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VILLAGE WEST MARINA 6649 EMBARCADERO DRIVE, STOCKTON, CA <br /> lviontllly vismo in,tipcctt()li __-- <br /> Facr1, <br /> FacilitY_Address: y� � .rho rQ _ <br /> Cuv _ !_i Code: -- <br /> Des noted tJ 'T Operator Conducting the Inspection: <br /> International Council C'ertificati Ex iration Dat / <br /> Signature Phone: ) y 2 <br /> Y=Yet,N=;Va V A=tint A rllc•ati <br /> Item MONITORINC PANEL/ALARM 111S'CORY V ti NA <br /> I Monitoring system_is powered on and in pry r operating mode. - <br /> 2 Monitorir stem is not_c_urrently showinktany alarms or <br /> 3 Alarm history report/log for the previous month is available,and has been reviewed by the <br /> Desi mated US"f O erator (Allcrch a ru r u Ihe"alarm his/nr re nrr!/lu r to 111A arm i u,rcdluhle. <br /> 4 Each alarm for the previous month has been res)ondcd to al2proptialelyX <br /> r <br /> 5 tiens0l"S located in tank-top containment sumps have not alarmed in the past nponth <br /> 5a I - l.e.%t till lank-err/,miripc where alarm.%occurred in the past month. <br /> Nt le:Sampt whrre erre alarm has occurred in the pav/mmr/r mere he irrspe,-td nodes%a gan/r/nal 5r n err rr-.Hou urn responded lu,and <br /> properly addressed.!hr[aurae a/Ihr nlurm A!luch dunnuernrdron renfi urj_�upprvrpl-nne u•rrlrr lu Ilm.nrpur-I. <br /> Flank-top <br /> vuu,urs rernan n re.mrerl,r rrnrd rr ado ar Nam h,helm <br /> (1ST SYSTEM INSPECTION <br /> C. containment sumps are free of water,debris,and hazardous substance. Sensors are located properly. <br /> tial'in% el,lien n i!uys n only r- unYtd is etnn where an rdruvn ins oa tiered to then nv mrmth or whirh there is nn cerwce reined <br /> Y N Locanan: .Sump Localion: <br /> , p1,ocatrorr•_ Sump Locution: <br /> S)tnij)Locution: _ "Sum)Location: <br /> 7 __Spi11 containment structures are free of water debris,and hazardous substance. <br /> Y N NA Y N NA <br /> Tank I Copdetus:-^" _ Tank 3 Contents: <br /> 'lank 2 C invents. _ _ Tank 4 ('intents: -- <br /> 8 Under-dispenser containment areas are free of water,debris,and hazardous substance. Sensors are located rope <br /> _.._.� — Y N NA_ —_— YN^ NA <br /> JJiviens'er J/1!1 <br /> 2- >C _ l�r%Denser I 1/12 — <br /> { Y�ren er 3�fi 3 l)nPen�cr 13/14 — <br /> Uh)reser 7/Is - . _I)npeuser I S/16 <br /> --- -- <br /> _ _ PAPERWORK INSPE;(:"I IO_N-- O <br /> - V N NA DATE 1)()K,,I.. <br /> 9 Monitoring system certification has been completed within past 12 months X ` <br /> Io Secondary containment tests have been completed within the rc1uired timeframe. x <br /> 1_L Sill containment structure(bucket)testingwas completed within the past year. �- <br /> 12 Tank tightness testing was completed within re aired timeframe <br /> 13 Line ti htness testing was completed <br /> 14 Other required IcslinvJrnaintenance was coin nleted within rensdred tim;rrn.— .t—. -- <br /> Item 7 has not been completed <br /> Photo taken on. 3/16/2017 <br />