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6225 <br /> Designated Underground Storage Tank (.3ST} Operator <br /> Monthly Visual inspection CheCklist <br /> Faciii <br /> rName_ j <br /> Facility Address= ,'� a,S K-14\ Zip Code- t <br /> Valley Underground Tank Monitoring <br /> Mailing and Rernittance AddneSS: vauey ilndesgfound Tank Monitonng <br /> f.O. BOX 91 <br /> Stockton,CA 95201 <br /> r0a!!-�qEnaled UST O for Conductin rile t an CII.rath <br /> fm Date: 5/12/11 <br /> rtatttre- - - -" Fltane_ 2 - _7 <br /> Y=Yes,W-W.NA=Not App4r_ to <br /> Item Moniiofivriq Ihnull Alarm ffistOrY Y N NAA <br /> onaonn,4 system:is powered on BrIP in Aperathg mode. <br /> 1 Orutottng SVStern is not ct_uren y arty . tms or wamir gs- <br /> m tstoty re orU 14-ij,=vtcws MOM is 3V3112DIa.a reviewe <br /> by Jhe Designated UST Operator-(Attach a mpy cdbv-alarm histay repoa&g if avatlabW_ t E <br /> 4 a arm ort previous montri tias rt Spon fo approprtal$ _ <br /> 5 nSarS ca ii 1 tan #o¢cnnta! sutrtps n2V8 HOI a tR pas rixal _ <br /> at tank-top sumps w e rrtts "' f'�i L, -aYT-9 -'S4N <br /> mn3h must he inspected w Less a quawiieri seavice <br /> Nolv_-SurnPs where art aliwit has occuOw irit►tBFas! <br /> to tmi it n rosporlcieci to, and pfnpw*�W Ca+tse Ct ilia alarm. Attach > 9 <br /> apptopriale S ivKUR 10 V S rePbft If sump inaV-tion is •%ecoid rssuHss ir'item 6, betaw_ <br /> �'�•�. LISTS stent lns n <br /> -toP CUn rr1r718rlt�urnps are-reeot water,OCDM.WM hazalacusS t2tlCE. <br /> F Pe Y n are nrdy regaaed <br /> Senscats are Eocated ro rt AralE_lresuatipecrian sus <br /> i n s,.:,f,s wl rtxe an affirm nas oCGumad in rho pass ffiofim lnrwturh tt�eae.is rm service recoft� <br /> un-tp- ocation- ttmp icon. <br /> ocattotl_ tamp cation- <br /> tout= <br /> Limp oC3itoll: d hazardous si+ arca_ <br /> p�containrr�erit`structures are ee o grater, ,zr� <br /> - intents: an nients__ — <br /> a ontents: ank¢ <br /> n!T�- Penser corttasnmersY areas arc .tee o wale s ns,a� ?7 . n;ss su #ani?. ensors <br /> ase ftk aic:d faperi - <br /> spesz`ser�� � # <br /> aspvnser - - <br /> Yenser is � r r Q <br /> is eriser <br /> - �L <br /> Paperwork lrtspecWm Y N NA <br /> of IMI �terrt c tcalion has�,i,.,.•� ,--. - - - <br /> Fnr>tv, r frwint items <br /> - __�--__-_ _ - - - -. - - _ .i •__-mss (.-._' <br /> eS rrk:e'..�n�•.�n f^�: <br /> •%mar_ Lj.j � <br /> -. •V p„j'r't�}�f]y$l;S ltti f%tl viwoia:..:�%.+:=� _ �-.'..-• ..-,-._-.-..._._--r-''-Lt - <br /> Note:Any <br /> s+, <br /> Pg 1 of 2 <br />