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March Lane Shell, 1206 E. March Ln , Stockton , CA 95210 <br /> ntlicti Un Storage Tank(UST)Operator <br /> Monthly Isual Inspection Checklist <br /> kiluv;�aot.': <br /> Mtluc 3dJras: <br /> Zi Code,: <br /> ti_nutxi tIST <br /> ()E for Condtnaing the Ins clion: :_�,t2. <br /> trxnationcil Calc Council CcCifficauon#:,=> 2\ _ l'L Ex iration Date: <br /> Phone: U' <br /> naNPC: Y=Yes,N=No,NA=Not A lkable <br /> int MONITORING PANEL./ALA:th <br /> ISTORY 7Pp,.,Pc,1y ,4- <br /> t <br /> -. - <br /> FAnne stttem is powered on and in o r o ratin mode. <br /> rin system is notcurrentl showin an alarms orwarnihisto,},rcpon/log for the previous month is available,anden reviewed by theated UST O rotor. (Attach a co o the alarm histo rto this arm i available.) <br /> 1 Foch cilarm for theprevious month has been responded to appropriately. <br /> i Sensors located in tank-to containment sumps have not alarmeast month.Gs[all lark-top straps where alarms occrvred in the past mote:&ampswhere inn alma has occurred in the pasT month must be inpeu'a qual�d service technician respproperly addressed the cause of the alarm.Attach daaanentation verginiate service to Phis report.ionis re edrecord results in Item 6,below. <br /> UST SYSTEM INSPE <br /> i oak-top containment sumps are free of water,debris,and hazardous substance. Sensors are located <br /> ate:Visual vupection ofsunws a only m4uired in sum swhere an alarm has cccurd in thpast r-Uhfor which there is-service record. <br /> Y Y N <br /> S Location: Sump Location: <br /> Sump Location: Sump Location: _ <br /> Santo Location: Sump Location: <br /> ' S 'll containment structures are free of wa ,debris,and hazardous substance. <br /> Y NA Y N NA <br /> Tank1-Contents. <br /> Tank 3-Contents: <br /> Tank 2-Contents: Tank 4-Contents: <br /> Under-dis nser containment areas are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Y N NA Y N NA <br /> Dis nser 1/2 Dis enser 9/10 <br /> Dis nser 3/4 Dis nser 11/12 <br /> Du nser 5/6 Dis ¢nser 13 114 <br /> Dis nser 718 Dis enser 15/16 - - µ <br /> PAPERWORK INSPECTION Y /N NA ATE DONE a; <br /> jMon itorin s stem certification has been corn feted within t 12 months.Secon containment tests have been coin leted within the r aired timfS ill containmentstrttcture ucket testin was cam leted ithihe t ear.Tankti mess test n was cam leted within r uired timeframe. <br /> Lineti htnesstestin was camfeted wirhin r uired timelrune.Other r aired testin maintenance was cam feted within r aired timeframe. Lis?reslMtainlenanc r irtat+helo�. <br /> Test/Mainlewnce: <br /> TesNMaimenalce: - <br /> Test/Maimenance: - - - <br /> FACILITY EMPLOYEE S T N G Ili <br /> \' N A All facilit em to ees have received there aired on-the= Lrami,on-the-job Uainin within the t 'ear. �` <br /> 5 All i acilit em to ees hired within the t 30 da s have rmeived the ree ui red rnrthe-ob tnunin ar <br /> i <br /> ct Any answer of"N"should be explained In the comment sellar ou the following --""v' - "'='�""'�"'`- -x-'" •-- <br /> follow-up acllon. page,and wltl reyulre - - <br /> C.., <br /> March 2015 D.O report without the March 4, 2015 Overfill Alarm documented <br /> Page 3 of 8 Photo taken on May 6, 2015 <br />