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515 W. Eleventh St#30, Tracy, CA 95376 Record ID PR0231400 <br /> 7/13/2016 PHOTO#9 <br /> October 2015 D.O re ort with incorrect secondar containment test date <br /> rground Storage Tank(UST)Operator <br /> Monthly Visual-Inspection Checklist - <br /> tune St3.�Gs._, - <br /> ate:10I'7''t5 <br /> D <br /> tisilitj Addresc�15 ll`. tIfstrcei <br /> c in.Tracy Li Gode:95376 <br /> 1) -iLnnted Uff Operator Conducting the Ins e,ction:Karen R Amaiz '— <br /> tntem de Council Cc ficatiott#:8356759 Ex irauon pate. 05,o5,,17 <br /> T. <br /> _. <br /> sculltore; rJ Phone: <br /> (.2119) 518-4836 <br /> Rent _ MONIT'04ING PANEL/ALARM HISTORY y <br /> It <br /> I mollitorinl systeIn is powered on and in prop r operatin mode <br /> 2 Monitor=s+stern isnot current showing any atv ms or wamin s. <br /> 3 Alarm history repoNlog for the previous month is availableand has been reviewed by the <br /> Desi Dated UST nn (Altacfr a co ofthe alarm history re ord{o'to this arm i xrudFlobfe. <br /> 4 Each alarm for the previous monflt has been res onded to a ro riatel — <br /> i SeDsors located in tank-top containment sumps have not alarmed in the past month. X <br /> 5a ± 'a !si all tank-top sir{nlrs where alarms occurred in the past month: <br /> \oto Su nps w/wrean alarm has occurred in die poet month must he inspected unlessn quaftfrzd sernce xEt}nuatnx its <br /> r rup xr{v address d,thecause of the alarm.,41mch documentalton wrotag appropr,we•sen•u'e to this report <br /> 1 cut mins;iectwn n t used,record results in/lent <br /> UST SYSTEM INSPECTION' -' <br /> t 6 Tank-top con taimnent sumps are free of water,debris,and hazardous substance. Sensors are located proper <br /> Awe,Viuu,l ins Lycooll o sums rs o+f7 re u+red in sum n s wherean alarm has occurred in the ast month`or a hide rhrrc+s no u <br /> _ Y I N Y N i <br /> Suatp Lo" <br /> tior'h"'STP X <br /> Sum Location:91 S1'P X t <br /> 'Stiniv Location:.:.Diesel STP:. _ X ; <br /> 7 Spill containment structures are free of water,debris,and hazardous substance. <br /> _ Y N NA1 \ N NA <br /> Tank f -Contents:$7 X Tank 3-Contents Dieser <br /> _ -- — <br /> ..... <br /> i Tank -Contents:91I X` <br /> 5 Under-dispenser containment areas are free ofwater,debris,and hazardous substance Sensors are locates# W crt\ <br /> Y N NA 1 a` t N kNA <br /> Drs errser 1/2 X <br /> Dispenser 314 X <br /> Dis eruct i>'6 ?C <br /> Dispenser 7s b' X <br /> PAPERWORK INSPECTION i Y N NA t D.VtEb)N ` <br /> 9 Monitoring system certification has been completed within past 12 months. x Il; <br /> 10 Secondary containment'tests have been completed within the rewired timetrame. X —O 15 15 <br /> I S i(Lcontainment structure(bucket)testing was com laced within the ast�e X 0 t� l <br /> 12 Tank tightness testing was completed within required timeframe. t <br /> 11 Line tightness testing was completed within required timefiame. <br /> I'4 E)t(ter re aired testin _maintenance was completed within reqaired tirttefranre. {List€est:tnautrenura e i <br /> Fatinah Zareef, REHS Page 9 of 12 <br />