(Print): <br /> Sign: <br /> Today's Date: L _ T Representatives Title: <br /> Today's Fees 00 C.O.Q. Charge P.O. <br /> All charge accounts are due and payable within 30 days of inspection or prior to:next inspection <br /> being performed. Valley Underground Tank Monitoring reserves the=`right to pull its name as <br /> designated UST operator at anytime for non-payment. All fees.are flue at the time of service <br /> unless prior arrangements are made with Valley Underground Monitoring. <br /> Payments are to be made to: Valley Underground Tank Monitoring <br /> Thank you, <br /> Dan MclLrath <br /> ' ` Valley Underground Tank Monitoring <br />