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2009, 09/28 12:10 FAX SJEH 1a002 <br /> • j e <br /> ^ <br /> Site ID. <br /> Afforda-7f'et fesi nateerator <br /> 416 2-d Street <br /> Gait, e-a 95632 onthly Inspection Checklist <br /> 209-744-0112 Fax 209744-0116 <br /> Site: Date: $- S/-02 <br /> I <br /> ❑ Lyle D. Nimrno ® Zane A.Nimmo ❑ David A.Winkler Felix G. Ramirez <br /> #524115 #5263322 #52673373 #5273934 <br /> Signature: <br /> 1 1111111 111 jj�� Y= .w IV=n2,NA=n4Anp0ciib1c <br /> MONiTORTNG PANEL/ALARM'RSTORY Y N NA <br /> Monitoring systein is powered on and in proper operating mode. <br /> Monitoring system is not currcrntly showing any alarms or warnings. i <br /> Alarm history rcport/kog for the previous month is available,and has been previewed by the Designated UST X <br /> O rater, (Attach a copy of the alarvr history report//og to lhhv ®rrs if mwilable.) <br /> Each alarm for the previous month lues been responded to appropriately �. <br /> Sensors located in tank-top containment sumps have not alarmed in the past month. <br /> I,l 1 a//tank-top sumps where alarms occurred in the past month: <br /> iVote:Stenrps whom art alarnr has OCcalmq fit t/re past nrnrvh nnrst ltrgpeete uit vy a gtrcrlified service tae rrr iart respnn tn,ane prr�prr y <br /> addressed,the cause of the alarm,.attach dncuntentalion wtrifyhrg apProp late w� icer to this report If yump 67 pectimi is requited,record rmully <br /> in item 6, 1)4!(76,, �vrg��v�y�er�a�hy�rg� �v�yh7�Tmilli <br /> Ur31 SYSTEM lYl 11\s3 l.i1L1\ <br /> Y I N I NA Y N NA <br /> Twik-Lop containment sumps are free of watcr,debris,,md hazardous substance. Sensors are located prope.rty, <br /> Note: Rami inspection ra snnr 7s 1.1 only rr ulrwd fn surra s where an alarm hayserred in rhe aet month bi,wh h there is no ser wce record <br /> Sump Location; ,r; " Sump Location: <br /> Sttttlp location: El I <br /> $ump Location: - <br /> $4atnp LOCat1011: `' �III21p LOCrIhOn: " <br /> Spill contairuncnt structures are free of water,debris,&ha7Ardous substan , <br /> Tank 1 -Regular u ''ankle 4-Dic:.qcl rK <br /> 'lank 2-Flus p� Tank 5 - <br /> Tank 3-Premium ,,L 'hank 6- <br /> Under-dispenser containment free of water,debris,&hazardous substance: Sensors located properly. <br /> Dispenser 1/2 Dispenser 19/20 <br /> Dispenser 3/4 ispenser 21 <br /> Dispenser 5/6 ispenscr 22/21 <br /> Dispenser 7/8 ispenser 23/22 <br /> Dispenser 9110 lispenser 24/23 <br /> Dispenser 11/12 - Dispenser 25/24 <br /> 'Dispenser 13/14 pispenser 26/25 <br /> Dispenser t5/16 >-,ispenscr 27/20 Satellite <br /> Dispenser 17/18 Dispenser 27 <br /> i <br />