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+ ' • 18369579 P•1 <br /> Dec 14 07 05;41p John Courant <br /> Desig ated Underground Storage Tank(UST) Operator <br /> Monthly Visual Inspection Checklist <br /> Date: 1-28-07 <br /> Facili Name: Manteca Valero <br /> Fscili Address: 14800 W. Frontage Road Zip Code: <br /> Ci :Manteca. CA <br /> Desi nated UST O erator Cotnductin Chet ection:John Patrick Courant(ration Date: 11-3.08 <br /> International Code Council Certification#:5242457-UC I <br /> txv <br /> phone: ( 925 )595-8230 <br /> Si nature:John P.Couram Y=TMA No,Na.-,.Qt AL11011cabic <br /> MONTTORINC PANEL!ALARM 14ISTORY Y N NA <br /> Item . X <br /> t Monitarin s tem is owered on and inpropero pe ng mode. X <br /> 2 Monitorin s•�*r^t is not currently showing any alarms or watnin s. <br /> 3 - Alarm history reportnOU forthe previous month is available,and has bceo reviewed by the <br /> Deal ated UST O erator, ttach a coov of the alarm history report/10reporr/10jZ to this arm t available <br /> 4 l ach alarm for the revious month has been r onded to a ro riato . X <br /> 5 Sensors located in tank-t- containment sums have not alarmed in the Past month. <br /> 5a List all tank-top sumps where alarms occurred in the past month: <br /> NNe:Siueps whereon alarm iws occttrrrd in rha past momh must be Inspected vnless a qualified sarvlt>r teofmicrat reapanded e9,and <br /> th <br /> Pr <br /> adbeued e cause afdre alarm-/1 mrh dncamenlatlan veriJi�ing appmPriae service to this mpart. <br /> sum Ins c[/on fs rn u}rzd,retard r+SxiW in item C,beftm. <br /> UST SYSTEM INSPECTION -- <br /> 6 Tank-top containment sumps are free of water,debris,and hazardous substance. Sensors are localcd properly. i <br /> Nate:Yistrof in. cfion sum a:s onN r uirtd/Yswn Nwhere an alarm hua OCCartod rn tha Ase month w which them Ca nom rr ryrecore. <br /> SSim location: <br /> Sum Location, <br /> Sum Location: <br /> Sum Location: Sam Location' <br /> Sum Location: <br /> 7 5 ill containment structures are free of water,derbi ris rynd hazardous substance. Y N NA <br /> Tank 3—Contents:Diesel x <br /> Tank l —Cnnlents:87 'Tank 4—Contents: <br /> Tank 2—Contents:91 <br /> 8 Under dis enser containment areas are fre of Ater,debris,and haxardous substance. Sensors are located N e1]NA <br /> D enser 1/2 X Dis enser 9/10 <br /> DTs enser3/91 X Dis enseril/12 _ <br /> Dispenser 5/6 X Dts enser 13/14 <br /> 15!16 <br /> Dispenser 7/8 X Dis enser <br /> PAPERWORK INSPECTION Y N VA DATE DONE <br /> 9 Monitorin snteW certification has been compIcted within ast 12 months. X 12-5-06 <br /> 12-5-06 <br /> 10 Secon containment tests have been corn itwo within the r uired timeframe. X t2 506 <br /> 11 5 ill containment sn uctl L re bucket testin was com lined within the ast ear. X <br /> 12 Tank ti mess telling was completed within required timeframe. <br /> 13 Line ti tness testing was tom ]eted withht re uired timeframe. <br /> 14 Other re uireow <br /> d testin maintenance was completed within re uired timeframe. (List tes l ointenance items b2-06 <br /> Test/Maintenanee:,Annual 4 MD Testi <br /> Twill4aintenance: ... <br /> TesdMalntenance: <br /> FACILITY E14IPLOYEE TRAINING Y N A <br /> N <br /> 15 All facili a toX <br /> ees have received the r uired on-the=ob trainin within the ast ear. <br /> 16 All facil i e to ees hired within the a4s 30 days have received the re uired on-the-ob trainin . <br /> require <br /> Note: Any answer of"N'°should be esplaioed in the comment Section oo the following page,and.will <br /> follow-up action_ <br /> page I oft November 2004 <br /> Z00[P) QOO:lVsVDd0HUVj OLS26CZ00Z Xya C9:9T LOOZ/RT/ZT <br />