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I)cal!nalrlt IInAICIvIolIlit I Sit ImI'c hulk II Is 1l)Ixuntrn
<br /> ti1r)nlltl% \'uaunl Irnl)rrtn,n('heel lu t
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<br /> ht, m,1.11'., \1Im,tSIONAI SRI': DATE
<br /> \1.1111;,:,1 , ;1,,(r,d� ,;1:• T'\ -
<br /> .l�nal,•,1 I N I 1),4.1.11,'1 l'ondnrune IhC 111'pecnnn„1111 I 0C INCCk�I,.wn -11,14 r,rp -
<br /> 1tu1.a+:1111+11i r1nl1:atln1,rr SISIR i-14' i t \p1co"n U,nr 1-14.'UIs
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<br /> — — -- ;1[ONITORING PANF.I.I ALARM IIT,IOR\
<br /> D slu'naled 1 ln(Irr::rulllid Slorapc•Dank (I ISI )Operator _
<br /> Monthly Visual Inspection Checklist
<br /> m \:unC I\press',t:ukr( I)ntc March.'I .'fit t .
<br /> s�llny .1ddn•., _t l'9> M.1111 til � UNDERGROUND STORAGE.TANK SYSTEM
<br /> n 41 .1; l('n !1p e'lxle );a(' DESIGN:�TEI)OPERATOR RATOR h:�C'11.1TV ENIPLOVEE TRAINING RECOR
<br /> C'wlulcdIS-I ((pccnor(„nducungtheInspectionm illInIc%leck%FraniCn-11111(oril — —' — F7,rua,heI)udr;, Ihunber.1gewtcc rudnrrr+J,I,nr,•(h, t
<br /> lrrdrnrrrll'rrrel /'rdr•'(.Pr,• i,r'p I6('oIrinrur❑r'„rlr.�r 1(”"Won.rnv4,C ,
<br /> IcnAmol1:d("XIC('ouncII Ccrnlicanon If TIS8751-I1(' hxpurtuon U:nc 1-14-2(114;
<br /> .'n.rtnrc i'; --- Thane 1 is')
<br /> Facilin•Name:Fart, MONITORING PANEL/ALARM NISTOR\ r
<br /> Facilitv Site Address: (til>': _
<br /> Ccuon 2,1i of Tnle 21, California Code of Regulations.requires thea 1)e„ anted t ndergmund Slonq Tank l
<br /> j rmide Iranian R to laclhh cnlplo%ecs %cho have responsibilities associated mit, the operluon ancLbr mamte
<br /> r &T-ground storage lank(UST)s<•stems This training must be provided b) Jail+ 1. '11111 and c%cn I'months it
<br /> Designated Underground Storage'Tank (UST)Operator nr factlm empto%ccs hired after JulY 1.2005-the initial Iranung mist be prodded%%tthm :u51+,of the date of hurt
<br /> Monthly Visual Inspection Checklia = ait one of the facdll}employees present durin)t operating hours must h %e current tramutg 'flus n:umng must lndudc
<br /> not hatted to.the following liens as specified in_+CCR Sections 2-1.
<br /> it I)and(2)
<br /> Ila% 'same lApress Markel U:ue April 21.2011 .0 ❑ operation of tllc UST s}stcrn in a manner consl\lcnl%%nth the la,dtt% Bc,t Sl:magenlctti Practices
<br /> _ ❑ Tllc employee's role moth regard to LIST ntonitonng equipment as,pect ied in the ttnuen LST Monnornw Plan.
<br /> tum Address 119 S.Man SI - -- - - - Q ❑ The empin}ee's role mm alt regard to spills and overfills as specified to the mmniten L'ST Response Plan.
<br /> _ Manlc_ci CA --- r T.up('ode ')i; C+a ❑ Names of contact person1%)for cmcrgencicc and nwnuoring egtupment,ilarans.
<br /> ,-alcd LIST Op
<br /> er for Conducting the Instxstlon with Lyle Meeks Fr_mien-11111('l�_— � 11 For racilltic•s tlu.'u are not ronhnely staffed,Ctciltt\cmplmce reslwnsib,luues as specified III the n:unmg pra,`r+ln
<br /> ntauonal Code Council Certtficauon H x I X8751-L1C - x uration Date 1-18-2015 approved by the lord UST rcgulaion agency
<br /> t:rturc y f:x�eY' - Phone !559)81)5_3167 3 CCR;2715(fu;)requires that a list of employees%mho It:u\c been trained ht ttic l)e,1'_n.uCd l ndcren+und Ch+age f.0
<br /> Y=fie. N z�u S%=vur.% rator(s)be tnannamcd on-site.or oil-site al a readil2-available taxation If�pro%ed h2 1111 1t-.:;i1 u_enc% and pwvdcd
<br /> MONITORING PANEI./ALARM HISTORY _ i N le
<br /> hoc d a I lie%upon rerptesl ('omplcliun of this farm%mill etusfv UST imining record keeping reNtllrcoten(< 1111 1L`Uo„
<br /> Mor 1111.s%slem is veered nn and itim mcr o turn'nuxlc - -- --- - N cLI pIn}ccs haw tnen Trained as required b)21 CCR Sections 2715(f)(I):Ind(2)
<br /> � n.�.-1'11-- �J`- =-L- _-�
<br /> Mott�1+i 5vstenr as not currcnil}•showing any alai its or wanin%s _ -- N :.slimy Fm to ee Name Trainin Date (lire Date_ Trainer Name'
<br /> 1 AtarrL,,tslon'reportflog for the previous month is available.:laid(urs been rcvie%%cd by the X - P_�' .. ___-- ___fi_. - - - -- -
<br /> Dcsiwr,led UST lot. T lhrrh(a urnLqfthe alarm hr\(,l•t'r,,x)ri 11)1 to this/ornl r j avadnhle.) - ! 1�.(\tom y 1 c f�S I z t I O S/"C i t
<br /> End rn)for dtc previous month lues been rc- Idcd to a rr 01x1 rtdr_ ---
<br /> Scn�locatctl in Iank-io.eomauuncnl suntps_Imvc not alarmed ittthc_pttsl 111011th.
<br /> 1l`r all 111111-Jnfr wmpe uhr•rr u!,)rlm r,.rurrral lir der/east mnrrth
<br /> Vow.,%MPJwhm an ufarmlb,+ Thi/,m Meluth Mutt 1w d-j-lhl
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