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UST OPERATOR MONTHLY INSPECTION <br /> Facility Name:RAMOS OIL-FRECH CAMP 7 777 <br /> 7 <br /> Facility Address:10842 S HARLAN RD <br /> Ci ty/State/Zip:FRENCH CA <br /> —ALT" <br /> L Fig <br /> Designated UST O>Aal'�amu e hone:916-371-2570 <br /> ICC Certificati Nump,�.,1- 652 Expiration Date;2-25-2013 <br /> Signature: Date: <br /> �1;e��do � <br /> 'CC Cetfc,,,, N�um.1 <br /> Signature: <br /> u <br /> :S Tgn a:t <br /> F Item MONITORING PANEL/ALARM HISTORY Y N/A <br /> I Monitoring system is powered on and in proper operating mode. <br /> 2 Monitoring system is not currently showing any alarms or warnings. El <br /> Alarm <br /> 3 Monitoring <br /> history report/log for the previous month is available,and has been reviewed by the Designated UST Operator. E3 ❑ <br /> 4 Each alarm for the previous month has been responded to appropriately. El <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 11C inspected unless a qualified service technician respond to,and properly addressed,the cause of the <br /> alarm. Attach documentation veri i in,airoiriate servicelio this re ort. 11 sumi ins fiction is rciuired,record results in item 6,below. <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 ins.ction of sumps is only re2uired in sumps where an airm has occurred in(he past month lbr which there is no service record <br /> Y N I N/A Y N N/A <br /> Sump Location: El El ❑ Sump Location: 11 0 [] <br /> Sump Location: —0- Sump Location: 0 El El <br /> Sump Location: _rr Sump Location: 11 El 11 <br /> Sump Location: E] El El. Sump Location: 11 El 11 <br /> 7 Spill containment structures are free of water,debris,andaza substance. <br /> Y N N/A <br /> Tank I-Contents: DFC * El El Tank 6-Contents: _0­9 11 <br /> Tank 2-Contents: El El El Tank 7-Contents: 13 0 El <br /> Tank I-Contents: El El EJ Tank 8-Contents: 11 El 0 <br /> 'rank 4-Contents: ❑ 11 E3 rank 9-Contents: El ❑ El <br /> Tank 5-Contents: El El [j Tank 10-Contents: ❑ <br /> I <br /> 8 Under-dispenser containment areas are free of water,debris, azar oussubstan-e. Sensors are located properly. <br /> Y ,,"N N/A Y N N/A <br /> Dispenser# I A- ❑ Dispenser# El 0 11 <br /> Dispenser# I.Ar4el I 2- ❑ Dispenser# —0 <br /> — <br /> Dispenser# 2A&3 A Dispenser# C1 <br /> Dispenser# Dispenser# El El El <br /> Dispenser# 4A&5 ❑ El Dispenser# El 1:1 0 <br /> Dispenser#..SA— Dispenser# <br /> Dispenser# ❑ .—Ml ODispenser# <br /> P.O. BOX 401,W SACRAMENTO,CA 95691 (800)477-7266 <br />