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► = = ==F �=-�?�ii+�iE) r � �iKd►i�if: 'i'AiVK �Yr'f'H'.�!1 <br /> DIFNIGNA l'T`F- UST OPFRATOR M(iN`i HI N iNCl tH,.CTii 1NRR t-IR t' <br /> Facility Name: Kwik Serve Inspection Date: August 31, 2011 <br /> Facility Address: 950 W. 11th St City: Tracy i <br /> Name of Designated UST Operator Conducting Inspection: ,Mmes Abbate 1 <br /> International Code Council Certiticatio No.: 8006067-RIC Expiration Bate: 3/17/2012 <br /> Si lftature: I zDl0 1—.: t <br /> g I ( }flt�1-�b�1 ext. l <br /> N A=r'ut A plicabie <br /> Item MONITORING PANEL/ALARM HISTORY Yes No ' N!A <br /> I. j Is the monitoring system powered on and in proper operating;mode? i <br /> 2. Is the monitor inq� system not currently showing any leak alarms:' T � u � <br /> --- Y <br /> 3, 1 Is the Alarm History Report/log for the previous month available;and has it been reviewed by the �( l <br /> ' <br /> Designated UST Operator? (flttac aeco v ufthe ulcrrtn history re ortilug to thi rtivn <br /> a. ? Has each alarm for the previous month been responded to appropriately? � <br /> A USI SYST>r:t'il'i inaPEC i iv i <br /> 5. Are tank-top containment sumps free i:far,i !?ns,and lwa= as uuhsta:c ;tz . , ...._ ..1 : ..a A F <br /> I j to Item d. Sumps where an atarm hos occurred in the past month must be inspected ifa qualified service technician has not responded to, and <br /> I Prnuertu addressed.the cauw nt'Ytte atarm. t?ncu+nentation veritviae approlu'iate.service should be attached to this r ttt'rt { <br /> Yes l! jo ; <br /> I <br /> B t ;411T _cx' tisixs' i dFam'�i ; _dist I 1 Sum t F- 4 -ovation- $_! # r S <br /> s €'Location- <br /> 3 I bump Location: I Lj I lj f Sump Location: Lj ,^_ <br /> 6. 1 Are apEli uiickeca'�arvuuuzuut,au�u ui.s.ut+�.tt sxtt�-�. 3".®•- •i ,�1"• <br /> 11-1 <br /> §� �,_-.-€44beF 3}tf i�ti<�}�S3:kt'••r 4StftRa dktS v.F«v' - <br /> es <br /> F-71i } k - <br /> ... <br /> T,4 ? 1E` P".1 a.; i '!f c t r e 1 k Tfen 1.5FEl <br /> .. T Rz>=. 1 L t d . ..CUiii 6 CL•s. t <br /> S <br /> .. Al :.t=:.'* dz.:». i3..333Xs hcs.4.cFti-....� <br /> a � 3 i3a}'SE��4U+J`— i?.k"s -➢ i 1 i k F 3 }ji}3:.�.. �.o_l+i'- ? b x-, -..-.. i � ' <br /> s.a a-.sac,ex�sea:t ,i:v 7 �..,�3 3....,� t•'t.}r*saa��-<. <br /> r <br />