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v O <br /> cQ — m <br /> (D nderground <br /> Stor a <br /> ge Tank <br /> 0 lithly Ins (UST) <br /> AeratorpectioChecklist <br /> Date:OG/25/14 <br /> r- CD <br /> -• N lits ction:Kren Zt Code: <br /> O a <br /> R Arnau 95212 <br /> 4 —� <br /> s2 :8032295-UC <br /> Ex iration pate: <br /> PhonOS131/IS <br /> e:{2pg) <br /> 518-4 36 <br /> G - ).VITORINC PgNFL/ <br /> CD � HISTORY a.na <br /> tin in ro ero ALARM HIST ti �aNA=NotA _ <br /> tvv ratjn n1Ode kable <br /> sho�vin an alarms or tiva Y N NA <br /> U' RtH HISTORY ev'10us month is available, rnm s. <br /> c REPORT ri a co and has been reviewed by the X <br /> _ t'o the alarm history re orNlo X <br /> :ENSOR ALARM - has been res to this arm i mailable. h <br /> Q 2fj:f,!,.f. _ _ onded to a ro riatel . O <br /> 0 m SPAt6EA1V1VULAk � � finent sum shave not alarmed in the ast month. X <br /> �, ,NIdULAR <br /> (E — UEL ALARM alarms occurred in the <br /> Past month L20. X <br /> v v 1 2:43 PP1 current)}•In olarnr <br /> rrred in the you nronr/r musr be lits <br /> Q L ALARFI lurn7.Attach docNrnc+narran ler peered unlrsr aI' led sen-tce <br /> ! 10:27III m Nem f, thing appropnate�nve o ho r2payhnr""P-"'d ro� O <br /> o � 201 4 Ph1 err»,. <br /> CDD Cin ALARM UST SYSTE � <br /> M INSPECTION <br /> v 1 • 2014 1 :26 t d°t ee of water,debris,and hazard°us!:1 <br /> O c erred in sum za where an alarm hos occurred rn�stdree Sensorsare located X11 <br /> rnonrh a w huh hen u noj m r Ward <br /> (D <br /> ox h Stun location:b'7 Trrrhine X ^ <br /> S'um Location:91 Turbine 1.L <br /> J xSrun Location:Diesel Turbine X <br /> X <br /> •of water,debris,and hazardous substance. V <br /> 0 J <br /> r <br /> Y N NA -t- <br /> O <br /> C :.o _ x Tank 3-ContenY N NA <br /> is:Diesel X <br /> 3 X rn <br /> (D ire free of water,debris,and hazardous substance. Sensors are located to •riv. r+ <br /> Y N NA Y <br /> X N NA Q <br /> v <br /> O X 0 <br /> X 77 <br /> Q ) h.: rt- <br /> to X O <br /> n PERWORK INSPECTION JYJ N I NA I DATE DONE <br /> _s leen completed within 2ast 12 months. X 08/29/13 <br /> D en com feted within the re uired timeframe. X <br /> r, estin was completed within the ast ear. X 08/29/13 <br /> (D <br /> �+ahin required timeframe. ` J <br /> ++ithin required timefrantc. <br /> (7 as completed within re uiredtimefiame. (1-isttest)naintenanceitem below.) <br /> h kt1 HISTORY REPORT Cfl <br /> O0 — <br /> '� - SENSOR ALARM - N <br /> O r, ,l: 1TY EMP[,OYEF.TRAINING 1 N NA <br /> N c: t;� AM he req uired on-the-job training within the ist t ear.02127'14 x _ <br /> C77 D C past 3U days hate received the re uired un-thc-job MITT-". N <br /> I ULL - _ ed in file Coll] )ell[section on fire lollo�siny pal e.and+sill require <br /> O <br /> (D _._. <br /> t0C <br /> i -0 <br /> N O <br /> Nuscm(er 2004 <br /> �_ Page I uf2 <br />