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Affor aL e <br />416 204 Street <br />Galt,. Ca 95632 <br />209-744-0112 Fax 2W744-0116 <br />Sits ID: 1277-1 <br />! , nate! Operator <br />r r <br />Site:.QUICK- N STOP T Date 12-11-13 <br />1001 Yosemite Ave JAN 16 2014 <br />Manteca, C.A.. 95337 ENVIRONMENTAL HEALTH <br />DEPARTMENT <br />® Lyle D. wua mo E] Zane X Nimmo David A. Winkler 0 Feft G. Ramirez <br />#5249115 #5263322 #5263373 #5273934 <br />Signature: <br />millR = " iw — a = not IMPame <br />MONITOWNG P / ALAM HISTORY Y N N.A, <br />Mozhi Wring system is powered on and in proper operating mode, <br />X <br />Momtoring system is not =Twayshowmg sM aimms or warnings. <br />x <br />Alam history repoWlog for the previous mouth is available, and has been reviewed by the Designated UST <br />erator.,�rt`aeh a co o the alm7rt hist > o to thisform i available. <br />Each alai m for the previous woo* been responded to apprWriately <br />Sensors located in tank -top coutaument maps have not alamed iii the past month. <br />LW all to* --top sumps where alarms occurred in the past month: , <br />Note: Sumps w an alarm has occurred to the past month mast be irrspeeted unless a joined service technician responds to, and properly <br />address&4 the came of the alarm. Att=h documenWion verifying' appropriate service to this report .if sEUep €nweetion is reytei'r eA record resulty <br />in item below. <br />UST SYSTEM INSPECTION <br />Y N iYt1I <br />I X I 1N =NA <br />Wasik top coatiaMment shmips are fire of water, debris, and hazardous substance. Sensors are located property. <br />NOW viawlerr ermumn is only requfired to where an alarm hms vacwYed in the VMt Month for which there is no merurae rd <br />Sump Location: 87 x <br />Sump I.ocaiion: 91 X <br />Sump Location DSI, X <br />111111 1 1111M <br />ill cOntainnIeDt swxtms are fxee of water, debris, & hazardous substance. <br />Tank l — Regular l X <br />Tank 2 91 <br />Tank 3 - DSL x <br />Under-dispeaser coo>aimeat free of water debris & hazmtoasubstance. Sensors 1 Oar . <br />Dispenser 1t2 x <br />Dispemser 3/4 x <br />Dispenser 5/6 x <br />Dispenser 7/8 <br />