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7-Eleven Inc #17334 4501 N . Pershin Ave, Stockton <br /> Designated Underground Storage Tank (UST) Operator <br /> Monthly Visual Inspection Checklist <br /> n \ame 1-11 11334 Date: 3/13/2013 <br /> t\ Address 4501 N. PERSHING AVE <br /> STOCK-TON' Zip Code: 95207 <br /> nated UST Operator Conducting the Inspection: Justin Downs <br /> ational Code Council ion #: 8232225 Expiration Date: 1/3/2016 <br /> ture <br /> Phone: (949) 460-5200 <br /> Y =Yes, N= No,NA=NOtA <br /> MONITORING PANEL / ALARM HISTORY Y r <br /> 'vlonitoring 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. (Attach a copy of the alarm history report/log to this form if available.) <br /> Each alarm for the previous month has been responded to appropriately. <br /> Sensors located in tank-top containment sumps have not alarmed in the past month. x <br /> tulk-top sumps where alarms occurred in the past month: <br /> D.O report dated 3/113/13 in place of report for February 2014 <br /> Page 1 of 3 Photo taken on October 17, 2014 <br />