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3250 W. Hammer Ln, Stockton, CA 95209 Record ID PR0232224 <br />5/26/16 PHOTO # 12 <br />October 2015 D.O re ort with incorrect test dates and a D.O. that was not listed <br />; i rC I)t RUROUND 5'1'UIZAGU TANK X `1`liM <br />II <br />L' I t INSPECTIoN REPO � <br />f) t�ST OPERATOR MONTHLY -. <br />iN 3nz. - <br />I I---- - <br />H LMI41ER 1 inspection Darr. pctobcr �7 2fI1D <br />I tcilits tldtitti s;' _ _ �AMIPM - 9 <br />Iante tat l d2bO W` HAMMER LANE City: STOCKTON <br />Ix rtturConductingluspcction: JACOBA.W�VER r12o <br />tt}tr#9U1nxlYtaa �,t�t E. otzttcil Swettif�No.: _ <br />S nlruafsou i3ir ; <br />8338858-UC <br />ttainn — 1 hone j559168&2977 ext <br />°rat.%pplicab <br />Yes No NIA <br />Item <br />MONITORING PANEL / ALARM HIST{ <br />i t thi morutnr'mg systetttpowexcd tin and in prop s o ertCi> mode' <br />is their the t_ nom0.xing systeal not eurrentl show in an leak alarms? <br />1 Is the rll:uro I lista Re vUto for the reviow month avallahlc, m l Itas it been cevicwed by the <br />lhsi (natal UST O tato ? f ach a co a the ale rm laistor i'c ort/to > hi this ins ecoon forni <br />I las ac-� h alum for the pretiio is month been res udcd to ap rtt arty'? _ <br />S UST SYSTEM INSPI (;7I(IN _ <br />An tank -top containment sum s tree of water, de and harsdous substance? Nae !f the ansr[r to Item 4 was ' Yes. " sk+p <br />ro /tern h. Sunt na rv's „d[d w, and <br />P <br />N ahem an darm lras amu ed in rt+e pour month muSP hr +aspeMed ja Yua(J+ed serv+ce techmc+m+ las P° <br />r rufdmssrd the cause o the alarm f)ueemuntuhon sin n ro rrme serrorce A-ld he attached to thu Yes No <br />Ycs No ❑ <br />j Sump Location: Sump Location: r 1 <br />1 e �Lwater debris, and hazardous substance - Yes No N/A <br />5. i Ore spirt buckets (containment strurtarres <br />Yes NofN/A7 ant, I m - 87 MASTrt2 ❑ 'l',wk 4 P? -9 ❑❑ ram sID7 aril i11) 91 a❑ Tank 6 ID - <br />s i Arc. under dtsixnscr containment areas free of water, debris, and hazardous substance° - <br />I - Yes No N/A 1 yes No NIA <br />fatc�I)rs acct i a ® ❑ ❑ Dis nser - 9/16 1 ❑-444 ❑ <br />/4/d -- ❑ ❑ Dis enser- liri?- ❑ <br />® ❑ Dis enser- 13/14. • <br />l ten Cr -ilk ® ❑ llis acct- 1Sll6 <br />R._ [ .ah dt tecdon is pri�peri orated withinunder-& enser containment. <br />_ Yes No N/A Ytts No Nt0 <br />[7rs a �r= it 10 <br />® Q Dis enser - 9 <br />I)t,acttser <br />Dis 3rq- ❑ Dis cmv ❑ <br />- t-1/1� ❑ i <br />_ _ - <br />r- 5/6 ® E] Dis nlcr 13114^_ ❑ <br />I)upuasrt 7/8 _,_ ® ��❑ Dis nSer I5/16 _ t <br />-- <br />Ye- _s No NIA Date lloue <br />_ <br />- PAPERWORK INSPECTION <br />9. Monitoring System Certification was completed wit4tn the past 1 ntouihs't 51712t 15 <br />�-- <br />f u. Line Lcak hectors were tested certifaed willtin the past 1? nuaattlts? ® ❑ 01 5/712015 <br />-- — C 5/712015 <br />S tIl bucket (containment structure) testingttaplet�d within the p,ut 12 month�l <br />12. Lute ti mess lectin cam Ieted wuhtnthret�uarcdtamt frame? ❑ ❑ _ <br />13. Secon containment icsts tom icteci wtthmthere wrctltittic iramc',> ❑ ❑ <br />J 4. Finhanced lxak Detection cum It it d witlttntlac requvud itme'tira�rtc.'! ❑ <br />14.Other re sired testin maitricnant c was ctxlapleted wltiazaa re airs d tituc tnanac (List tesilmuintenarce iters below.) <br />Describe 'I'est/Mainteriance: A 1'.C•D• ❑ �� ��_.. <br />Describe Test/Maintermnee: <br />FACT T'Y r,,KI1L0YF.F T1UIN N{: i Yes FNo /A <br />Fatinah Zareef, REHS Page 12 of 20 <br />