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Afford Designated Operator Afforda-Te$t <br /> 4162°d Street Street gnap tri"c <br /> 4162 Street Designated Operator <br /> ? Galt,Ca 95632 MonthlyInstion Checklist <br /> 209-744-0112 Fax 209-7414-0116 p Galt,Ca 95632 Monthly Inspection Checklist ..- <br /> 209-744-0112 Fax 209-744-0116 <br /> Site: MANTECA EXPRESS Date:7-2-2012 Site: MANTECA EXPRESS Date:7-2-2012 <br /> 419 S MAIN ST 419 S MAIN ST <br /> MANTECA CA MANTECA CA <br /> ❑Lyle D.Nimmo Zane A.Nimmo ®David A.Winkler ❑Fclix G.Ramirez <br /> #5249115 #5263322 #5263373 #5273934 ❑Lyle D.Nimmo ❑Zane A.Nimmo ®David A.Winkler El Feltz Felbt G.Ramirez <br /> #5249115 #5263322 95263373 #527394 <br /> �. Sigrt-Ture: <br /> Y=yes N no NA nota licn6l SI�aftre ---_- <br /> Y=-es -no.NA note luh <br /> MONITORING PANEL/ALARM HISTORY Y N NA <br /> Monitoring system is powered on and in proper operating mode. X MONITORING PANEL/ALARM HISTORY rXI <br /> N NA <br /> Monitoring system Is not currently showing)any alarms or warnings. X Monitoring system is powered on.and in proper-operating mode. <br /> Alarm history report/log for the previous month is availablq and has been reviewed by the Designated UST X Monitoring system is hot currently showing any alarms or warnings. <br /> rotor.Attach a co o the alarm histo re and/o to thisf—'available Alarm history report/log for the praNiousmonth is available,and has been,a via <br /> by the Designated UST <br /> Each alarm forthe previous month has beettresponded to appropriately X Operator, 4trach a co o the alarm histo re ort/!o to.thls orm!available <br /> Sensors located in tank-top containment sumps have not alarmed in the past month. X Each alarm for the previous month.has beet'responded to appropriately X <br /> List all tank-top sumps where alarms occurred In the past month Sensors located in tank-top containment ps have not alarmed in the past month <br /> List all tank-top sumps where alarms occurred in thepast month: <br /> eiSumps where an alarm has occurred in that past month must be infpeued untess a quay ied service technician responde , hd pro r - <br /> addressed,the cause ojthe alarm Attach documentofkn verjfyirg appropriate service to this report.lfsump inspection i..requ/ied,'record results e: amps where:w a arm has occurre in thg past mom must a inspected unless a qual pdservice technicianterpond and prbperly in item 6,below. addressed,the cause of the alam Attrtdt dxumentation verjryhrg appropriate service to the report.Ifsump Inspection is requfr',!,4 record results <br /> _ in item 6,betow. <br /> UST SYSTEM INSPECTION <br /> Y I N I NA Y N T NA UST SYSTEM INSPECTION <br /> Tank-top containment sumps are free of water,debris,and hazardous substance.Sensors are located properly. ; Y N NA Y N NA <br /> Note:Via ll wan u oa!re tared to su where m alarm leas omtned In the t momh a whtrh there le srrwce tiaoo d'�" Tank-top containment sumps are free of water,debris,and hazardous substance.Sensors are located.properly. <br /> Sump Location:87 X Sump.Location: Note:Visuaf F on sum a lied m su where an ala m has ottvned m the month which them b no service nocorrt' <br /> Sump Location:91 X Sump Location: Sump Location:87 X Sump Location: <br /> Sump Location:9l X Sump-Location:. <br /> ..... S r Location:._ ... _ -. _ ;:Sum Location: <br /> Sum Locatio DSI,..--_ .. .. ;.�::., ..X._. -,. utpp. <br /> . $um LocationD L � X � ..P'- <br /> S ill containment structures are free of water,debris,&hazardous substance. - <br /> Tank 1-Regular X-1 Tank4-Diesel Xa Spill containment structures are free of water,debris&hazardous substance. <br /> Tank 2-Plus X 1-71113r5=-' " n ^' " Tank t-Regular i X Tank 4-Diesel X.. .. <br /> Tank 3-Premium }( Tank 6- n Tank 2-Pkra 'X `Tank 5' s <br /> Under-dispenser containment fee of watorjilebris.. hazard substance.Sensors located ro erl. Tank 3-Premium X Trek 6 <br /> DISP 1-2 g Underdispenser containment free of water &hazardous <br /> u ee:S located"' er <br /> DISP 3-0 X DISP l-2 X <br /> DISP 3-4 X.. <br /> d. <br /> i F <br />