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UST OPERATOR MONTHLY INSPECTION <br /> Facility Namc:RAMOS OIL-FREC;CAMP <br /> Facility Address:]0842 S HARLAN RD <br /> City/State/Zip:FRENCH CAMP/CA <br /> US Op.ratoZ Ph n 1 6-37 1-25*70 <br /> a <br /> Designated T 0 -.9; -A'tet i <br /> UST Operator- U el do Phone:916-371-2570 j r-. -1-4 <br /> Certification <br /> ICC Certifi' tuber 03- x i <br /> !cation Expiration Date: -25-201 <br /> at <br /> Signature- a <br /> D te <br /> Item MONITORING PANEL/ALARM HISTORY N/A <br /> I Monitoring system is powered on and in proper operating mode. -7 <br /> 2 Monitoring system is not currently showing any alarms or warnings. — <br /> -Y4 <br /> 3 Alarm history report/log for the previous month is available,and has been reviewed by the Designated UST Operator. <br /> 4 Each alarm for the previous month has been responded to appropriately. ❑ <br /> 5 Sensors located in tank-top containment sumps have not alarmed in the past month. EJ E] <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 veriing appropri service to this re rt. If sum ins tion is auired,record results in item 6,below. <br /> late <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 ofsum ps is only required in sumps where an airm has occurred in the past month for which there is no service record. <br /> 0 <br /> M <br /> MMonitoring to <br /> Monitoring <br /> Alarmr' <br /> I'm h' <br /> Each al a <br /> 5 Sensors I <br /> Note Sum, <br /> alarm. <br /> "t. <br /> Fa V I N N/A V N N/A <br /> 0 <br /> Sump Location: D D 0 Sump Location: 11 El D <br /> Sump Location: 0 -170 Sump Location: -cr <br /> [T <br /> Sump Location: E�A 0 D Sump Location: Tr-a—[T_ <br /> Sump Location: 7T-0-1 Sump Location: <br /> [T_[T 0- <br /> 7 Spill containment structures are free of water,debris,and hazardous ubstance. <br /> V N ;/N/A Y N <br /> Tank I-Contents:—DFC 11 OZI 11 Tank 6-Contents: 0 0 El <br /> Tank 2-Contents: D El 0 Tank 7-Contents: 13 El D <br /> Tank 3-Contents: D D Tank 8-Contents: ❑ <br /> Tank 4—Contents: ET-El_ Tank 9—Contents: 0 <br /> Tank 5—Contents: I Tank 10—Contents: <br /> 8 Under-dispenser containment areas are free of water,debris,and hazardous substance. Sensors are located properly. <br /> V "N <br /> I NIA V N N/A <br /> Dispenser# I D Dispenser 4 El 11 El <br /> Dispenser 4t t76F <br /> El El Dispenser# -IT- <br /> -Dispenser# 2A&3%A Dispenser# <br /> Dispenser# 3,4.A 4 Dispenser# Ty—a 1:1 <br /> Dispenser# 4A&5 0A eO El Dispenser# 0 1 [1 1:1 <br /> Dispenser Dispenser# <br /> 0 DID <br /> Dispenser# Dispenser# El I El <br /> P.O.BOX 401,W SACRAMENTO,CA 95691 (800)477-7266 <br />