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Bank of Stockton Airport Hangar No. 3 1941 E. Lockheed Ct., Stockton, CA <br /> UNDERGROUND STORAGE TANK SYSTEM <br /> 4INSPECTION REPORT UST OPERATOR MONTHLY <br /> :ame: Bank of Stockton Inspection Date: April 15, 2016 <br /> Adress: 1941 East Lockheed Court pity: Stockton <br /> Designated UST Operator Conducting inspection:P Norman L White 10/3/2016 <br /> nal Code Council Certification No.: 5250095 Expiration Date: <br /> Phone: ) 483-0257 ext. <br /> NT/A = Not Appiteable <br /> MONITORING PANEL/ALARM HISTORY {Yes No N <br /> ie monitoring system powered on and in roper operating mode? ® i F-1El <br /> ie monitorin system not currentl showing an leak alarms? F-1 ❑ <br /> ie Alarm History Report/log for the previous month available, and has it been reviewed by the ® j ❑ <br /> ionated UST Operator? (Attach a copy of the alarm hWor <br /> y report/log to this inspection form.) <br /> each alarm for the previous month been responded to appropriately? ❑ 1 ❑ <br /> UST SYSTEM INSPECTION <br /> tank-top containment sumps free of water, debris, and hazardous substance? Note: If the anwer to Item 4 was "Yes. " skip <br /> m 6. Sumps where an alarm has occurred in the past month must be inspected il'a qualified service technician has not responded to, <br /> rly addressed. the cause of the alarm. Documentation verifyirt appropriate service should be attached to this report, and <br /> Yes No <br /> Location: Tank Top ® �❑ Sum Location: Yes No <br /> j Location: Transition um Location: <br /> pill buckets (containment structures) free of water, debris, and hazardous substance? <br /> Yes No N/A <br /> I in — Fill Port ❑ Tank 4 ID — Yes No NSA <br /> 2 ID — (—1 f—1 ® Tank - ID— <br /> Designated operator did not sign the April 15, 2016 Monthly Inspection Report <br /> Photo taken on: 10/10/2016 <br />