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UST OPERATOR MONTHLY INSPECTION <br /> facility Namc:RAMOS Oil- FRECI-I CAMP <br /> Facility Address:10842S HARLAN RD J U, <br /> CilY/S1a(c/Zip:FRI--'NCI I CAMII/CA <br /> Designated,USTOperato - mucl D )ado <br /> "'o <br /> Certification <br /> U�" Uper' Ilhone:916-371-2570 W <br /> _E , <br /> ICCCertification mbe 6520 -u d— -ALT1 <br /> Expiration Date:2-25-201.1— <br /> Signature: <br /> Date: <br /> Item <br /> MONITORING PANEIJALARM HISTORY Y N N/A <br /> I Monitoring system is powered on and in proper operating mode. 11 11 <br /> 2 Monitoring system is not currently showing any alarms or warnings. <br /> M <br /> Monitoring <br /> Monitoring <br /> n''0 <br /> r <br /> r <br /> n <br /> n <br /> Y' <br /> system <br /> n <br /> m <br /> g system <br /> e p <br /> not g y 0 <br /> o <br /> 3 Alarm history report/log for the previous month is available,and has been reviewed by the Designated UST Operator. D D <br /> previous <br /> Each alarm <br /> larm or the 'L <br /> k <br /> ,_top <br /> Item <br /> 4 1"ach alarm for the previous month has been responded to appropriately. D El <br /> ( s _ , 'I <br /> 5 Sensors located in tank-top containment sumps have not alarmed in the past month. <br /> 11 0 <br /> Note: Sumps",krc an alarm has occurred in the Past nionat must he inspected unlema qualified service technician Nsr"Ined Io,and properly addrcs%Ld,the call. <br /> alarm. Attach 11 doctilmniation%,crijin ;tiir(inriiiie,ervict:it,iliks reit, Irsum insiclion in item 6.hcloe. W of the <br /> UST SYS'T'EM INSPECTION ]LER <br /> 6 Tank-top containment sumps are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Note: visual ins2eci ion ol'stuntis N oniv required it,sums%viieri,analrin has occurred in lie <br /> asp month lin which Ilete is no service reaml. <br /> SV N N/A Y N N/A <br /> Sump Location: <br /> 0 ❑ 0 Sump Location: 0 0 0 <br /> Sump l ion: 11 D Sump Iocalion: <br /> Sump ocation: 101 ED] D Sump Iocation: ❑ <br /> Sump Location: 1 0 1 01 wation: <br /> 7 Spill containment structures are free of water,debris,and hazardous substance. <br /> V N N/A — Y N N/A <br /> Tank 2—Contents: 13 <br /> 0 Tank 6—Contents: 0 E] <br /> Tank 3—Contents: ❑ <br /> 11 El Tank 7—Contents: 13 11 D <br /> Tank 4—Contents: 0 ED] 0 Tank 8—Contents: — 0 11 <br /> . —Contents: 0— Tank 9—Contents: 11 11 11 <br /> 8 ❑ 0 E! Tank 10—Contents: 11 El 0 <br /> 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 /> Dispenser# I yk- 0 D Dispenser# <br /> Dispenser# IAjer2p El 0- 11 <br /> t11 0 Dispenser# <br /> Dispenser# 2A&3 0 <br /> — P". E] Dispenser# <br /> Dispenser# 34—K--4— 13 1 D D Dispenser# 11 0 <br /> Dispenser# 4A&5 ❑ D 1 Dispenser# <br /> —6.7,pe n,e 4 <br /> —r# ,4. 0 D Dispenser# ❑11 0 D <br /> Dispenser# D Dispenser# 0 0 <br /> P.O.BOX 401,W SAC R A M I`NTO,CA 95691 <br /> (800)477-7266 <br />