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Site Address: 717 W. Eight Street, Stockton Record ID# PR0522448 <br />Date of Inspection: 03/29/2017 <br />PHOTO 9: Close up of the designated operator monthly inspection report. Does not show alarms for October 2016. <br />V <br />pi <br />F <br />1t��'w Pa i�d <br />IEW— <br />D STORAGE TAN <br />UNDERGROUN K SYSTE <br />DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT <br />Facility Name: � �� � S Inspecttion hate: <br />Facility Address: / Zc/ �- El, City. = * __ i <br />Name of Designated UST Operator Conducting Inspection: Douglas Nunn <br />International Code Council Certification No. 523$716 ExPuation Date: 7/27/2017 <br />Signature. Phone: (5101894-1401 ext. <br />N/A <br />Item MONITORING PANEL / ALARM HISTORY t t N/A <br />I. Yes =Not A icabie <br />Is the monitorin s stem o -ered on and in proper o eratm mode? <br />❑ <br />2. Is the monitorin s stem not currently showing any leak alarms? <br />3. Is the Alarm History Report/log for the previous month available, and has it been reviewed by the <br />01 <br />Desi ated UST Operator? Attach a copy of the alarm history re ort/lo to this ins ection orm.) <br />4. Has each alarm for the previous month been responded to appropriately? <br />❑ <br />UST SYSTEM INSPECTION <br />5- <br />Are tank -top containment sumps free of water, debris, and hazardous substance? Note: If the answer to Item 4 was "Yes, " skip <br />to hem 6. Sumps where <br />an alarm has occurred in the past month must be inspected if a qualified service technician has <br />ro r addressed the cause of the alarm. Documentation in a <br />not responded to, and <br />veru ropriate service should be attached to this report. <br />Sum Location: Yes NoYes <br />❑ ❑ Sum <br />No <br />m Lo Location: <br />Sucation: <br />❑ ❑ <br />6 -Ar" s" buckets containment structures free of water, debris, and hazardous substance? <br />Tank l ID — Yes No N/A <br />Yes No N/A <br />Tank 2 1 91 Tank 4 ID► — <br />Tank 3 ID — Tank S ID - <br />Tank 6 ID - <br />n <br />Staff Person Name: Cesar Ruvalcaba Page 9 of 11 <br />