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,03/�U2009 13:26 2094732 MARCH LANE 76 PAGE 03/06 <br /> Site Number X55886 Month: MerD� <br /> (Designated Underground Storage Tarek(UST) Opera#Or <br /> Monthiv Visual iris ration Checirli t <br /> F clI Nan>ehierch na 78 Date: <br /> ~ Fa Addresa:VVII w March Ln. <br /> d .tlM,octcton,CA ZI Codo,95210 <br /> Desi noted UST Cor Conduction the Ins o#on;�lason K' <br /> in msGotria t1C 1w Oration Date;OWOMO <br /> Si nature: TMPhone 530 268-3M9 <br /> Item MONrr(3PJNGJFANEL t AF AY <br /> Y-YM N-No.NA`Not I'�ble <br /> Y N NIA <br /> 1 Monitoring system is pMrad on and In pT2Rroe!mtIn9mode. <br /> 2 nitorlog Vatern Isnot currently anowrl an alarms or warni S, <br /> 3 Alarm history rimpwft for the previous month Is milabie,and has biter reviewed by the <br /> Designated UST 0 eriator.LAam s g=af me dram ht�oty ro ro Hris folm Jf evaaoak+. <br /> 4 Each al m for therevrous month nit9 p89n reg nded to ap2MdLtW <br /> 5 Sensors located In WIS:W containment sunVo hmm not alarmed in the at month. <br /> 5a - Met all fank toe sumps where slalms ocsurmdIn the post rnoinrh; <br /> NOW swnps wneman arm ha d rh my pa#MmWft MVf bFOODO 90 unless s qbB1 '4fVk r!achr>o!W ravWdsd� <br /> +mdprOperly addM1"d,(hr cavae offt akum.A&M dowmanwW+re '!np®pra/oslrare service ib two rapm <br /> �swrtA�eP� '�1�F rs r@qui�p�leocrd rs�rlts in kem�,An�Nt <br /> UST SYSTEM INBF tJN <br /> 6 Tank-top containmant numpo are free of water,debris,and haaacrdws substerroe.Senmars are located properly. <br /> N414, ftPutfibn of mffma Is onryregWrad Or AtmWM wMm an ocean fres cwffmdrn ata paAf mmffi forwhkh fen Ia neo <br /> SWVW record, <br /> YX&VIMP <br /> r N 19111111101111 <br /> Sum Location: m Looa�oflr <br /> gum Locaga"'Su location. <br /> 7 SPIR containment structures are free of water debris and hazardous Substance. <br /> NWA Y N NIA <br /> Tank'I•Contents:87 Tank 3-Can�nt's:Die of <br /> Tank 2-Contents:9i Tank 4.Contents: r X <br /> 8 Und®r qls nsere ta9nmebi ar®aA f o of water,debris,land hazardous substance.Sensors era l®ceted rl . <br /> Y N N Y N WA <br /> k enser 1/2 Qg ®per.9/10 <br /> ® deer 3/4 bpe I I Disnenser 11/12 <br /> Dis nseir S/ 1 Wiaoenser13114 X <br /> Dis lrser 7/8 Dfs nsuar 16/t6 X <br /> PAPERWORK INSPECTION Y N WA DATE LDONR <br /> 9 <br /> —ftnItOrIng systern ceritticatbn has been cora etad Wlthln egst 12 months. X <br /> 10 Second rmtahtment tests hm boon WM efid within the MSUlnad timeframe. R 42M71x007 <br /> 11 <br /> SpIll contalnmern structure bucket teatInGLwaa aw„ ieted within the Pam year. x -4V L10-it <br /> ' <br /> 12 Tank htness testln was cora sated within required t�frirm, t <br /> 13 Una tl htness testina was completed within required tfmafrarne, <br /> 14 Other A-d teatinsil mainteneince was Eem sated within EMutrw wnermmejust tesf/una' tAnance items below. <br /> Test/Ar►alntg <br /> intenanca: <br /> Te ilintenence: <br /> FACILITY LMPLOYEE TRAINING Y N NIA <br /> 15 Aff fad em have received the rs ufred on- ob trainin within the ar, <br /> 98 Ail fa ON em o hired within�Me 30 d2 s have recetveatf t1T8 aed on-the4ob trimin , <br /> Mote. Any answer OF"N" uld be explainged In the comment sacton on the following <br /> and will requrre f t pa <br /> Signature <br /> ®ate — b <br /> Q.R. <br />