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3250 W. Hammer Ln, Stockton, CA 95209 Record ID PR0232224 <br />5/26/16 PHOTO # 15 <br />Jul 2015 D.O lort with incorrect test dates and a D.O. that was not listed <br />ESJGNA !'sera U TOP ,. <br />(} l+;!{t,rlUUNU S'1'UI2AGl�. "TAN <br />OPERATOR INSP , . <br />HA <br />s 4 d MrPM jawction bate Jul <br />-. azse -- <br />AMMER !.ANE C1ty: BTOCKTQN <br />P a _ 1Gng�ot�Sa'OperatorConductingInspection: JACOSAWEAVER <br />C eCouncilC <br />Certification No.: - *' <br />i-- 8338858 -UC <br />Not A WC <br />No N/A <br />M()NITORINC PANFL / ALARM Hi.Sl'OtitY " <br />Is the inonjtotjn s Std owcred on :utd rn proper operating mode <br />_ <br />3. Is the AIltSt1CD1 not currant showing any Irak alarms? <br />lol'y Report/lug for 1bC previous month available, and bas it berm mviewed by tate <br />D-eeried (—._drs L t>Lxrator7 (duuclr rt rr» 0 the Mann Asro re orUto to th s irzs ectrnn jornt ;7 <br />�. nes each alarm to ttrc rettous motnh bcr�rC4 d to a o n� r , <br />onde— rn n `aicy - <br />5.--- —tl'sTSYSTGMIINSPECTION <br />Are tank -top containment --_ sumps free of water debns <br />ra !um 6 Sgmµr where. an trod baT:ll'doILS substance Owe. IJthe mtwer to/trier % ».rs "Yet;"F <br />alarm hnr %rurrrri m thz:.ayt p:. qual Pied sen to technrerme hat Brat ratpa .. <br />? nddte_<,u /he cavae o the darer <br />.,;,..� �. t3onrmenlwfian �"'��-- � . ` shmeGf fir err had ro this resort. <br />Yes No' nN. <br />$Inn Location: <br />.. Sum Location: . ❑ ❑ 'Sum Location Location:[ � ❑ : <br />h. <br />Are ill buckets (cuntairuncnt stntctures) tree of water, debris, and hazardous sub., <br />Yes No "N/A <br />Tank `IID -s7 MASTER <br />® ❑ ❑ <br />- 7ank4Il)- <br />Tank2II)-s7$I,AVI; --- — _------- <br />- n ❑ Tank 5 ID <br />_ lank3lD_-977 <br />l <br />Arc undcc-dispenser containment areas free ofwater, debris, and hartrdous subs! ti <br />-._- Yes No N/A <br />Dienser- 7/� t _ <br />___ T_ ® ❑ Dis user )/ 1(}_ <br />Disp�nscr--314_ <br />Disperser -H112 <br />} Ilispettser S16 ® ❑ ❑ Dis nscr- 13!14 <br />_ iJts tnscr -7;fS � ® Dis scr I5/16 <br />t Oak dtte !sun is rttn A loc red within under-dis enser containment <br />Yes No NIA <br />Dts' crtacr 1!2 _�' ---- <br />_ .. � <br />Dispenser -9/10 <br />1)is <br />_or_3/4 -� Dis enser - I1/12 <br />_. — --. ® Dispenser- 13/14 <br />Dis cm,er 7/8 i ® ❑ Dis cnsrr - 15/16 <br />PAPE.I2W61 R INSPECTION <br />9, Monitoring System Certification was completed within the past 12 months? <br />1Q. Line Leak Detectors were to ted/certihed within the past 12 mondts? <br />T. _ <br />11: Spill bucket (containment structure) lest'ng completed waren the past 12 months'? <br />WN <br />12, Line tightness testing completed within the- <br />_._ <br />13. Seccm i-nmAinrnent tests con letcd wiUtin the rt u d I fan;c> <br />14, Enhanced Leak Detection coin leted within the r i tC j ti - <br />15. Other required testing/maintenance was cot leted. ` <br />Describe Test/Maintenance: A <br />Describe Test/Maintenance: <br />_ _ F <br />16. I -Lave all Pacilit ern to ees recB <br />17, Have all facility cinpioyees hired wi <br />Fatinah Zareef, REHS <br />:7I!I ►-� <br />DI r 1 <br />5/7/2W ._ <br />5/7/2015 <br />Page 15 of 20 <br />