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Fast Lane Central Valley 116 Roth Road, Lathrop, CA <br /> y VisualInspection� MWItlll Checklist <br /> hI Facilrn'Name Z <br /> Facility Add ess L <br /> Uare: <br /> Designated UST Operator Conducting the Ins ecuon:Brian D lin. Zi C'ode <br /> International Coda 'Duneretation#: 8021.436-UC FK nation Date: 12/09/2016 <br /> Si alurclI Phone:(888)700 EPIC <br /> N.%=Not- lig ble <br /> Item MONITORING PANEL/ALARM HISTORY Y N NA <br /> I Monuorin systern is powered on and in proper operating mode. <br /> t <br /> 2 Momtorine system is not currently showing any alarms or warnings. O <br /> 3 Alarm history report/log for the previous month is available,and has been reviewed by the <br /> 1 <br /> Designated UST Operator. (Attach a co ry o the alarm history re a2'lo to this onn if availahleJ r <br /> 4 Lach alarm for the previous month has been responded to a ro riately. Qx ! <br /> i Sensors located in tank--lo2 containment sumps have not alarmed in the past month. p <br /> Sa - List all tai&-!op.rumps where 0107113 occurred in the past month: <br /> t,- <br /> Note:Sumps where an alarm has occurred in the past month nnrsr be inspected unless a qualified sen7ce technician responded to,and <br /> properly addressed•the corse ofihe afar,).Attach docamenlaoon verifying appropriate.service to this report. <br /> Ifstinip inspection is required,record re.urhs in nem 6,beloir. - <br /> UST SYSTEM INSPECTION <br /> 6 Tank-top containment sumps arc free of water,debris,and hazardous substance. Sensors are located properiv. <br /> Note:t•7nml ins action o/sum .rs onhBrun .s inhere an aloin rias occurred in the ast month%ar n-hidr there;s no service re,'cri <br /> i Stun Location.- <br /> Y N Y N I <br /> Stmt Locution: <br /> r Sum Location: Sr nn Location: <br /> .Sum Location: r <br /> Sunt Location: <br /> t 7 S i11 containment structures are free of water,debris and hazardous Substance. <br /> t Y N NA <br /> Tank 1 —Contents: Y N NA j <br /> Tank-3—Contents: f <br /> Taal Tan <br /> 2—Contents: Tank 4—Contents: <br /> 8 Under-dis eraser containment areas are free of water•,debris,and hazardous substance. Sensors are located ro crlc <br /> Y N NA Y N NA <br /> : 2PAPERWORK IMSPECTION <br /> Momtorin system certification has been completed within ast 12 months. O N NA DATE DONE <br /> 10 Secondary contauunent tests have been completed within the re uired timei'ratne. xp <br /> I I S ill containment structure(bucket)testin was coo)leted within the ast year. px <br /> j 12 Tank ti fitness testin was Completed within re uu'ed timeframe. <br /> 13 Line G fitness teslui r was completed within required timeframe. <br /> 14 Other re uired testing/maintenance was completed within ret uired timetrume. (List test.4naintenntae stents belox <br /> Tesl/�,/aintettmtce: <br /> TesG/Aluintenutrce: <br /> Tesc'Maintenance: <br /> - CArn tmv VISM <br /> Item 8 has not been completed <br /> Photo taken on- 6/19/2017 <br />