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Manager Review(Signature) Date: <br /> SUS CTED LEAK ACTIVITY OG <br /> Chevron Month <br /> Facility# 209167 Maintenance Release# Day&Year <br /> Tank# Product Equipment <br /> Initiating Circumstances: i.e. Monitoring System Alarm or Invento Out-of-Tolerance <br /> Action Taken to Correct Alarm Condition or <br /> Investigative Steps Until Resolution Date Time Initials <br /> Assign a number and LOG EACH STEP until ALL FUNCTIONS NORMAL is displayed <br /> on the Monitoring System Console <br /> 1) <br /> Note: Staple the Alarm Condition Report and ALL Repair Work Orders to this document. <br /> 0 File the completed log with UST Equipment Monitoring Log and UST Inventory Reconciliation Logs in the Appropriate <br /> Month of your station's Retail Facility Compliance(RFC)Management Workbook <br /> RFC Workbook Section 3-Underground Storage Tanks Form#UST-3 Revision Date: January 2008 <br /> L_ <br />