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SRH FOOD AND GAS 749 E. DR. MARTIN LUTHER KING JR. BLVD., STOCKTON, CA <br /> 416 2.d Street Designated Operator <br /> —� 209'744-0112 Ce 95632 Monthly Inspection Checklist <br /> Faz 209-744-0116 <br /> Site:SRA FOOD g GAS MART <br /> Date:1014/16 <br /> 749 E CIiAgTER WAY <br /> S9'O KTn>` (`q 95306 <br /> ®Zane A.Ni nmo El <br /> #5263322 David Winkler ❑Felix 39 Ramirez Edward Stom <br /> r <br /> #5263373 #3273934 05150492 <br /> gAvt - �)j er-� e� <br /> Y= N=wNA=vat&VPI <br /> MONITORING PANEL/ALARM HISTORY Y N NA <br /> Monitoring system is powered on and is proper operating mode, X <br /> Monitoring system is not currently showing any alarms or warnings. X <br /> 'warm history report/log for the previous month is available,and has been reviewed by the Denigrated UST X <br /> razor. Aaach a co o the alarm history repor0og,to this form i available. <br /> Each alarm for the previous month bas been responded to appropriately X <br /> Sensors lotamd m tank-top containment sumps have not alarmed in the past month_ Ix <br /> ;rt List a!!rank-top ramps where alarms occarred in the past month: <br /> t Nat¢:S t where an a/ <br /> J at^P a^n Itas'ac'eurred in the patt month mast be inspected unless a qualified service technician responded to,and properly <br /> addressed rhe cause oj(he alarm Aaach docamentanan verifying appropriate service fa this report Iftump irupectlon is required record results in <br /> item 6,below. <br /> UST SYSTEM INSPECTION <br /> Y N NA Y N NA <br /> Tank-top containment sumps are free of water,debris,and hazardous substance.Sensors are located properly. <br /> Nate:{ritual- on v in r where int alarm has accurre.. the momh or which there u no service record <br /> S Location:87 STP X Sump location: <br /> Sum Location:89 STP X Sump location: <br /> Sump Location:91 STP X Sump Location: . <br /> S 171 Wafti�unt strticalres are free of water,debris,&hazardous substance. <br /> Tank 1 -Regular X Tank 5- X <br /> Tank 2—Plus X Tank 6• X <br /> L <br /> premium X Tank 7• X <br /> Dicael X T 8 X <br /> containment free of water,debris &hazardous substance.Sensors located m l . <br /> 1/2 X Dispenser 19!20 X <br /> X <br /> Designated operator indicated that there is an underground storage tank (UST) with 'Plus" product and no UST with <br /> "Diesel" product. This is incorrect since there is no UST with 'Plus" product and there is one UST with "Diesel' product. <br /> Photo taken on: 5/22/2017 <br />