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3250 W. Hammer Ln, Stockton, CA 95209 Record ID PR0232224 <br />5/26/16 PHOTO # 6 <br />A M 2016 D.O re ort with, <br />incorrect test dates <br />UN"rRCR STORAGr, TANK 5 <br />U��IGNATEI)INS <br />ouw�� <br />UST OPERATOR mONTHLY <br />- <br />0"a NAt AM/PM <br />.MMER 1,x,trccuvu Date:1� i t <br />5 <br />'1►€llddrees utv g G TO r <br />250 W, HAMMER LANE r <br />��udUSTOpCmtarConducting Inspectiou: JOSEOCHOA r — <br />�mtih9ul.COdc`taaunr�I Ge <br />'�unlp1$ <br />CationNo.: 8004551 -UC �p <br />' YesS gfii� <br />tem Is tha monis MONITORING PANEL /ALA �STO&iG . Imo. '� � <br />3 is es m veered oon md in ro o °/atm made? <br />is <br />t, tha7nonitori <br />at ctureatl show' an leak alarms <br />3. Is ttxaPelaxm iiistary,Reportl(bg t'orthe previous manthxavatlab�A h°°�Y�ewed by tlxe <br />c - � I�e,t Hated IJS1 �crator7 (ritlar/t o ro�ry n the alorm T7istory re ordlo `to'thr`si ection ormJ ��❑1 <br />6 � 4. 1 ts. each ahmn Cor the�revious month bacn esti andel to appro riately� <br />UST SYSTEM INSPECTION <br />S, Are <br />tank -top wantaaxment sum s f c, of wateC debris, and hazardous substance? Note Ijrhe ono -er to u , a s <br />!n )terry 6. Sumps where an vlarm fres ocW ed rn L+e, as[�p h,tnust b , s cr d f i+raf,(+ed sen'ice teduucran hus ror r cspondd ta. rnrii <br />x rlv addressed rhe arum b the aturrn, Documentatton rxrn a ra rrn f+mdd be mrached to rh+s re urr. <br />Yes MN <br />Li <br />n LOC8110A: _.__ Yes No <br />1 SUIr]p l,oc If 1011:. ❑ .:ui <br />a _ Stem Location ❑t.❑ �Suenp l.oe Bron:'M <br />Ares ill buckets (containment structure, tree of w ltc r, d brk and hazardous substance. <br />i Yes No . N/A e <br />fte,r Yes <br />No <br />li'r IR , Tank -1 iD-87 - la+tk 1IDS 4 <br />-- I 12K -_I -CJ <br />rank 31D-91 ® ❑ ❑ 1 - ink 511) �— <br />Cank3 iI)- �' ❑ ❑ �® I auk 6 ill � _ r a �'' <br />7. Are'under-dispenser uontamment areas free of water, debris, and hazardous substance'? <br />- - <br />Yes No N/A YesI No NTA r <br />�. <br />l)r,xGnxer 9TIC? ❑ _❑_. <br />w bs D� <br />�..t scr-3/4 Z ❑ ❑ I/1? „ <br />El ®` <br />K�A❑ �0 <br />lits et c/ StG ® El El v-, <br />1 ///(4' _❑_ <br />_ i <br />Urs er 7tB ® ❑ ❑ Dispenser Itl1Ci <br />Leakdetectxauisproperly'° located with" nunder-disxensercontainment t <br />Yes No <br />� 7is reser - 3/4 __-.-- ®-aZ El N❑ E1 I Dis enser l i.r 1- <br />its enser- 1/2 <br />Dispenser -9/10 <br />nscr I/10 [� <br />i' — <br />Utspcnscr 516 Z ❑ Dispenser 13/14 ❑ ❑ t1:1 -- <br />r <br />r- }K <br />_.__.� — <br />, � :� . __gtS enscr 15t16 i <br />_ PAPERWORK')m IA ilase I)anc :. <br />9. Monftormr System CerttGc ,,test was completed wxt �m �oT® �- /7/2�� � <br />were„t ct ithcd within the past 1 mon <br />unI eturuj _tusuu completed within the pa>_y l2 months`? �] �/�/201 <br />_ <br />12. Line' ess testing completed within the requuctl litne fratnc'1 ❑ ❑ <br />13 Sceondhty containment tests completed ky' ' e required ,tine ftame'I ❑ ® ❑ 5/1 �/2{�1 1 <br />I4 Enhanced Leak Detection completed uuc-d tune frame. ❑ ® � ' <br />15. Otber required testing/maintenance '` Rhin required three ti este'? <br />Describe ]est/Maintenance. <br />( tnaitUeuctttce itwttt�' k, <br />Describe Te,t/Maintcaatrct. <br />16. .Have all facility em loyees rue' within ` t earl <br />..17. Ilavc all facility cA?R�t _ _, aetutuii” .::r,=�--, , <br />Fatinah Zareef, REHS Page 6 of 20 <br />