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0 _ <br /> p � ®IYllWY� <br /> Designated Underground Storage Tarek (UST) Operato, <br /> Monthly Visual Inspection Chey list <br /> Facility Name:CA4 1 -Manteca <br /> aCOarc 119/16 <br /> eili neer _ _ <br /> CiManteca Zi e: 3361 ROULd 1. ..A LT <br /> Desieated UST 9peratorConductin the in cction: D*vW,Smith <br /> International Code Council Certification 9260473 is i ate;2018-0647_ <br /> Si lure:DavW Smith Phone.(M)58&11717 <br /> V V N*,iNA-NotApplicable <br /> item MONITORING PANEL 1 ALARM HISTORY Y N Net~ <br /> 1 Morritori!g system is pTtcrod on and in p per cratin <br /> Monitoring system is not currently showing any.alas or warnings, <br /> 3 Alarm history reporttlog for the previous month is available,and has been reviewed by`the <br /> Msignated UST Operator.(Avach a copy(fitix( titalarm hi.srai2 t (Melt to t isform if ilable.) <br /> 4 Each alarm or the previous month as been mpondcd to appropriate <br /> Se rs located in tank±o contain t have not a in east <br /> 54_ List athank«ttrp sums where alarms occurred in tete post month: <br /> m <br /> Note-S tt*ere un alarm has occurredia thepini owntrt Mase(be laxper ter! ta+ss a epi to,and <br /> pe rIv re"ex tete came eif'thealaarm,Artach alercumentar!on wqfting ari wjPP1aft-NeMee to aims rowrt <br /> l a f&%we.-tltatt l& AohvV.nvanl resull'T <br /> ®l;n Rases 6,Mow. ym r <br /> ST <br /> 6 T` -top contai t sumps are d ter,debris, d crus sts t c ®5 of t r y <br /> te.'t'iver�l tta tr c "sta x lv r at/r iia rl I ,v+tattlt,�tt ru tttr tetataysehat of #rtr "sheaf`sem*x*kh ra Ir trrx aero#a�P t r <br /> V11- N <br /> Sump Location: Sump Location: <br /> Srett p L arc(tic n. Sump Locwtion. <br /> .. . �� <br /> nt cation, SumvLo tion: <br /> Spill containment structures free of water.debris.and hazardous substance. <br /> Va I N r#Tam—nkk <br /> V N NA <br /> T 1 -Contents: diesel x _ ntents: <br /> Ta 2-Contents® k 4-Contents: <br /> 8 Under-dispenser c n it areas we free or water.debris,and hazardous substance,Sensors am located pmperly. <br /> V ESA I V I N 1 NA <br /> is 1 f i is ter*9 f 10 <br /> is ricer 3 ispenser 11 d 12 <br /> Di x �rSer / _ Dispenser 16/ <br /> tai sneer !S i3iWs 15116 <br /> PAPERWORK INSPECTION V N ESA AT DONE_ <br /> 9 Monitoring system-certification has been completed within past 12 months. le OBAW16 <br /> to secovid!2-containment tests have completed `thiimeframe. 6e O 14 <br /> 11 -Soil I containment bucket testing was completed within the past year. Ge /16 <br /> 12 Tank tightness testing was completed within required timefranre. te <br /> 13 line tightness testing was completed within required timcframc. d <br /> 14 Other required t in nlnint rn leted within required timeframe.(List testImairrtenance items bel v. <br /> lestlMaintenance. Cathc tce:tion Q 4 <br /> Test aintenae <br /> mom <br /> T'estlhfarltttc� tyre® <br /> FACILITY S E TRAINING V I N PIA <br /> 1S a ll f iii loy have received the r uired on—!L—jobon-th!L-job training in the t year. V <br /> �1�6AIl facility say hired within e t 3 days harve receimed t ui ttlatlte-fob tta r tt ® c e n a t cow t n nn t o ® hie,and w it re <br /> follow-up action. <br /> C APPROVED <br /> 9/191201611:49AMBrandon 8 <br /> Frage 1 of 2 November 2004 <br /> REV.Sole <br />