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505 N Main St, Manteca Record ID PR0231442 <br /> 6/16/2017 <br /> PHOTO#5 <br /> Picture of 9/7/2016 des/ Hated o erator monthly inspection report. The incorrect date is written for the secondary containment testin . <br /> DESIGNA' b <br /> `IMT)OPERATOR <br /> r — MCtlk!Rfi S fdN c4t6KLI§T <br /> n <br /> ame Qu7k Sto `_ <br /> �dmss P Market#124 <br /> 505 N. Date <br /> Main Street r _ (+` September 7,2016 <br /> zip <br /> Manteca,CA 95336 <br /> i. <br /> ated Operator Harold Largo <br /> j <br /> 9 <br /> non et 8293993 <br /> Expiratwn December 18,2016+ <br /> x may; <br /> 731 Phone (916)373_1166 _ <br /> _on HISTORY — — <br /> ` Monilod per operating mode + Y N <br /> Alarm hi" ng any alarms or warnings �- - - .-- 11 ❑ <br /> 3a- —. ter the previous months available,and has been revrewed by the Oes"Hated UST Operator ■ ❑ 0 1, <br /> -. isa : histo — _fev <br /> 4 Each alarm + ry report/log to this fonnv _ _- — ❑ ❑ <br /> _. previous month has been responded to appropriately. — -- <br /> 6 Sensors located in tank-top containment sumps nave NOT alarmed m the past month L ❑ <br /> �._ Ltsf a!1 tank top sumps where alarms occurred in the past month ® Cl ❑ <br /> Note Sumps,where an alarm has occu/ipd In the pas4rranM mus(aeinspected u less a q a!tied service technrcran respontletl fo,and t i <br /> nA appmp'Nare service to fhrs nxport, <br /> UST' <br /> 6 -top contain` are free of water,°eb <br /> Note'Visual ms Arid Ha�anlaus substance Sensors are located properly, <br /> pection of sumps is Dory required In sumps where an alarm has occurred in the past month to,which there At no servo," <br /> 6 i Y i N , <br /> Sump Location: i ❑ ❑ <br /> Sump Location: ❑ El <br /> r b <br /> a <br /> Sump Location. ❑ ' ❑ L V rA <br /> tt I <br /> 1�1 <br /> ' 7 Spill Containment Structures are free of water,debris,and hazardous substan <br /> Y -N NAA �^ <br /> Tank; - Gasoline 87 � ■ ❑ ❑ ,.r.-_ .._ ,; „�. � Y I N.. <br /> --- --P _ - ■1 ❑ ❑ Tank 3 Gasoline 91 ■ ❑ ;, <br /> debris,and hazardous substance. Sensors are located property. . �r;` <br /> _ an - asoLn_e_8_9_ <br /> 8 UnderCis a se contain areas are free of water, <br /> Y N I NA <br /> Dispenser 1/2 col <br /> Dispenser 314 ■ ❑ ❑ )ill II i��l �M�Ili9 lid I�i I# I��r iki lii�I M9F <br /> ORK INSPECTION Date Y i N. ' <br /> on dnngv. Meted within the past 12 months. __ 06/16/16 ■ L❑ <br /> ..'seconda <br /> ry )sled within the required timeframe. i 08/07113 1 ■ <br /> 4 <br /> til cont_am. completed within the past year. i 06/16/16 : <br /> ti}2nktiyhtnes requi me. __ - - =Line tightness tightness testing was completed>: re <br /> `" p uirad testing/rpe pletrr' uired ame. (List items balaw)., �, <br /> Maintenance '' _ <br /> ^k <br /> ditty employees-have re eive �. <br /> taLility employeas Hired within ftle p"- <br /> John Alaniz, EHS Trainee Page 5 of 6 <br />