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UST OPERATOR MONTHLY INSPECTION <br /> UAW <br /> Facility Name:RAMOS OIL-FRECH CAMP <br /> Facility Address:10842 S HARLAN RD 7j 1 77� <br /> City/State/Zip:FRENCH,5WIP/CA <br /> Designated UST Op or:506 uel Y, gado <br /> gd6Phone:916-371-2570E 7,L I 7X31H <br /> ICC Certificati umbi 1065 _uc Expiration Date:2-25-2013 <br /> 'ert fu <br /> Signature: Date: <br /> Item MONITORING PANEL/ALARM HISTORY Y N/A <br /> I I Monitoring system is powered on and in proper operating mode. 'D <br /> 2 Monitoring system is not currently showing any alarms or warnings. ❑ <br /> 3 Alarm history report/log for the previous month is available,and has been reviewed by the Designated UST Operator. <br /> 4 Each alarm for the previous month has been responded to appropriately. ❑ <br /> 5 Sensors located in tank-top containment sumps have not alarmed in the past month. <br /> Note: Sumps where an alarm has occurred in the past month must he inspected unless a qualified service technician respond to,and properly addressed,the cause ofthc <br /> alarm- Attach documentation veru <br /> iniaitoiriateservice to this report. If sump ins fiction is rejuired,record results in item 6,he ow. <br /> UST SYSTEM INSPECTION <br /> 6 Tank-top containment sumps are free of water,debris,and hazardous substance. Sensors are located property. <br /> Note: Visual inspection orsumps is only requi IfM has occurred In the past Month lot which there is no service record. <br /> SY N N/A Y N A <br /> Sump Location: <br /> El El ❑— Sump Location: <br /> Sump Location: Sump Location: El <br /> SumpLocation: SumpLocation: <br /> El <br /> Sump Location: 0 El El Sump <br /> 1 0 1:1 <br /> 7 Spill containment structures are free of water,debris,and hazardouss <br /> stance. <br /> ——— 11 <br /> Y N //—A N N/A <br /> -- <br /> Tank 1-Contents: DFC _E1 _V El Tank 6-Contents: <br /> Tank 2-Contents: Tank 7-Contents: <br /> Tank 3-Contents: Tank 8-Contents: El E3 El <br /> Tank 4-Contents: Tank 9-Contents: E] <br /> Tank 5-Contents: Tank 10-Contents: <br /> 8 Under-dispenser—containment areas are free of water,debris, hazardous substance. Sensors are located properly. <br /> Y N N/A- <br /> Dispenser# 1 84 El 11 Z -0— Dispenser# Y N N/A <br /> Dispenser# 14&2 <br /> ;F0__❑ Dispenser# <br /> Dispenser# 2A&3 ❑ Dispenser# _ry-0- <br /> ❑ <br /> Dispenser# 3AA&4 Dispenser# El <br /> Dispenser# 4A&5 4 El El Dispenser# -E] ❑ El <br /> Dispenser#5A <br /> El ❑ Dispenser# <br /> Dispenser# Dispenser# <br /> P.O.BOX 401,W SACRAMENTO,CA 95691 (800)477-7266 <br />