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10/25/2016 11: 52 2098392001 TRAC II®� 02/1: <br /> ECR Y <br /> Monthly Inspection CheckNst OCT 0 3 2011 <br /> TRAC/12016 <br /> MAII.QNMENTAl HFALTH <br /> Designated Underground Storage Tank(CTST)Operator`' ` ' [ViENT <br /> Ontilly Visual Inspection Checklist (1 of 2) <br /> Fac Name: taw : <br /> Fecili Address, <br /> Ci Cods. 7 7 <br /> Deni *led U tot iducting the Inspection: u!L <br /> International C xtl Certification#. [, Fit int <br /> Si <br /> Phone: <br /> ItemY=Tml4= NA=Nat Applicable <br /> MO RING PANEL!ALARM 1915TORY Y N NA <br /> 1 Mooitorm is mand in nmper mode. <br /> 2 Monitorin is ootTudy shomane an alarm or warnings. <br /> 3 Ahem history report/log for the previous manth is availablq and has been nvieaYd by ttrc <br /> Desi UST operator. Attach a cypy o the alarm hrttorem?t#or to thisArm i wailabla <br /> 4 <br /> Each alarm for theova tttontb boa bear ndcd to <br /> S Sensors located in tank- contaimnerrt have not alarmed to the month. <br /> 52 _ List all tan.(-top sumps where ahoma occurred in the pant month: <br /> Nmr:sumµ*whrrt an alarm Fos acmtsrd in rhe past mm�err mwt br f <br /> arpracd anfaa a gdifieJaender rJchnidan nepaMrd le,and <br /> mwrrh'addrtaasd,rhe rmar odams.coach dac aeadan serlfying appropnafe srMer ro7hL rgla,t. <br /> f n L rftncw rm <br /> d /tr in 11em a bel <br /> btlaw. <br /> UST SYSTEM EgmcTIoN <br /> 6 Tank-top contaMnXM Mcnpa are five Of water,de <br /> bris and hazardous substance. Sensory arc <br /> ! located properly. <br /> ofe•Aacw 'w oar on is when an almrn has amaxd N dor moNh r aJrlch rhos o rp antics retard <br /> Y N <br /> S Location: Y NS /iaeatlall: - 4 <br /> Location, 1. Locetion: <br /> S Location., Lxatian: Nr RA* <br /> 7 Spin corttbimnegl stmcwJm tree of wader.debris,and hazardom sabswtcc. <br /> Y N NA <br /> Tank 1-ContPatr: Y N NA <br /> Tank 3-Con <br /> F <br /> Talc 2-Cotdmrs: Tank 4-Connentr. <br /> 8 UodtY ronfaitmoeut are free ofwattr,debt*and hmmdous substance. Seniors totaled <br /> Y N NA <br /> 4KLN J NA <br /> iiiiiiiii 1 SA Z Mak <br /> D' rn9er� <br /> o AM s <br /> " enseram 75/I6 <br /> PAP>;RWORK INSPECTION Y N NA DATE nONE <br /> 9 Marlin ' . em cectiiwtion b!a been eo le ttci within t 12 months. 8 14 {4 <br /> 10 s contamman tats have bceu feted within Iha trvsd <br /> 12 Tank <br /> struclt� was completed wimm the _ { <br /> was=nPtCtCdwdhm rmluired timeframe. <br /> 13 Linc ti mess teytin waswMIctea WIth rt rcquTrcd timeframe. <br /> 14 ether 'red tmtin maintenanto was c feted within ittd timeframe. tesl/maGaenantx(Mas beim.TetNMamromnce: <br /> TesUllfaintdratr<e: <br /> Te:t/Maarrananee: <br /> FACILITY EMPLOYBE TRAMMG Y N NA <br /> t5 All facili 1 lacus rtseived the 're(on.db-ob tminin avithin ae[ <br /> .. 16 Ai16ci1• 1 hirci witmn tbo 30 have received the required am-tbe-'ob bainio <br /> Note: ANY answer of°9V^ahoald be cscplataed in the comment nection on the fo <br /> action. llowing page,and Will require falfuW-up <br />