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A <br /> CST OPERATOR MONTHLY INSPECTION <br /> ........... <br /> Facility Name:RAMOS 0R.-FRE*Cll CAMP <br /> Facility Address:10842 S UIARLAN RD <br /> City/State/Zip:FRENCUI C <br /> Designated UST Ope r <br /> 5KO ->Ku/DgadI'honc:916-371-2570 <br /> ICC Certificati umpef.109K20 -u- 11.,Xpiratio5Date:2-25-2013 <br /> Signature: <br /> k" Date: <br /> Item MONITORING PANEIJAIARM HISTORY y N/ <br /> I Monitoring system is powered on and in proper operating mode. IR, <br /> 2 Monitoring system is not currently showing any alarms or warnings. IM 71_3 -IT-- <br /> 3 Alarm history report/log for the previous month is available,and has been reviewed by the Designated UST Operator. �4��/M <br /> 4 Each alarm for the previous month has been responded to appropriately. V —C] <br /> 5 Sensors located in tank-top containment sumps have not alarmed in the past month. <br /> Note: Sumps where an itlarni hits occurred in the past month must he imflecled tud"%a qualificil service technician respond to,and pruperly addressed,the cause of the <br /> alarm, Allach docurveniation verilyin appro rime service to this re nn. Irsunij inspection is re aired,ructutl results in ilwin 6,hek­. <br /> usi,SYSTEM INSIDFCFION <br /> 6 Tank-top containment sumps are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Note: Visual inspection of sums is only required in sunt s where;tit hill has occurred tit the past nunuh lir which there is nit service record. <br /> U"Cu s"'" "u"" <br /> V N <br /> V N N/A <br /> Sump Location: 0 0 0 U Sump Uwation: ❑ <br /> Sump Location: o El C1 C1 Sump—Location: _17—n-—n— <br /> Sump Location: 0 Sump Location: <br /> Sump location: 0 —0 ❑ Sump Location: 7T <br /> ❑ <br /> and hazardous substance. <br /> 7 Spill containment structures are free of water,debris,a <br /> yN/A Y N N/A <br /> Tank I-Contents: DF-C [YrO -0— Tank 6-Contents: _E1 <br /> Tank 2-Contents: Tank 7-Contents: <br /> Tank 3-Contents: Tank 8-Contents: --IT-0 ❑ <br /> - <br /> Tink 4-Contents: Tank 9-Contents: <br /> Tank 5-Contents: 0 1 El 0I lank 10-Contents:' 1 ❑ 13 FEI <br /> 8 Undcr-dispenser containment areas are free of water,debris,< d hazardous substance. Sensors are located properly. <br /> V N N/A _y _N N/A <br /> Dispenser# I ❑ Dispenser# 0 <br /> Dispenser# 12- - 0 El Dispenser# 0 <br /> Dispenser# 2A&3 R C] Dispenser# ❑ El 0 <br /> Dispenser# ;A-&-4 j ❑ Dispenser# E1 0 <br /> _Dispenser# 4A&511011, ❑ Dispenser# <br /> 17is_pcns.rX1A. ❑ ❑ Dispenser# <br /> _0 [1-1 ❑ Dispenser# <br /> mis <br /> P.O.13OX 401,W SACRAMENTO,CA 95691 (800)477-7266 <br />