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STATE OF CALIFORNIA • dEPARTMENT OF TRANSPORTATION <br />CALTRA S MAINTENANCE STATION <br />ABOVE GROUND STORAGE TANKS AND <br />FUELING FACILITY <br />HO- TCE-o2 fRev 8113/1999) <br />DAILY INSPECTION'FORM <br />atsri3lcr; FACIL�OAME��,_/ <br />PERMIT <br />coNTENrS a TANK(S): - <br />Na:% <br />----------------- <br />DATEtA(iNTFt1YEAFt}:Lt <br />o <br />.5 r <br />L <br />f <br />CHECK FOR GOOD <br />OPERATION CONDITIONS <br />—DAYSOF THE MONTH <br />Tank(s) Leak Free <br />1 2 3 <br />4 <br />6 7' <br />'$ � <br />9. <br />• 10 <br />11-;. 12 13 <br />N' <br />14 15 16 -17 <br />18 '19 <br />20 <br />21 <br />22 <br />23 24 <br />.2526 <br />27 28 29 3(} 31 <br />y <br />Hoses/Fittings Leak Free <br />Nozzlesipur-tps Leak Free <br />_ <br />Fill Ports Sp fI <br />Containmen: C <br />Spill (Tertiarr) <br />Containrrtena (Dry) <br />Spill Contairment Valve Closed <br />,Auto Shut -oft Switch Posted <br />Auto Shut -obi Switch Operable INN <br />Fueling Procedure Posted <br />Spill Cleanup Procedure Posted y <br />!: <br />Spill Kit (Essential Material <br />Available) <br />Used Cantair <br />f yRaid <br />(Lid Covered From <br />Permit(s) Current <br />Distribution. <br />Original . District Nazmat Mgr. Pink - otsttict storm WO Mgr, <br />Yellow - Field Africa— <br />ADA Notice For 89, Sacra with s A 05 dtsatsltttlas, this d®Gument is available to alternate hirmats Far information call (i?1s) 654-6410 <br />of IAD (91s) 654-3880 of write Records and Forms Management, 1120 N street, <br />