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4315 E Waterloo Rd PR0231760 <br />04/18/18 PHOTO # <br />Designated operator monthly inspection report dated 10/9/17. <br />MONITORING PAN IJI. / AI ARM HISTO <br />Item OW <br />1. 1 the rnutritorins; system owered on and in proper operating mode? <br />Is the rnonitorin system not current! showing an teak alarms`? <br />;. Is the Alarm History Report log for the previous month available, and has it been reviewed by the <br />(Attach a co o the alarm histo re ort/lo to this ins pec -tion form.) <br />Designated UST Operator? <br />4. Has each alarm for the revious month been responded to appropriately'! <br />UST SYSTEM INSPECTION <br />5. Are tank -top containment sumps free of water, debris, and hazardousbe inspect <br />a oit- t fiedlservic technician has notsresponded <br />"N,4 "skip to Item G. Sumps where an alarm has occurred in the past month P J <br />to, and <br />ro o it addressed, the cause o the alarm. Documentation verifyingappropriate service shm,`.,e ?-< attached to this re °YY es No <br />Yes No ---- <br />Sum Location: <br />Sum Location: Sum Location: <br />Sum Location: <br />6. Are s ill buckets containment structures free of water, debris, and hazardous substance? Yes No N/A <br />Yes No N/A <br />Tank 3 1D — <br />Tank 1 ID — Re ular Tank 4 ID — <br />ank 2 ID — Premium <br />arPac free of water, debris and hazardous substance`? <br />Aaron Hang, EHS Page 23 of 36 <br />