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UST OPERATOR MONTHLY INSPECTION'17r <br /> Facility Name:RAMOS OIL-FRECH CAMP <br /> Facility Address:10842 S HARLAN RD <br /> City/State/Zip:FRENCI-I C ' A tN G" ALTH <br /> Designated USI'O tor: ue De ad Phone:916-371-2570 <br /> ICC Certificat' n Num r: 6. 03- Expiration 1tc:2-25- 013 <br /> Signature: Date: <br /> Item MONITORING PANEL/ALARM HISTORYY N N/A <br /> 1 Monitoring system is powered on and in proper opera(ing mode. ❑ ❑ <br /> 2 Monitoring system is not currently showing any alarms or warnings. ❑ ❑ <br /> 3 Alarm history report/log for the previous month is available,and has been reviewed by the Designated US'T Operator. QI ❑ ❑ <br /> 4 Each alarm for the previous month has been responded to appropriately. ❑ ❑ <br /> S 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 numth must tic inspected unlcsc a yu:diticd service technician resruined in,and prorterly addressed,the cause of ilte <br /> alarm. mach documentation veru yin•a rn rimc service tr this rein. it sump inspection is re wired,record results in item 6,below. <br /> UST SYSTEM INSPHcHON <br /> 6 Tank-top containment sumps are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Note: Visual ins action of sumps is only required in sumps where an airm has occurred in the est nuimh lir which there is no service record. <br /> Y N N/A Y N N/A <br /> Sump Location: ❑ ❑ ❑ Sump Location: El <br /> Sump I-A)cation: El 0 ❑ Sump Location: ❑ <br /> Sump[,ocation: ❑ ❑ Sump Location: ❑ ❑ ❑ <br /> Sump Location: ❑ ❑ ❑ Sump Location: ❑ ® ❑ <br /> 7 Spill containment structures arc free of water,debris,and hazardous substance. <br /> Y N N/A Y N N/A <br /> Tank I—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 /> Y N N/A Y N N/A <br /> D,Spenser <br /> # 1ir <br /> ❑ Dispenser# ❑ ❑ ❑ <br /> Dispenser# i A-&"2 ❑ Dispenser# ❑ ❑ ❑ <br /> Dispenser# 2A&3 ❑ Dispenser# ❑ ❑ ❑ <br /> Dispenser#,3A_&4 ❑ Dispenser# ❑ ❑ ❑ <br /> Dispenser# 4A&5 t1ov ❑ ❑ Dispenser# ❑ ❑ ❑ <br /> Dispenser#.4A, ❑ ❑ Dispenser# 11 ❑ <br /> Dispenser# ❑ ❑ ❑ Dispenser At ❑ <br /> P.O. 13OX 401,W SACRAMENTO,CA 95691 (800)477-7266 <br />