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2185 E. Fremont St, Stockton, CA 95205 Record ID PR0231118 <br /> 9/28/2016 PHOTO #4 <br /> April 2016 D.O report missing overfill alarm on 3-10-2016 and 3-24-2016 <br /> s� <br /> FacilityFm lovee Training Pa e 2 of 2 <br /> dDyees R9ve1 reA omthe-job trlining Irithin the est <br /> ple>res hlrcd++uhn;thr past all days hate received the rcyuired on thejob training. X <br /> Monthly Inspection— <br /> sys;:m certilic.lUon of iihin past 12 months) Y N NA Date Ih,ne <br /> X 9/28/15 <br /> a tc>tmg ronlpletcd("01in past 12 months) <br /> dot-:r..chantcatek� tunic for most sites X 9/28/15 ticithin past I'_months) X 19/28/15 <br /> _ 1 he ohnve ore nsualh Jirnr,ot;e,her un ar amara!huci.r Jirr loco/re,�rrlun>r. <br /> :htn�_��u;ualiy upon tronstruation or when no positive shutdown) X i <br /> iightutc>.II ivally only afterconstntction or when using SIR) X <br /> edar. ,ontammem 1SB939)rests have been completed tusually every 3 years) x 11/21,13 <br /> ter r, ;,rr mainrc nonce rwnple,rel as reynirer/.Lis,,hem below. t <br /> st.Ttautteaancr.A Q - - 9/28/l5 <br /> AGAlaiatcnanrc ){ <br /> laintenance- --- — <br /> TOLa'INCLCDFD: Yes Q No ❑ NA❑PRINTOUTLEFTONSITE- BINDE1UPTODATE: <br /> mems NO ALaR1(S <br /> 1tCnli Rd Ulflnu <br /> Folio"-Up Actions <br /> I <br /> i <br /> Nlonthly inspection trust be conducted by an ICC licensed Designated Operator. <br /> A copy of this checklist must be provided to UST owner or operator,but not to State Water Resokil ccs Mt aa..In`tarnnt <br /> Designator Operator must alert the UST owner or operator of any condition discovered durinti <br /> the mtmthly I <br /> . ,.,.,. ,t... ._ .. - <br /> Fatinah Zareef, REHS Page 4 of 4 <br />