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6126 <br /> C.i�.grn� ult„1LW�Qm� ou-f <br /> ftmw Requiring Folbw-up ActIO".* <br /> r <br /> CAI%L" V'ZAW�issl <br /> Instructions-- <br /> Monthly <br /> nstructions:Monthly visual inspection of the UST system mus#be conducted— by— a�esignaUS' , <br /> who possesses a current"Caftforn UST System Operator"certification issued by the International <br /> Cade Council. <br /> The UST Owner or Operator crust mash a-c opy of this mph►visual inspection checklist and <br /> all aftachrnents for the previous 12 nrxxWm. The records must be maintained on-site or, if approved <br /> by the local agency.off-site at a readily avadable locatiim <br /> If ATG alarm report shows alarm activity In the ttubine sumps,cal maintenance to verify Service <br /> response. Be sura to notato state,service company,and resolutlan of call. Schedule!servw e <br /> call with'nwintenance if alarm has rat been investigated and Worm O&E for follow-UP. <br /> Retention in store is I year for inspection. <br /> By Signing,custorrher understands and acknowteciges that Valley Underground Tank Monitoring is <br /> an inspection company only and that aq repairs are the tank owners respons"Ity. Valley <br /> Underground Tante Monitoring wig go over all reports with tank owners representative to explain all <br /> comments or follow-up actions needed. <br /> Company Representative Nacre(Print). <br /> Sign. <br /> Today's Date. a Representatives Title: <br /> Today's f=ees t ZaT + C-O.D. Charge _ P.O. <br /> AU charge accounts are due and payable within 30 days of inspection or prior tri next inspection <br /> being performed. Valley Underground Tank Monitoring reserves the right to pug its name as <br /> designated UST operator at anyfi ne for non-payment An fees are due at the time of service <br /> unless prior ar angernents are made with Valley Underground MorAming. <br /> Payments are to be made to: Valley Underground Tank Mo(Aming <br /> Thank you, <br /> Dan M+clt.rath <br /> Valley Underground Tank Monitoring <br />