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-0 o --iv = <br /> qq <br /> - Designated Llndergrotuld Sto <br /> v MoT11111}' Visual [,Zs age Tank (US <br /> a' me: Shell pectic �� 0 <br /> v t' ih Address: 7700 Moreland C`t h �'hecklist peratOr <br /> vate:06/2 <br /> t j Stockt��n $Il r^ <br /> cD o nated UST t?�erator Conductingthe fns ction: Karen C `1J <br /> 0- 0Zi <br /> ational Vole Council Certification #: 803?295_UC R Arnaiz ode:95212 ^ <br /> o VJ <br /> Z3 tore: <br /> one: ate: 0 til <br /> ITORINC pgNEU/ALq (209) 518 5/3 S <br /> -4836 <br /> N I Monitoring system is owered on an in-pro RM HIST 1`1' — <br /> cn er o efatin mode. CRY U n t�o hn=N'"n �.nt� <br /> Monitoring s 'stem is not current) shotvin <br /> any alarms or warnin r Y N NA <br /> v .Alarm history report/log for the previous month is s. <br /> sz y, esienated UST Operator. (Altach a co available,and has been reviewed by X X <br /> 1 of the alarm lristn re ort/ln 0 <br /> ach alarm for the revious month has been res onded to to this cunt ithe 0 <br /> ensors located in tank-to containment sum shave a ro riatel �'ailable.l X <br /> not ala <br /> v v List al/tank-top sttnrps►vhere alarms occurred in the wed in the X <br /> � � ast month. <br /> Q past nlonl I L20.carrell)►'in alarm. X <br /> C :Vote:Sumps where an alarm las occurred in the O <br /> past month Hoot be ins � <br /> cD cn properly addressed, the cause gf 1he alarm.:f each documentation Her fiypected unless a qurali ted <br /> W � Ilse r ction is re tared record res7dts m nem G, 1 II'7Ce technician <br /> 0 O belmr. <br /> 8 aPPropriate ser ice to 11rts report. responded to and <br /> UST SYSTEM INSPECTION <br /> -top containment sumps are free of water,debris,and hazardous substance. Sensors are I <br /> p Q Note:Visual inspection nfsum s is off re rutted m sum s a here an alarm has occurred to the <br /> orated properly. <br /> 0 N .rr month for p hich there a no service rec and <br /> 1 Location: 87 Fill z X Starr Location:87 Turhine V N <br /> 0 Location: 91 Fill X <br /> X Sum Location:91 Turbine <br /> Location: Diesel Fill x <br /> � X Sum Location:Diesel Turhitte <br /> S ill containment structures are free of water, • e. <br /> debrisand hazardous substancX <br /> o r--t- <br /> tank I - Y N NA <br /> Contents: 87 X Tank 3-Contents:DieselX 0 <br /> -Contents: 91 x <br /> r-dis enser containment areas are free of water,debris,and hazardous substance. Sensors are located properly, <br /> m Y N NA Y N NA O <br /> nser //2 X <br /> LT user 3 4 X <br /> :3 _ <br /> reser ti/h X ^ <br /> user "i,� X ` J <br /> m <br /> Y N NA DATE DONE. <br /> �i -- PAPERWORK INSPECTION X 08x9/13 <br /> p'�On nosy tem certification has been con leted within pas 1?months. <br /> X <br /> darti containment tests have been cam leted within the re aired timeframe. X 08/29/13 01 <br /> o ontainmew structure(bucket)testin was com feted within the ast 'ear. N <br /> oy i r Itness testin was cornfeted within re aired timeframe. <br /> e. <br /> cD �> Mess testing was completed within re aired timeframe. N <br /> c77 D ' aired testinycrimaintenance was com feted within re aired timeframe• (Gist test/maintenance iterrrs•be m,'. <br /> o t/A�aintenuncc: <br /> to <br /> SI`AfallrtetrUtrCc'_ NA <br /> N o st%Mahrrenturre': INING } N <br /> ti�. -I the near.02/?7'14 X ' <br /> 71 D ccn FACILITY E[vIPLOl'! E TD�_A—r <br /> t� o kava received the re aired on`t1`e, creceived the re aired on-the-job___ _ ..,t °in renuire <br />