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_10 <br />0 cn <br />= <br />v <br />CD <br />DSIGNgTED <br />0 <br />o <br />-^ 0_ <br />N rn <br />MONTHLYAROUND STORAGE TANK <br />-(UST) <br />N <br />FacilayN, VISUAL OPE <br />ATO <br />? w <br />}NSPECTION <br />x. <br />Quik Sto ___ _ CHECKLIST <br />aGiity Address P Market #132 <br />.: <br />3555 W. HammerLane _ <br />cllY State, Z p Stockton, CA 95219 <br />August 15, 201 .. <br />N <br />Cn <br />A <br />� <br />operatorC <br />i onated .C2r rater, Curtis <br />iCC 8187865 -UC <br />0N <br />N <br />3 <br />�, <br />March 16, 2017 <br />S <br />O 3 <br />,JA\ICD <br />7 <br />OO <br />ni <br />iSTO <br />N <br />D <br />m <br />- <br />0 <br />Cn <br />0 <br />0 <br />vmere alarms <br />�r�eo on <br />OIG _ C7`5 JF <br />-- .^ <br />3 <br />UST SYSTEM INSPECT <br />6 Tank -top containment sumps are free of water, d o > d pro <br />O <br />Note: Visual mspec ion of sumps+s rw y raqutred in n. '' an re <br />- <br />-... - -" <br />:.. <br />O <br />0) <br />a. 'Sump Location: € <br />— <br />,- <br />N <br />Sump Location <br />C) <br />Sump Location: <br />7 Spill Containment Structures are free of ,rater debris _'d hiiardois substance.,. <br />, Y N NA <br />Tank t - Gasoline 87- I �� pkgra+' <br />, <br />Tank -2 - Gasoline 89 1 <br />8 Under -dispenser containment areas are free of water; _ ha <br />r' <br />{x, <br />Dispenser 112 <br />Dispenser 314 <br />Dispenser 5 / 6 ■ <br />Dispenser 7 / 8 ■ n ❑ <br />PAPERWORK INSPECTION <br />certification has been completed within the past'2 mon hs <br />Date Y N <br />_ — <br />04116116 ■ _ - <br />04!23;15 ■ - - <br />9 Monitoring system <br />! 1[) Secondary containment tests have been completed within the required timeframe - <br />04118f�5 ■ <br />-, <br />11 Spill containment Structure (bucket) testing was completed within the past yea <br />l ■ . <br />- ' <br />l <br />- - ed within the required timet ame <br />12 Tank tightness testing was _ - <br />- _ — within the required timeframe. <br />beio,v} <br />-■ <br />13 Line tightness 1160" Was---- -within the required timeframe (List !fens <br />■ - <br />-r requiredbng /maintenance was completed <br />03f10115 <br />Test / Maintenance Air {3uafitY Test <br />Test / Marnten& -' <br />`- <br />EMPLOYEE TRAININ <br />FACILITY <br />u- 9 ,_ t yea <br />aired on-thelob tra c n w;tNn .he pas <br />J <br />Z7 <br />c0i <br />4 r �ddpreq ,�hua,r,„r� <br />A, fae r g shave rece�,.� <br />a Ogs. 0 dy <br />_ _- <br />__ _ _. -- <br />o <br />A ar p oyee — _ <br />+I faGiii[y` ,. <br />t;j�ri.lsstPl <br />Q <br />C <br />page 1 <br />*k <br />0 <br />w <br />W <br />Q <br />