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UNDERGROUND STORAGE TANK SYSTEM <br /> LEAK ALARM LOG <br /> Per California Health and Safety Code,Chapter 6.7,§25293,the operator of an underground storage tank(UST) <br /> system must keep monitoring records in sufficient detail to enable the local Unified Program Agency to <br /> determine whether the UST system is being operated in compliance with applicable UST regulations.All leak <br /> alarms from the UST monitoring system must be logged.(Do not log non-leak alarms such as Delivery Needed.) <br /> N <br /> Facility Name: -0- ilo-n i Pe-ff'21 -w) 713 N Q dO-,Z, JJ o S+- ShC�- D-v\ <br /> Date Time Alarm Cause Recorded By Comments/Corrective Actions <br /> (EXAMPLE) 1230 m 1.7—DISPENSERI/2 2 Gas spill into pan from 8/1/2014-Cleaned up spill.Placed <br /> 8/1/2014 p / filter change. Jan Smith absorbent pad in waste drum.Alarm <br /> cleared. <br /> +2.2.1 A'ie3 LLD No roWV\ , e <br /> 3 u q)3 R-I a rwt_ Rck'Aea A- 3-o W� %h c <br /> c-t•ea✓..� +u <br /> f 2 zf r L 13 FLtO LjaA_A_ <br /> (2 2315 L t o . to jus key^ k <br /> L iF 9 k3 et <br /> No+-- icnt.o wv\ <br /> stn�4 oa��� 94&Se t <br /> Wot �nnow— <br /> g�v4-dwt., pais-e_ !3.Q 611 <br /> L 1t Fke-C Wim- R a W <br /> P-• Fue4G� p� <br /> r <br /> �• ` �i.. <br /> -T <br /> rV <br /> En <br /> ( Q7 <br /> rt 1 <br /> r - <br /> This log is part of the facility's underground storage tank monitoring records and must be kept on-site for a <br /> minimum of three(3)years. <br /> UN-102 www.unidomarg 1/1.08/07114 <br />