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March and Bianchi Chevron , 1916 E. March Ln , Stockton CA <br /> - 4 <br /> DERGROUND STODGE T <br /> ST OPERATOR MONTHLY Date:- <br /> DESIGNATED Uol2o <br /> Facility Name: M 8, Bianchi chevron ckton <br /> Facility Address: 1916 March Lane <br /> 'Name of Iles' d UST Operator Conducting Inspecti n: Jason Haase I J mes ay _ <br /> Expiration Dat4Phone: (530) 749-989j 01151619114 <br /> 2 ext. <br /> Intemaponal C e Council Certific to N 65490-U 1 3644-UC . NIA=No[A ticabte <br /> Si� tures Yes No NIA <br /> MONITORING PANEL/ALARM HISTORY X <br /> Item X <br /> 1, s the monitor' s stem owered on and in to er o eratin mode? X <br /> 2. r Is the monitorin s stem not currenti sh eviousamonth available,ble, and has it been reviewed by the <br /> 3. Is the Alarm History Report/log for the p X <br /> Desi ated UST O erator? Attach a co o the alarm histo re ort/lo to this ins ect+on orin. <br /> m month been responded to appropriate! ? <br /> 4. Has each alarfor the <br /> UST SYSTEM INSPECTION <br /> 5. Are tank-top containment sumps free of water, debris, and hazardous substance? Note: !f the answer to Item a was "Yes, ski <br /> service technician has not respanded to, a <br /> ort. <br /> to Item 6. Sumps where an alarm has occurred in the past month must be inspected if a qualified Yes NO <br /> properly addressed the cause of the alarm. Documentation veri in a ropriate service should be attached to this rep <br /> Yes No X <br /> X Sum Location: DIESEL X <br /> Sum Location: PREMIUM X Sum Location: <br /> Sum Location: UNLEADED <br /> 6. Ares ill buckets (containments ictures) free of water, debris, and hazardous substance? Yes No N <br /> Yes No N/A <br /> Tank 1 ID—PREMIUM X Tank 4 ID - <br /> --:. _ X Tank 5 ID— <br /> 1 -10-14 D.O report <br /> Page 17 of 18 Photo taken on November 18, 2014 <br />