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i1 p1 30 07 08: 29a • 0 p• 2 <br /> UNDERGROUND STORAGE TANK SYSTEM <br /> DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT <br /> Facility Name: Jahant Food 8 Liquor Insptxnon Date: e L 7' 04- <br /> Famhty address: 24323 Hwy 99 Crry Acampo,CA 95270 <br /> Name of Desiglated UST OperstorConducting Inspection: John Starnes <br /> International Code Council Certification No.: 5261292-UC Exp"atioo De' 06-22-2007 <br /> Si Phone: (916)371-2380 ext <br /> we=Naw tnNe <br /> Item MONITORING-PANEL I AIARM HISTORY Y No NIA <br /> 1. Is the monitoring s stem powered on and in proper operating mode? <br /> 2. is the monitotiva system.not currently sbowing any teak alarms? <br /> 3. 1s the Alarm History Report/log for the previous month available,and has it been reviewed by the <br /> Designated UST O Adach a copy ul'the alarm hisrar r t/l to this ' p ecaion orar <br /> 4_ Has each alum for the vious month been nded to a tel . <br /> UST SYSTEM INSPECTION <br /> S. Are tank-top containment sumps free of water,debris,and hazardous substance? Haw:+foe a.. "w tam s»ra 'Yes.".+kip <br /> to hen 6.Slwips where an darty Ins w=vred a chs past mann arm br akVwcaed fa grdirad snr =reckderm has rear responded to.and <br /> ^'&e.,4 Ore o-a..v ehe lona Docvawnrmtan sys shaeld Iw allSCACd w Ow!!W_4 <br /> Yes I No ': :i Yes No :."t,ien <br /> gump Location: p Catarina: <br /> Sump Location: Sump Location: I LJ I El <br /> 6. Ares ill buckets(comairmrent structures)free of water,debris,and hazardous substance? <br /> Yes No N/A Yes No NIA <br /> Turk 1 M-87 T2dr41D—DSI, <br /> DE <br /> TanIr2ID-89 <br /> Tank 5ID— <br /> Tank 3 ID—91 Tank.6 ID— - <br /> 7. Are under-dispenser containment areas flee of water,debris,and hazardous substance) <br /> Ycs No N/A Yes No N/A <br /> Dispenser-1/Z Dis Inter-9/10 <br /> Dispenser-3/4 Dls aser-11112 <br /> Di —5/6 Di Buser-13/14 <br /> Dispenser D' ser-15/16 <br /> 8. Leak detection is 1 located within under d' ser contaitmlwt <br /> Yes No N/A Yes No N/A <br /> Dispenser-111 D' —9/ln El <br /> Dispenser-314 — 11/12 <br /> Dispenser—5/6 Di — 13/14 <br /> Dispenser— t>j I L I I Ll I D' enser—15/16 <br /> PAPERWORKINSPECTION Yes No N/A Date Done, <br /> 9. Monitoring s stem Certificarian was complmd within the past 12 months? 05-11-2006 <br /> 10. Line leak Detectors were tested/certified within the put 12 months'? 05-11-2006 <br /> 11. Spill bucket(containment structure)ustift com ]Bred within the past 12 months? 05-11-2006 <br /> 12. Linc agluryuss tesung tompicted within the time frame? <br /> 13. S"ondary containment testi compkted within the required time frame? 27-2005 <br /> I4. Enhanced Leak Detection completed within the required time frame? <br /> 15. Other r uired was complated within required time Same? ist tesdmainrenanoe iteaa•below. <br /> Describe TeSt Maintenanoe:Air Quality St 27&30 Ll I Li10/13/2005 <br /> Desaibe TrsVMainlrnatice: <br /> FACILITY EMPLOYED TRAINING Yrs No N/A <br /> 16. Have all 66wi1i I ees received the required on-the-job trainin within the ear? <br /> 17. have all fac ' em to ccs hired within the past 30 days nwvtved the required on4he-ob training.? <br /> Note: Explain any"No"answers in the"Comments"section on the following page.Those issues require corrective action from <br /> the UST owner/operator. <br /> .1,057.UZ Mww.aahbnoet 92fiw <br /> 3JN3NVIINVW Z9 08bZTL69T6 0T_9T L00Z/LZ/b0 _ - <br />