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STATE OF CAUFORNIA • DEPARTMENT OF TRANSPORTATION <br />CALTRANS MAINTENANCE STATION <br />ABOVEGROUND STORAGE TANKS AND FUELING FACILITY <br />HQ-MTCE-02 tRev 8/19/1999) <br />DAILY INSPECTION FORM <br />•CHECK FOR GOOD <br />OPERATION CONDITIONS <br />Tank(s) Leat Free <br />Hoses/Fittings Leak Free <br />Nozzles/Purips Leak Free <br />Fill Ports Sp I <br />Containmeni (Dry) <br />Spill (Tertiarl() <br />Containment (Dry) <br />Spill Contairment Valve Closed <br />Auto Shut -Off Switch Pr,croa <br />Fuelina Procerirtra Pnc+ea <br />ODIII Ueanun Prn,- .,4 — <br />-r•-•. ....��J—moat tviateriai <br />Available) <br />Used Contai-3er (Liri r-nwarcrl c..,..,.. <br />Permit(s) Current <br />I 7e --L 'r, r <br />_- vnginal - District Hazmat Mgr. Pink - District Storm H2O Mgr. g Yellow -Field Office <br />MS -89, Sacramento, CA 96!374. in alternate formats. <br />- ADA Notice For individuals with sensory disabilities,, this document is available For information caw (978) 854-8410 or TDD (918) 864-3880 or write Records and Forma <br />Management, 1120 N Street, <br />