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<br /> UNDERGROUND SI ORACE 'I AN SYSI EIM
<br /> DESIGNATED USTOPERA'1014 MON'I IILY INSP1:(A ION REPORT
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<br /> UF:uaht} U un'' Mantes Liquor and Food Iu.1 h n U:d" May 14. 701',
<br /> facduy Addis, -_. _—_. ru Manler;a Y
<br /> _ 890 N Main Street M
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<br /> ZSignature: - I I ,ir. (9%91 389 12f.i Olr,
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<br /> Item MONITORING PANEL/ALARM IIISIORY Ye,a Nn NIA
<br /> I Nthemonitwinv, sen:J+ u:r
<br /> LU 2. k the mnmtorink vyslcm not c anally. h wm} anY leek alarm:i! __
<br /> Il.f 3. Is the Alarm I Imi,,ry kup,Ti/Iny.Inr the pit vnnr:mrmlh available,and lo, it 1, iccv:weal Lj the
<br /> I)Cal mated IJS I t lr r t ,r p (Au„dr 1 v f t r 11„11,1,'T repair/lo_p 1" o::-f.,cra.n fnrnp. _ _ I ❑
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<br /> IISI SYs1 IM INSPL.(_I ION
<br /> Z S. Arc tank-lop umfainment my lice Ofw to 1Jn nl h:erl r rl ren ry:h r, �...
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<br /> Sums 87 annular
<br /> lex rd ram Jrae 11111 1
<br /> L2 87 annular alarm 5/4/15 Yc. No }Y"y No
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<br /> Sum Lrx;atram. Surn ,Locrjt ❑ �. .._
<br /> O (I Arc spill huckf;L,(u,nlsmment:4nacturc.;)I rc,of water dcbns,and h.✓ardou:,%ubstanu:'l
<br /> Yes No N/A Ye. No NIA_
<br /> z JInk 1 11) -Regular Q Tank"S IU - IJic:u;l ❑ Q
<br /> "lank 2 ID-Premium 'funk 4 IU -
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<br /> pp 7. -A r( undc7-dis x:nxa con LammGirt area's free n(water,drbris and harardus suWan ec% _
<br /> Yes No N/A Yea No NIA �O
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<br /> Di s m°:cr - 1/2 Ihcnua 9/14 Q
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<br /> Urs x:m .-r II/12
<br /> O Dia,cn, r i/4 Uis n:ua- 13/14 G�
<br /> LL Uis x mwrr 7/8 Uis -n:x;r 15/14
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<br /> Q K. Leak detccuon e: pro xA Irmatrsl within under-dis x-asra umtainmcnl _._ (V
<br /> Z Yes No N/A Yea Nn N/A
<br /> Q Li Uloxaevcr 9/IU cd
<br /> 0' llis xara:r 3/4 Uis en.wi 11112 _1 0 1 Li 1 0 -
<br /> O llis arrcr 5/4 IJ_ulpcnwa 11/I4 1111 OLM-2
<br /> U aej 7uurr 15114 _
<br /> J PAPERWORKINSPEC110N ____ _ Yes 7No -N�/^Af' Date Done ' . �
<br /> Q y Monitoring.System C ettificalrnn was urmpleted within the past 12 monih:;p LI LJ 4I20/2S}
<br /> Iff hu>,ndary urnumrm nt us t.,u,mpleted within the required time trams p
<br /> I I Sptp h ickct./spats uuncnl .tnu:wrc)tc:stto�urtnple1cd within 6a.pest 1 Z monthaJ 4/2017
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<br /> dhte""u, ne upmInure')lctcd within the rcqurrul time Inure')
<br /> Q 1 g ),tro ti hrtrtc�..tushng uunplelud within the ru/uuud bmc traffic"
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<br /> (Jthu ru mr(A Ic�.u❑ mamterlenu_wa uun plr eted within rr quuul time, limrrc'�(l.ixr ra.rr/mnlnlenuncr items below o. 0
<br /> _IR n}w f r, t/Mmfdc1W1w 111-201 1& 111-201 4 4/20/2015 N
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