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VILLAGE WEST MARINA 6649 EMBARCADERO DRIVE, STOCKTON, CA
<br /> Designated underground Storage Tank(UST) operator
<br /> Monthly Visual Inspection Checklist
<br /> I,iiilns s'au,e1 {jz ��1F�� �!\. l �1 Untc__<
<br /> I acihr� Addlcss (� --
<br /> ( u I !Ip Code
<br /> ' ed USTperatot('onducung the inspection. GREG KAISER
<br /> Illnum;naluional Co 'ofan I C'crhlicalion tJ 5252318 lixpuauion t)atc 111/17/2017
<br /> Srgn;nurc Phone 1209 )887.2639 -i
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<br /> No,
<br /> Item; MONITORING PANEL/ALARM HIS'T'ORY Y N NA
<br /> I Monitor urp,�,u•m Is pu,actrd un and in pmper operating Tmxlr.
<br /> I.,not currently sho
<br /> !-
<br /> Nr,nu,vnn, tilem wing anyalartrtsor w;unings.
<br /> 3 Alarm hisu,ry Iepaul'log for the previous month is available,and has been reviewed by the
<br /> Designated IIS I ()per nor_ L4 nae lI a cow r f fire alarnr hislorn r�ual/ln�ro Ihl,/arm l/urvih/h/e.l
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<br /> 4 Each alarm for the previous month has been responded to appropriately,
<br /> 5 Sensors located ut tank-top containment sumps have not alarmed in the past month —
<br /> 3a hx/all hal/-I.rp,)Imp, nlrr•rc n/tion, I((?/I m[hr Iwo amnlh Lq P,?Se/ 1 x LJ `?l U(x-1.
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<br /> Nw, Sump,.•here•on alarm Lm.....0 rid ur dr p,nr rn,•nrlr rmnr h. ,ny ry rrJ undue+a qu,rlifrrdsernrre lerhuremu rer/nnh/ed lo,uad
<br /> praperh mkkej• ed,the ruin...J rhr,dmv.. :III n h,L..ruaruura.m, .e ... apprn/rrole acrra-r o,this rr/rail
<br /> 1 S 1 til ti I PATI INSPE Z ION - ---
<br /> (I i Tank top contammcm sump~•uc Inc of„ of, dcl I is ;u'd li,v,rrdous substance Sensors are located properly. -—
<br /> 4',p I),uul nr/„unit../unit/r.,,.,..n.,,pit l" map.n In r un uLrn..hu ma....r,d m rhr I,,,,l,I th f,.r e r
<br /> ,rho lr lAarr lv an,emcccurd
<br /> V NY- N
<br /> .1nar/r Lrrr u/n,a: 1'lanlr Luculiva: -�
<br /> I )nrnp Lim alrral Sinn/r l nruliva:
<br /> �• ; tum/I l uccuarn _ .Samir l rrr'uliun: _ _
<br /> 7 Spill coolainmenl sirucuucs are lice ol'water,dehris,and hazardous substance.
<br /> A Y I N I NA Y N NA
<br /> I auk I t'owent,: X fank 3 l'rrulral,:
<br /> I:rill, 2 ('al/lela%. i I ank 4 ('on/c m.r: 1
<br /> 8 I Judo-dis unset contamoteut areas are lice of wat•r
<br /> p c ,debris,and hazardous substance. Sensors are located Wope
<br /> Y N NA
<br /> Uta/cin-v4 1-? 1 IX lliya n,cr 4_/0 - - -— Y N -NA
<br /> !r/rprn.rm I-4 c: �1C_ IlrVIe-vt 11-1
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<br /> OiVwmcr 7-h
<br /> llr,prrrcrr
<br /> PAPERWORK INSPLc-1•I0N
<br /> Monnnring system ccrtilic al inn has been completed within past 12 months - Y N NA UAT F:UUNM:
<br /> Secondary containment tests have been completed within Ute requited timefrtunn. x 1
<br /> ',pill containment mrocture(bucket)testing was completed within the past year.
<br /> I.' lank tighluess IcstiuE wrrs completed within required lunefrante _ .l l,,,Q- 1- _
<br /> I Lune Irt�.htnv%S Testing was colliple d within required linteframe. -- - _
<br /> I filler required tcsrrnghnaintertn[ICU was completed within required timefrrue.n
<br /> Yi•,I/,14iunlr'nruur rut nrudnu� - __
<br /> Item 7 has not been completed (there are two underground storage tanks)
<br /> Photo taken on : 3/16/2017
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