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2009 09/28 12:10 FAX SJEH Q 004 <br /> Arda- oSt Designated Operator <br /> ffoT <br /> 416 2nd Street Galt, Ca. 95632 Monthly Inspection Checklist <br /> 209 744-0112-800 524-9087- Fax 209 744-0116 <br /> Site: P-7), Date: 6 11-2 1 Z' <br /> A)9 <br /> bILd-I <br /> 1-k)Ct±,e 64 - <br /> Lyle D. 0 E A.Nimmo David A.Winkler Felix G Ramirez <br /> , e A <br /> 452491INirl63322 0#5263373 #5273934 <br /> Sigaature - <br /> Y- es N=no NA=not upplicablc <br /> MONITORING PANEL MARM HIST Y V N VA <br /> Monitoring S)Ttem is 2owered on and in proEr operagag mode. <br /> Monitoring system is not cuyIntyl showing an alarms or warni s. <br /> Alarm history re ort for the previous month is available and has bOAn reviewed by D.O. <br /> (Attach dfarm A7history) Not Available <br /> Each alarm for the previous month has been responded to al2prol2ri6tely. <br /> Sensors located in tank-to 2 containment sumps have not alarmed in the past mouth. <br /> List all tank-topsumps whem alarms occurred in the past moi the <br /> Note:Simips where an alarlyl has occurmd In the post itionth must be,inspected unless a qualified -ervice technician responded <br /> to.and properly addressed, the eama of the alarm. Alluch documentation verifying appropriate-yi rvice to this report. <br /> 1 511111P Ino .alar is re aired,record results in item#6 below. <br /> UST SYSTEM INSPECTION <br /> I Y IN —FY I NIS <br /> Tank-top containment sumps are free of water,debris,and hazaAous substance. Sens Drslocated p . <br /> properly. <br /> No1c; Visual inspection of sumps only required in sumps where an alarm lies occurred in The past month far which there is no service record. <br /> Sump location. <br /> Sulk location: <br /> Sump location: Suinp location: <br /> Stunp location: . <br /> Su t*Ip location: <br /> Spill containment structures are free of water, debris, &hazardous substance. <br /> -'rank-1 -EeAularTan4-Diesel <br /> Tank 2-Plus Tan.R5- <br /> 'rank 3-Premium <br /> Tank 6- <br /> Under-dispenser containment free of water debris &hazardous substance. Sensors located-P <br /> P <br /> -P <br /> P <br /> -P perly, <br /> Dispenser 1/2 1..Disuser 19/20 <br /> Dispenser 3/4 X I IDispenser 21 <br /> _2isLenser 5/6 Pisponser 22/21 Satellite <br /> Dispenser 7/8 Dispinser 23/22 Satellite <br /> Dispenser 9110 <br /> -1' <br /> a nser 24/23 Satellite <br /> —Dispenser 11/12 <br /> Disprinier 5/24Satellite <br /> Dispenser 13/14 <br /> ser -Isponser 2625 Satellite <br /> Dispenser 15/16 Disknser 27/26 Satellite <br /> Dispenser 17/18 Disjinser 27 Satellite <br /> Facility Employee!Touting <br /> LAU facilityloyees have received the required on-the-job tri <br /> p iniM within the est ar. <br /> �Ilfhcility employees hired within the Last 30 d!ys have recciled the reuircd on the <br />