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UST OPERATOR MONTHLY INSPECTION I <br /> t <br /> Facility Name:RAMOS OIL-FRECH CAMP <br /> Facility Address:10842 S HARLAN RD <br /> City/State/Zip:FRENCH CAMP/CA <br /> Designated UST Operator: ue el o , Phone:)16-371-2570 <br /> r <br /> ICC Certification N e 20 -uc I <br /> Expiration Date:2-25-0, ,', <br /> Signature: Date: <br /> Item MONITORING PANEL/ALARM HISTORY Y INIA <br /> 1 Monitoring system is powered on and in proper operating mode. ❑ <br /> 2 Monitoring system is not currently showing any alarms or warnings. ❑3 Alarm history report/log for the previous month is available,and has been reviewed by the Designated UST Operator.4 Each alarm for the previous month has been responded to appropriately. ❑5 Sensors located in tank-top containment sumps have not alarmed in the past month. ❑ <br /> Note: Sumps where an alarm has occurred in the past month must be inspected unless a qualified service technician responed to,and properly addressed,the cause of the <br /> alarm. Attach documentation veri in a ro riate service to this report. lf&UMD ins tion is r aired record results in item 6 below. <br /> UST SYSTEM INSPECTION <br /> 6 Tank-top containment sumps are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Note: Visual inspection of wm s is only r uired in sum s where an alma has occurred in the ast in for which there is no service record. <br /> Y N N/A Y N N/A <br /> Sump Location: ❑ Sump Location: ® ❑ <br /> Sump Location: Sump Location: ❑ <br /> Sump Location: Sump Location: ❑ ❑ <br /> Sump Location: Sump Location: ❑ <br /> 7 Spill containment structures are free of water,debris,and hazardous bstance. <br /> Y N /A Y N N/A <br /> Tank 1—Contents: DFC ❑ Tank 6—Contents: ❑ ❑ ❑ <br /> Tank 2—Contents: ❑ ❑ Tank 7—Contents: <br /> Tank 3—Contents: ❑ ❑ Tank 8—Contents: ❑ ❑ ❑ <br /> Tank 4—Contents: ❑ ❑ Tank 9—Contents: ❑ <br /> Tank 5—Contents: ❑ ❑ ❑ Tank 10—Contents: ❑ ❑ ❑ <br /> 8 Under-dispenser containment areas are free of water,debris,and hazardous substance. Sensors are located properly. <br /> YN N/A Y N N/A <br /> Dispenser# 1 Dispenser# ❑ <br /> Dispenser# F <br /> 1 El Dispenser# ❑ ❑ <br /> Dispenser# 2A&3 A ❑ ❑ Dispenser# ❑ ❑ ❑ <br /> Dispenser# 4A-&A ❑ Dispenser# ❑ ❑ <br /> Dispenser# 4A&5 A ❑ Dispenser# ❑ ❑ ❑ <br /> Dispenser#«rA' ❑ Dispenser# <br /> Dispenser# Dispenser# <br /> P.O.BOX 401,W SACRAMENTO,CA 95691 (800)477-7266 <br />