Laserfiche WebLink
COS Municipal Service Center 1465 S. Lincoln St. Stockton, CA 95206 <br /> Designated Underground Storage Tank(UST)Operator <br /> Monthly Visual Inspection Checklist comments., <br /> z,. <br /> ±C °t7flueRltMtCIRh`YARLF <br /> luttS^�!. In Sr <br /> Zip CAAC:95203 ', {„(1tMs in& st Tlt da <br /> CotcNn tie Ins ion:)loran R Arsmiz Tank 2:delivery needed 08!20, <br /> CgtnaA k:ti032 54JC`•-° `:.Expiration Date: 05131/15 L44.97 ANNULAR space 08/i6. <br /> 'Phdlr:1209)51541.6 <br /> Y�Y lY.IYn\A.IW1A <br /> MONS DNCPAN£L/ALARAiHISRV Y N N <br /> TOA <br /> [roma ROC1016119 Fo[[4w-Up Actions: <br /> aaae�ia i mwk- X �a <br /> a6i <br /> X <br /> +n rWrrnaorwarnin <br /> tar lie ow mond it available and Inas baen reviewed by the X " <br /> �1S? AaarA a' rfirula ar hbt 7 ralhir exon atwituMv.' I <br /> Instructions: r <br /> #r8trtpmviouamoadt laslxem rcafaadsd toappropriakty. X Monthly visual inspection of the US"f system must be conducted by aDldgnaled UST <br /> Tacacad and coantnttot cru baro not aWrmed)n the month. X possesses a current-Cali famia US"1'System Operator'certifimiion i the lett <br /> by trnatiQipit'(Dde <br /> Lirraitw*i^gp; maga *.t alarm fty wJinthepasta orslh! !' Council. <br /> ,yi4++ra' ebr«Aaa'a:iwl.YaGRY«wrp wMx.. •..�.•,,� __. 1�ratQrc�1ta ." <br /> nor v k»c a,.a xutdw +' A copy ofthis monthly visual inspection checklist must be provided t$iltc UST 0%=or <br /> rtax,ir alta,r, xr <br /> not to the State Water Resources Control ltoatd. <br /> UST SYST£M W harardum su _ The Designalcd UST Operator must alert the UST Owner or Operator of an condition <br /> Taut tap cmnainmmi sawp we kv of water.delxis and hamrdous substance.Senses are located pruperh. phi) y tliscoti 1pd thnring <br /> .M+aw the monthly visual inspection that may require follow-up actions_ <br /> Y I N I I IV N <br /> Lorxiaor Dhoaf x I I The UST Owner or Operator must maintain a copy of this monthly visual inspection checklistagd all; <br /> ter err n t� x uttachments for the previous 12 months. The records must be maintained on-site or,ifapproved by the <br /> ill cmaainment structures are fire ofwamr,debris.and hauudous suisimm, local agency.off-site at a readily available location. <br /> Y N NA V N' NA <br /> Tatdr!—t an nate iNaAt! X <br /> ., ronafnment areas arc fax of at debris,and hazardous substance.Season nue for tedN INA <br /> 3'15 X � "l;s�` '°f'•�=' ; <br /> ' 316 X � t <br /> PAP£RWORX[NSP£C7IDN Y N NAI DATE.DONE <br /> f aetlfia9tantunbestsw letadwibia 13 tnonitu. X W Ili'13 ••. <br /> it): SecondaryW,oaatuiotuuar&M hava ben I ktel within Ilia required timeframe, x 041742 • � <br /> i' cottuiamsatsntmue trill wax letedwithintim t xr. X 41118+13 <br /> <� melt• »� irlthir ulicdt}nacfrnntr. � *„ � ,* <br /> arta wil.ia uiradtimaframe. �, , v. <br /> # was mm kted wihin Mwired timefsnnrc. List resehnarraen'to"amu below,! <br /> RACfLnY£MPLOY££TRAJXING Y N NA <br /> dmY racaivad tie imd aa.the• Is training within the pan Yrar.O7^Sf t3 X '„ <br /> hind*a m tie t 30 t have received the meed an-the=abuainm X ~* ' <br /> + u f <br /> �tla�"siadd be 41p41atd Is the cOtanitnt cation an tie faUaw tag page,and will require t �� �*,,• <br /> Y• <br /> Page I of 2 <br /> November aa}i <br /> Response to alarm not documented. <br /> Page 3 of 5 Photo taken on 4-16-14 <br />