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10878 N. Hwy 99, Stockton, CA 95212 Record ID PR0231598 <br /> 4/25/2016 PHOTO#16 <br /> May 2015 D.O report with incorrect test dates for MSC, LD and Spill containers <br /> GROUND <br /> TANK SYSTEM <br /> ST OPERATOR MONTHLY INSPECTION REPORT <br /> ,.slip Naine: ; <br /> FAST&EASY <br /> Inspection Date: May 1, 2015 <br /> 1 0878 N <br /> NWY 99un Iksi � Ct <br /> y' STOCTON CA.cialeUST -� <br /> Operator Conducting Inspection: l j <br /> Inienwollo,l CaI-c'Couecil Certification No.: Dale Careaga <br /> Signanuuti: 8250093-UC. Expiration Date: 10(4/2016 <br /> (n Phone: (530)749-9892 ext. / I <br /> Item ; <br /> /A-Nst.\ licabic ' {{i <br /> Yes No N/A <br /> 1. J MONITORING 1'AN EL/ALARM HISTORY ❑ <br /> Is the monitonn�, --- ® ❑ t <br /> system oa•ered on and in proper <br /> o.entity•m'de? ❑ I <br /> _ Is the mon¢orut-system not currently sho✓ K a y I k alarms. ® ❑ <br /> I,v the Alarm Histo I ❑ -J� {t� <br /> Desi 7e rat,? log for the previous month available,and has it been reviewed by the <br /> r 4 y_�nated UST O e t � - <br /> P (d!r o cuey resp tided o regal/ing to this inspec(iora Jarrrr.) I ❑ <br /> Has each alarm for the previous month been responded ro appropriate] <br /> UST SYSTCM INSPCCTION 1, <br /> i Are tank [op containment sumps Irec of t+ater,debits .urd hazardous substance^ 1`'ur-Utl x na/rem sA,p <br /> m Lnn 6-Ju p 9 re or ah ,hos ocnvred m the u� .o t r ber d 1 d s n n'r hnb o has not responded ra.and <br /> u, r/r add sv d Je•car 1/I n alarm-Duavneww ,l 11 11 n a iarP Benne,. Irould hr attached ro t! s e art J <br /> � Yes No <br /> Suml L Yes No - <br /> p oca[ion UNLEADED ® ❑ Sump Location DIESEL <br /> _ ® ❑ / <br /> ! Sum Location: PREMIUM ®� Sum Location: ❑ <br /> 6. .ores ill buckets(containment structures)free of water,debris,and hazardous substance? <br /> Yes Nn N!A Yes No N/A <br /> Tank I I )-UNLEADED ® ❑ ❑_, Tank 41D- ❑ ❑ <br /> Tank IID-PREMIUM ❑ ❑ <br /> ® ❑ ❑ Tank 5 ID- -- <br /> "4m ' Tank 3 ID -D(ESEL ® ❑ I I I I Tank 6 ID- - <br /> 7. Are under-dispenser containment areas free of water,debris,and hazardous substance? <br /> I _ Yes No N/A Yes No NIA - <br /> Dispenser- I/? ® ❑ ❑ Dispenser-9,110 ❑ <br /> Dispenser-14 Z ❑ ❑ Dispenser- 1]/12 ❑ ❑ <br /> t <br /> Dispenser-5/6 N ❑ , ❑ Dispenser - 13/14 ❑ ❑ r' <br /> Dispenser-7/8 1 ® I ❑ 1 ❑ Dispenser 15/16 ❑ ❑ <br /> ( S. Leak detection is properiv located within under-dis enser containment. <br /> I <br /> Yes No N/A Yes No N!A <br /> I Dis enser- I/2 ® I ElEl Dispenser- 9/10 ❑ ❑ ® k <br /> i Dispenser-3!4 ® ❑ ❑ Dispenser - 11/12 ❑ ❑ <br /> Dispenser-5/6 Z ❑ ❑ Dispenser 13/14 • { <br /> I Dispenser-7/8 ® ❑ ❑ Dispenser 15/16 ❑ ❑ r <br /> PAPERWORK INSPECTION Ycs No N/A Dote Done F <br /> �9. ' Monitoring S stem Certification was completed within the past 12 month;' ® ❑ ❑ 4121/2014 (1 i <br /> t 10. i Line Leak Detectors were tested/certified within the past 12 months? ® _❑ ❑ 4/21/2014 <br /> ` 11. Spill bucket (containment structure) testing completed "ithin the past 12 months? ® ❑ ❑ _412 112 0 1 4 _ f <br /> I'. Line tightness [estim,completed within the required little frame? ❑ ❑ Q <br /> 13. ' Secondap'containment tests conl Ieted within the required time frame'! 2 ❑ ❑ 413012015 <br /> Fatinah Zareef, REHS Page 16 of 16 <br />