Laserfiche WebLink
r N <br /> I <br /> UST OPERATOR MONTHLY INSPECTION <br /> t .i <br /> Facility Name:RAMOS OIL-FRECH CAMP „ LLw <br /> Facility Address:10842 S HARLAN RD <br /> City/State/Zip:PRENCH CAMP/CA �V <br /> Designated UST Operato • mu elgado Phone:916-371-2570 <br /> ADICC _ <br /> uc <br /> Certificatio umber:lExpiration2 - r <br /> Signature: <br /> Date: �j <br /> Item MONITORING PANEIJALARM HISTORY r� y X N/A <br /> 1 Monitoring system is powered on and in proper operating mode. <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 /> Now Sumps where an alarm has occurred in the past numth must he inspected unless a qualified service technician respond to,and properly addressed,the cams:of the <br /> alarm. Attach documentation verif•in g aripfopriatescrvice to this rc rtl. If sum ins •ction is rc uircd,record resultsin item(i,hchtw. <br /> UST SYSTEM INSPECTION <br /> 6 Tank-top containment sumps are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Note: Visual inspection of sums is onl•required in sumps where an alrm has occurred in the past month for which there Ls no service record. <br /> Y N N/A Y N N/A <br /> Sump Location: ❑ ❑ Sump Location: ❑ <br /> Sump Location: ❑ ❑ ❑ Sump Location: <br /> Sump Location: ❑ Sump Location: ❑ <br /> Sump Location: ❑ ❑ Sump Location: ❑ ❑ <br /> 7 Spill containment structures are free of water,debris,and hazardous sub nce. <br /> Y N A Y N N/A <br /> Tank I—Contents: DFC ❑ 'Tank 6—Contents: ❑ <br /> Tank 2—Contents: 7T ❑ 0 'Tank 7—Contents: ❑ <br /> 'rank 3—Contents: ❑ ❑ Tank 8—Contents: <br /> Tank 4—Contents: ❑ 11Tank 9—Contents: ❑ ❑ <br /> 'Tank 5—Contents: ❑ ❑ ❑ 'rank 10—Contents: ❑ ❑ ❑ <br /> 8 Under-dispenser containment areas are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Y 0/0 N N/A Y I N N/A <br /> Dispenser# 1 V11 7rT <br /> ❑ Dispenser# ❑ ❑ <br /> Dispenser# Dispenser# ❑ <br /> Dispenser# 2A&3A ❑ Dispenser# ❑ ❑ <br /> Dispenser# SAY 39eoo 11 Dispenser# ❑ ❑ <br /> Dispenser# 4A&5 ❑ ❑ Dispenser# ❑ ❑ ❑ <br /> Dispenser 0 ❑ Dispenser# <br /> Dispenser# ❑ Dispenser# <br /> P.O.BOX 401,W SACRAMEN'r0,CA 95691 (800)477-7266 <br />