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_03/11/2014 04:56 2093344684 - 05838 P.003 /003 <br /> DERGROUND STORAGE TANK SYSTEm RECEIVED <br /> I UST OPERATOR MONTHLY INSPECTION REPORT <br /> 11 1 <br /> IUfi:ti Mart Inspect aon Bate: June5,2013 <br /> _ y A• 1301 a�;'. Kettleman Lane Alex <br /> Lona <br /> of tSt:,:< 'ST 0-p,) raWr Cor4actIng Inspcction: !ll@}C J€t1 Lt2rr <br /> :�:atioi. 4e :Ou,100 '':c�:i�n No.: 5243897-OC E�.^piratiora 1Jate: <br /> _ 1016/2014 <br /> Phone: (926) 389-1262 <br /> i <br /> MONITORING PANEL l ALARM HISTORY <br /> Yesl No lklA <br /> _. I5 .::i yy)vverc:d on and in +roper a ra__ting snorle7D41 U 13 <br /> not cw-renttv slaovvine aqvi`ttcI kik alarms? <br /> Is' ::r, _ tgty :bl:!iuit;or the pre4'7ovs month available,and has it bc;cn reviewcd by the <br /> Db: S Opt., ? /.•I:tech a ca of the r a iiLl" to this afrs eriCare ornt.' <br /> :C.i <br /> cit month been rem Hoed 10 <br /> V APnrUpr78 <br /> _ _.. UST SYSTEM INSPEMON <br /> su...::.:,t surnpb-!(=01 water,&bris,amid ha'Aac QU--j:nibstanc4? Akw—if the enswer co ficnt 4 was <br /> A} 'cus•;::s v hcra ran alarm haw cmueped in.hb° <br /> ' past arrgfath ereeat tle irspecxerf if G nvspesn'sd <br /> :cc, _ s. rc css pi the afam." umerr»ra.ton err c n r.'n:c s�ervitx s xid beat aei ed to thi s <br /> _ Inr .ar,n YesNo No Sum �attrt I Yes 1a <br /> �a .>: <br /> SL _ Smrt Lc o2dErn; <br /> SU Sum Location: + <br /> t 1 _ c< rr•crit-tructurc.5 free of water,dCbris,and hazardous substance? <br /> - Tres No N/A Yes No NfA <br /> ! ❑ ❑ Ta nk 3 ID—Diesel <br /> I Lj I I Tank 4 ID TIF <br /> — <br /> Ai '''a:=cnt areas Crte of-water dcbns,and hazardous substance? <br /> _ y Yes No 1cT1A ; Yes No NIA , <br /> Dim nsez—9110 ; <br /> El Di <br /> ® Dig 'tit— 13/114 f <br /> _ ,Di ! D nscr—15/16 <br /> ;r.. v ioc;atcad within under-di sw contaimnent- <br /> _ Yes Na MtA <br /> Yes No =Ikl'A <br /> Dia user—9/10 a <br /> U DLsp==-11112 <br /> ser— 13/1 - <br /> IZTfT : Dimaeuser—15:I6 <br /> _'AP7r.RWOJRK INSPECTION Yes No iY/A DateDone <br /> one <br /> was completed wif in the past 12 rrorrhs? _v 6161.20'12 <br /> v c_ .. c t tcs:s co letcd witbx n the required time fr,�rc,::? 1111712011 <br /> -arixtare)tes#ing completed-within the past 12 months? 012 <br /> _ :C!: ' -rra::nitWJ within the required(=e frame? �J <br /> within the requu--d taanc fie? i <br /> e r; ti;Il mance was coo feted withinu1-ccd dmo fr3F isc 1"ll maim natwe items below.) <br /> CP-2C?I.,�&TP-201.6 I f 61612012 <br /> FACIL frY VVI LOYEE TRAI3'v'ING Yes .N o NJA <br /> raCw iV�the required on-the-'ob traiant2g within the 2ast ueaa" <br /> within the past 30&vs rived the r� tzvrr3 a I-tt: -+ob txaiuuir� .`� I <br /> :,�the"Corri-mcnts"section on the'foltow•irg Page.Arose illms require rxaaectiy-e action fmm <br />