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underground Storage Tank ([!Sl') Operator
<br /> Monthly Visual Inspection Checklist
<br /> Fncilit% Name: Emil's Date: 02 0S 1-0
<br /> Iacility Address.1405 California St.
<br /> C'iw t scalon /ip C ode'953,20 .. _
<br /> International oJe Coon• I Cert'-••tion :;: 80,3295-UC -- -6 -0 ---- _ _
<br /> Desjenated I. Operator Conductin._the Inspection: Laren R Arn<uz
<br /> s ( s�raUon Date 06 U I I
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<br /> i Photic ( ''1191 18-4836 -
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<br /> Item : NITORINGPANEL/ALARM HISTORY 1 S \ 1
<br /> h I Monitoring wstem is powered on and in proper uperann
<br /> Monitoring tester is not currently showinc any alarms or v,arnu��s -� \ .
<br /> Alarm history report%lo for the previous 111011th is available, and has been reviewed by the k
<br /> Uc,i hated l ST Calor. r:fltaclr if corn of the alarm hicmrt re ml rho,a,lhis form it anadahl,-a
<br /> l I icit 11 nrin ton Ili previou month has been re, ended to approprrucly
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<br /> ticnsot> Inc wed in tank lop containment Sumps have not alanned in the past nnmth _ \
<br /> l of ali Lind-trop smmov arher"alurul.s .4 t Ifl red in Ihr pusr umnah L3. diesel b'1P 02/06 tai/1 in alarm.
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<br /> Have alarm addresses.I,S:I P !!
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<br /> � �ulr�1r1011,u'fh9'p r,rr h/r til lr✓9 n,JI,,,'tl]n lIN'(yrV�InNIIt rnlnr h,'al,l.�,4e/11,r, ,d(NlJirlr /q rl'Rt A',loot. ,.l r ,� NI�ICd r. Jry'
<br /> moprrat r r u-..aJ rlr aro til the d rnnrh-! rnaardn»t'"pprrprn n,sd,�orr n,ilio rpr.,'t
<br /> Urwn/ "w",moan, pm dr:,...it :,df,ar armh l,hnr
<br /> UST SYSTEM INSPECTION
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<br /> 6 ! I ank-lop containment sumps are free of stater. debris and hazardous substance. Sensors are located properl
<br /> r----� rr I,aur r,c!>< rmrr�.l v r.,soil pr rrJ ur JUIN v h"'. ,au l u,r ha,n,_,rn r ..the L r m nip pit u h ,then,-„I'll ,
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<br /> Snuff, l uranan. 87 S IP X
<br /> rSump/oeatian 91 S IP x -- — -- -
<br /> r Smmo Location: Diesel STP I X
<br /> l 7 SpiII cunta_mment structures are Lice o fwater,debris,and hazardous substance—
<br /> N Y N I_N1
<br /> -- I YTNA ,
<br /> lank I c uuuvc: s'- r I 'C 1 ani. ,_-( anluvs.'
<br /> ' I Ink 2 nal,rot V�l I I
<br /> 8 t nder dispenser containment areas are lee of water debris and haztrdOU wbsl wee Sensors are located pooped,
<br /> N ! NA i 1 \ V 1
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<br /> PAPERWORK INSPECTION Y N NA DA I F. DONE
<br /> o ' 'v1oniturins stem
<br /> certification has been completed wnlnn )est I_ mouths. X 1)(,_`) o')
<br /> I0 tiecond n, containment tests have been completed within the required unteti'a tile. ;, Xs of, 30_U9
<br /> I Spill Containment structure(bucket)testing was contLleted within the est year. _ X i _ 06 3`i.00
<br /> 1 ank u,hmess testtn_ leas completed within required timettante. _
<br /> I.i Line ti ohtness wstin stn completed within regturui unutrane. —"., �., _ -
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<br /> 14 . 1)thet required tesnnc maintenance s%as completed ss nhin required limefi mne. (Ow l si'mannumnc e 11,711s b,lin,,(
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<br /> /cog-Valmenunce.
<br /> FACILITY EMPLOYEETRAINING Y N Va
<br /> tulih_uces h rsereccised the required on-the-lob training within the Lot seat'. 0: 10(19 _ \
<br /> t)iuy
<br /> J(, all 1 auhtc em ilovc•es hi ed within the st 30 d ws have recused the required on the-jobb 0
<br /> Note: Any answer of-V should be explained in the comment section on the folloscing page.and will require
<br /> foll(m-up action.
<br /> Page I of'- Novendxr '00.4
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