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STATE UP CALIFORNIA • 6EPARTMENT OF TRANSPORTATION <br />CALTRANS MAINTENANCE STATION <br />ABOVE GROUND STORAGE TANKS AND FUELING FACILITY <br />NQ-MTCE-02 CRev 8/1911999) <br />DAILY 114SPECTION FORM <br />DISTRICT: FAGIi t7Y NliiviE: <br />CONTENTS OF TANK(S): <br />PERMIT NG3: <br />q 911,16 DATEoNTll/v,I>: ` �1 <br />CHECK FOR GOOD <br />OPERATION CONDITIONS - DAYS OF THE MONTH <br />1 2 3 4 5 6 7 s8.. 9' .10 11- 12 13 14 15 16 17" 18 19 20 21 22 23 24 25 26 27 28 29 .39 <br />Tank(s) Leat Free 31 <br />Hoses/Fittings Leak Free f <br />l <br />Nozzles/Pur-ips Leak Free <br />Fill Ports Sp H ; t' <br />R _ a <br />Spill Contairrnent Valve Closed <br />Auto Shut-off Switch Posted <br />® Auto Shut-off Switch Operable <br />Fueling Procedure Posted <br />Spill Cleanup Procedure Pasted <br />Spill Kit (Essential Material <br />Available <br />Used Contaiier (Lid Covered From <br />y <br />Rain <br />Permit(s) Current <br />Distribution; Original btstrict Hazmat mg, <br />Pink - District Storm H2Or, <br />M9 YeiBnht - Fietd Office <br />ADA Notice For Sacramento, CA 55814. <br />Individuals with sensory disabiirties, this doaurryant <br />tu15.85, Sacrais available in alternate formats, For Information call (m) 654-6410 or TOO (01 - 654-3880,or Write t7aCOrds <br />and Forms Management, 1120 N Sheet, <br />