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AM PM HAMMER/15 FOOD NO. 83113 3250 W. HAMMER LANE, STOCKTON, CA <br />. Jli(ICiCICU STORAGE. "I .� ° ' � iV ., <br />DESIGNATED IST OPERATOR MONTHLY INSPECT110N <br />z� t. <br />h;rc€Iri�Nati;A#viriE �.,,�.,�...�,.,w.�.q,,�...�..�..�� <br />1 Ati�iE <br />Inspection Date: July 25, 2016 <br />..._. <br />tt ttzt fs i tic e 3250 W. HAMMER LANE � City: STOCKTON <br />+.z it tit Ek s tyated 1?S E f.? a ratr?r (€3rttiy�etietl En ccttcat'a SHA` N R DRIGUEZ <br />crzzdt2.nE tt� C�}untilcrC�#�� �t%cyn hTc� Ex tr3Uon I}dte: <br />i34`I�?PrCl2lit, � P 514/201.$ <br />�t;4rtE%i:: , -_ _ _ _ __ ., �. __�___ <br />Phone: (559) 688-2977 ext <br />Not A �la_cah[c <br />Lafti 4 st 1l� :aliMP <br />MONITORING PANN] I ALARM WSTORY � Yes No , N/A <br />--_ <br />V11 <br />Ea fisc tnnnytatrinhteotivcrcd cin andtnr y*aatln Ti y �a1 r iFa'1 <br />_- <br />Ts the nt�tnttttrin tivstean not cumntt sitctwira an tea3 elartna� ' - -- --' - — JUL. 0 .t.i <br />Es tEse k tdnn iiiston Repc�rtltra tEtr fh� rtviran snctnth <br />e, and hasit been reviewed by the <br />toss 2�ttcd t1S`#' ( rdtc7r' t: torch a cza �y ry the alrrrrt 1t7sfort, r°e rcartltrr x to this inspectionfol-In.) <br />�; .L#,d�+ e nth alfu #car tk►e�SrLv��us trt,�nth hien res trrtcicc3 tai � ria ryate} '� <br />-~~FU <br />UST SYSTEM INSPECEl i li)N _�1k, <br />Are tank iop t �antatnntcnt saxtrtp� tree of Water. d bras, and halard(lUS subesUIM(, z ,Noft, lith anneer in item d was ' Yes, srt&ftsr"'aarrn bees Ott11r11zt r» rhe parr Month must be inrpeacte daja rtualrf`asscl se,a°rrt Iechsszraata Ia is p t t=pan iecf to. <br />tier r . ae lite r txrrr . DocuoWntation wri yin r t ruzrRa ser to eFssarrltl be ,mit cfr cr to this <br />tt tri. <br />— --should <br />Ycs No <br />Yes No <br />_ c <br />. ,Ss►iTt�yl�ae�tttcrtt � `.l�_�.��. Swnp 1lt7cdtyct�_ <br />Are � int Su��t��' � �tl sEri�h►res Epee ��fwater,�iebris, and !s ~- _._�__ �-�._ r <br />Yc No N/A Yes No N/A <br />7. <br />Ape ndcr-djs xnscr containment areas lr rafwater_, debris, and her srdous suhstance`r <br />YeS <br />_Yes No NIA <br />—Tenser 9no --- �j <br />� <br />16 <br />L DiS ens r BiI4 _ <br />July 1, 2016 L8: south piping sump low liquid alarm has not been acknowledged in Item 4 of the designated operator's <br />monthly inspection report dated July 25, 2016 <br />Photo taken on: 5/25/2017 <br />