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Lf CIS <br /> Comments: X.J t*.- A 604a,04Az3l�Z�_ZA)2� 97 <br /> Items Requiring Follow-up Actions. <br /> Instructions: <br /> Monthly visual inspection of the LIST system must be conducted by a Designated LIST Operator, <br /> who possesses a current"California UST System Operator'certification issued by the International <br /> Code Council. <br /> The UST Owner or Operator must maintain a copy of this monthly visual inspection checklist and <br /> all attachments for the previous 12 months. The records must be maintained on-site or, if approved <br /> by the local agency, off-site at a readily available location. <br /> If ATG alarm report shows alarm activity in the turbine sumps,call maintenance to verify service <br /> response. Be sure to notate date,service company,and resolution of call. Schedule a service <br /> call with maintenance if alarm has not been investigated and inform O&E for follow-up. <br /> Retention in store is I year for inspection. <br /> By signing, customer understands and acknowledges that Valley Underground Tank Monitoring is <br /> an inspection company only and that all repairs are the tank owners responsibility. Valley <br /> Underground Tank Monitoring will go over all reports with tank owners representative to explain all <br /> comments or follow-up actions needed. <br /> Company Representative Name (Print): <br /> -q Sign: <br /> Today's Date, —9,4jL Representatives Title: <br /> Today's Fees C.O.D. ChargeP.O <br /> All charge accounts are due and payable within 30 days of inspection or prior to next inspection <br /> being performed. Valley Underground Tank Monitoring reserves the right to pull its name as <br /> designated LIST operator at anytime for non-payment. All fees are due at the time of service <br /> unless prior arrangements are made with Valley Underground Monitoring. <br /> Payments are to be made to: Valley Underground Tank Monitoring <br /> Thank you, <br /> Dan MciLrath <br /> Valley Underground Tank Monitoring <br />