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-T <br /> Afforda-Te$t na <br /> Desi ted Operator 1 <br /> 416 2 Street g p <br /> Gait, Ca 95632 I Monthly Inspection Checklist <br /> 209-744-0112 Fax 209-7440116 <br /> Site: YRC INC. Date: 4-25-12 <br /> 1535C PESCADERO <br /> TRACY C A <br /> ❑ Lyle D. Nimmo ❑ Zane A. Nimmo ® David A. Winkler ❑ Felix G. Ramirez <br /> #51249115 #5263322 #5263373 #5273934 <br /> Signature: ' <br /> V=res \=too,NA=not■ IierDir <br /> MONITORING PANEL/ALARM HISTORY Y N NA <br /> Monitoring system is powered on and in proper operating mode. X <br /> Monitoring system is not currently showing any alarms or warnings. X <br /> Alarm history report/log for the previous month is available,and has been reviewed by the Designated UST X <br /> Operator. (Atradr a cn +n the alarm histo •reporillog to this ornr i m tillable. <br /> Each alarm for the previous month has been responded to appropriately X <br /> Sensors located in tank-top containment sumps have not alarmed in the past month. X <br /> List all rank-top sumps where alarms occurred in the past month: <br /> Vote:Sumps where an alarm has icrurred in the pact month must he instrecred unless a qualified sen-ire rechnician responded to,unit properly <br /> addressed,the cause of the afarm..4ttneir docameniaion reri&ng approprtare.semice to this repot. 1j sump inspection is required,ivrord results <br /> in item 4 below. <br /> UST SYSTEM INSPECTION <br /> Y I N I NA I I Y N NA <br /> Tank-top containment sumps are free of water,debris,and hazardous substance.Sensors are located properly. <br /> \one: Vanal msLw!,nrr, va ,,is mdr mg aired nrnn .r where an ahm+n ha.r+xrurred in rlx .N+nnndr or uhtch Where 6 n,,.,,,ice react/. <br /> Sump Location: WASTE OIL X Sump Location:GEAR OIL X <br /> Sump Location: WASTE OIL X Sump Location: <br /> Sum Location ANTIFREEZE X Sump Location: <br /> Spill containment structures are free of water.debris_.&nil <br /> Tartkl - WASTE OIL 4-GEAROILI'ank 2-WASTE OIL 5- <br /> Tank3 -ANTIFREEZE 6Under-dis ensercumainment free owaterdebris &hors locatedproperly. <br />