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2185 E. Fremont St, Stockton, CA 95205 Record ID PR0231118 <br /> 9/28/2016 PHOTO # 3 <br /> April 2016 D.O report missing overfill alarm on 3-10-2016 and 3-24-2016 <br /> Affords-Te$t <br /> — Site ID: 1450-I <br /> — <br /> 41(1="''Streel Designated Operator <br /> F Galt,Ca 95632 Monthly Inspection Checklist <br /> 209-744-0112 Fax 209-744-0116 <br /> E Site:FOOD MART&GAS , <br /> Date:4/29/16 <br /> 2185 E FREMONT STREET Y <br /> STOCKTON.CA 9.5205 �,( •Y <br /> ❑Zane A.Nimmo ❑David A.Winkler ❑Felix G.Ramirez ® Edward Stearns <br /> #5263322 #5263373 #5273934 05250492 <br /> V_ - N=n4 NA=anda ticabl' t <br /> MONITORING PANEL/ALARM HISTORY Y N NA <br /> Monitoring system is powered on and in proper operating mode. X <br /> Monitoring system is not cuircntly showing any alarms or warnings. X <br /> A1- larnl histon report/log for the previous month is availoblc,and has belt,reviewed by the Designated UST X <br /> Operator (,411ach u c(pr of the ularin hislorp report/lug In this form ifarailahle.) <br /> I Each alarm for the previous month has been responded to appropriately X <br /> Sensors located in tank-top containment sumps have not alarmed in the past month. X <br /> js/u1/sunk-!vp vrnpps tr/tire alarrn.e nccrn're<l m the puc!rnuulh <br /> e'J'unrp.c,cbcre all rr altar has occurred in the pan ounir r num be Inspecied unlevs a quali red ser vice rc•c rnre rcrn respw? a ru,und pruper) <br /> m d ,rhe carne nl rhe ulnrrn.Aquch Jorumenlnlian vc•rrJvin�upproprrcile eervice n,this repot i.IJ'.runip inspceuan s r¢yurred,recur)rd.ulry <br /> i m iteem.71 6,h,he%„. <br /> UST SYSTEM INSPECTION <br /> Y N NA }' N NA <br /> Tank-top containment sumps are free of water,debris,and hazardous substance.Sensors are located properly. t <br /> ISr,4• I7vn+/rn,parrurn"t run j rnh'r tr •l r r .nr xa"lilt...m rd.n nr Irns oervrrcd ru rhe gu7 rwmdr Jot n N,1,there ry nu xrn;r Pet <br /> Sump Location: Sump Location: �— <br /> Sump Location: — - <br /> Sump Location: - <br /> Sump Location: Sump Location — — <br /> Sump Location: _ Sump I.o...iiuu - - — <br /> p - — - <br /> Sum I nation: Sump Location --- <br /> Sill containnlcni,litictwes arc 1'ree orwaler,debris,&hazardous substance. <br /> Tank I -Regular X Tank 5- {' <br /> LI ank? Plus Tank 6- - <br /> j Tank -I Ptemium - ]( Tank 7- aA <br /> I Tunk 4 -Di�,el — X I tnh R- <br /> Under-,h,prn cr rnnial11111Cn1 Ire..t)f wafer,debris,&ha/ardour suh,i;ui "C11"16 n I'll M'cd prnPerly <br /> Di,pcn.,ei 1 2 X — Dispensci I1)-20 <br /> I h,ln mitt 1.l X--- Dispctuct .'I <br /> Ut,prn,ci 5 A , .v2 <br /> _ X Disprtuct _ I I \ <br /> Ul prnxl 7rR --=--X --Dispcnsct.'l ?2 \ <br /> pcnsct 9/I(1 X I Uispenscr ' <br /> il <br /> Fatinah Zareef, REHS Page 3 of 4 <br />