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10878 N. Hwy 99, Stockton, CA 95212 Record ID PR0231598 <br /> 4/25/2016 PHOTO#9 <br /> December 2015 D.O report with incorrect test dates for MSC, LD and Spill containers <br /> UNIIFR N RAGI TANK SYSTEM f <br /> N:1TFI) UST RAr MONTHLY INSPECTION REPORT <br /> fR�r FAST IS EASY hsps=tion Date: December 14, 2095_ <br /> \+ t t 08-18 N HWy 09 City: STOCTON CA. eLmrS��:c <br /> I - I <br /> J l A 1 UI n'1'Conduc Gng htspcclimtt James Day <br /> 1ioi I t'oun Inil -1ho NNo.: 6Expiaton Datc: 6117/2016 <br /> 87344-UC <br /> Phony. I =a0^. <br /> 530)749-9892 ext r� <br /> —- rcrs Nnt n h•�tno <br /> Item Yes No N/A ' 0p „ <br /> MONITORING PANCL/ALARM HISTORY <br /> I I_�c mono nnp s�Rml++ 1,%creel on and m proper u erahne made' <br /> I I <br /> The mums rein•ss Icm not curren[h short nc an_y Ic4l alams ❑ Il i} ! bI�D�i <br /> Is Nc 11amt Hlston Report,9n• e ! . <br /> y Tor the pravlous month ava llttbk and has it been reviewed by the 1 <br /> th-siena[ed l IST OP wteN /d/ h r+ ! l I I" <br /> f! r 1./ rcnmt f'In'.) 1 <br /> ytcx <br /> } Has each alarnt fol the re tis month been res onded to a ro r1 tat ❑ 31o.p:-' <br /> UST sYSTEM INSPEC riON <br /> Ater <br /> anktoy containment sailors free of ' n,d f <br /> vary d�bm end hazardous substance t r / d I L. l Y k/: DOsCJ <br /> i I 11 fi rn b sump u/ors no ulmm Las d d r u t I b +ed a hf d srrvi+e tech cmn hat nut <<p nJ.a r�. I I DO m <br /> 7r miirrssed dye omcr i Mr afur o-Oxumnrt.4.on terrhm•u r mote sen iu ehmJd ba afracbed ro there ore ��� <br /> ° Yes No y Daily <br /> Yes No ® { <br /> I Sum Location_UNLEADED ® Sum Location:DIESEL ❑ ® TsbYt <br /> Swn Luc;arion: <br /> PRE ® ❑ Sum Location: <br /> 6. _Are spill buckets(containment structures free of water,debris,and hazardous substance? <br /> Yes No N/A Yes No N/A <br /> 7-ank I fD-UNLEADED ® t ti <br /> ® ❑ ❑ Tank 4 ID- _ <br /> Tank3 tD-PREMIUM ® Tank 51D- ❑ O ® 1 0 <br /> Tank <br /> 3ID-DIESEL ® -Lj <br /> - Tank 61D- I -- <br /> II Arc under-dis enser containment areas free of water.debris,and hazardous substance? <br /> Yes No N/A Yes No N/ <br /> Dis enser-12 ® ElDis enser--911U ❑ _ <br /> l I Dispenser 3;4 ® ❑ ' ❑ Dispenser- 11/12 ❑ ❑ ® <br /> r 1 Dts mser 5`6 <br /> ® ❑ ❑ Dispenser- 13/14 ❑ <br /> ? Dis enser 7/8 ® ❑ ❑ Dis enser- 15116 ❑ ❑ ® -- <br /> Leak detection is properly located within under-dis enser containment. '1 <br /> Yes No N/A I Yes N_o N/A t <br /> Dis enser- I%2 ® ❑ Dispenser-9/10 ❑ 1 ❑ N <br /> Dispenser-3!4 1 ® Dispenser- I I/12 ❑_ ❑ ® ,- i <br /> Dis enser-5r6 Z I E) ❑ Dis enser- 13/14 ❑ ❑ <br /> I Dispenser-7'S _ <br /> ® ❑ ❑ Dispenser_I5/I6 ❑ ❑- ® _ <br /> PAPERWORK INSPECTION Yes No N/A Date Dune <br /> 9. Monitoring System Certification was completed within the post 12 months? ❑ El4/21/2015 <br /> !G. Line Leak Detectors were tested/cenitied within the past 12 months? ® ❑ ❑ 412112015 �t <br /> IL S ill bucket(containment structure)testing completed within the rut 12 months'? _® ❑ ❑ _ 4121/2015 <br /> 12. 1 Line tightness[estin cum hied wnhm the recoiled lune ItamO ❑ <br /> 13. Seeonda 'containment tests..on1 Il, me ttame? © ❑ ❑ 4/30/2015 - <br /> -- on mmcoenn�ancrcudhtthe uu <br /> -,was completed1-11 <br /> ❑ ❑ ( -. <br /> w'I c fmnlr.? a;.�r+...r.a....:.., <br /> Fatinah Zareef, REHS Page 9 of 16 <br />