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Us'r OPERATOR MONTHLY INSPECTION <br /> J 01, <br /> Facility Name:RAMOS OIL-FRECH CAMP" i <br /> J 7,17,117, 7, <br /> Facility Address:10842 S HARLAN RD <br /> City/State/Zip:FRENCH CA /CA <br /> Designated UST pc mu elgad 77� <br /> llhonc:916-371-2570 <br /> ICC Certific, .. n Nu r:l 03-u- Expiration Date:2-25-2013 <br /> ignature- Date: <br /> Item MONITORING PANEL/ALARM HISTORY IYON 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. <br /> 3 Alarm history report/log for the previous month is available,and has been reviewed by the Designated UST Operator. Cl <br /> 4 Each alarm for the previous month as been responded to appropriately. <br /> 5 Sensors located in tank-top containment sumps have not alarmed in the past month. el 4 0 0 <br /> Note: Sumps where analarm has occurred in the Past numth must be insfwctcd unless a qualified service technician respond to.and properly addr"ised,the cause of the <br /> alarm. Attach documentation vc=i!!+a at rime service to ibis re m. If sum in: ction is required,retard results in item 6,lick, <br /> w. <br /> UST SYSTEM INSPECTION <br /> 6 'rank-top containment sumps are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Note: Visual inspection of sum ps is only rcqLtrcd in sums where an;Irm hits occurred eres no service record, <br /> Y N N/A <br /> Y N N/A <br /> Sump Location: Sump Location: ❑ <br /> Sump Location: Sump location: ❑ <br /> Sump Location: Sump Location: <br /> Sump Location: Sump Location: El <br /> ❑ <br /> 7 Spill containment structures are free of water,debris,and hazard ss tante. <br /> /A Y N N/A <br /> 'rank I—Contents: DrC *rank 6—Contents: <br /> 'rank 2—Contents: 13 El 'rank 7—Contents: <br /> 'rank 3—Contents: ❑ El ❑ 'rank 8—Contents: <br /> Tank 4—Contents: =_� 'rank 9—Contents: <br /> Tank 5—Contents: 0 'rank 10—Contents: <br /> Li 11 13 <br /> 8 Under-dispenser containment areas are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Y N N/A <br /> Y N N/A <br /> Dispenseri I ❑ Dispenser# <br /> Dispenser# LA-&-2 ❑ Dispenser# <br /> ET <br /> Dispenser# 2A&3 ❑ Dispenser# <br /> Dispenser# Dispenser# <br /> Dispenser# 4A&5 A Dispenser 0 ❑ -0 13 <br /> Dispenser Dispenser# <br /> Dispenser# ❑ Dispenser# <br /> P.O.BOX 401 WSACRAMENTO,CA 95691 (800)477-7266 <br />