Laserfiche WebLink
0 <br /> UST OPERATOR MONTHLY INSPECTION <br /> Facility N <br /> am <br /> c: <br /> R <br /> AMi0— <br /> S O <br /> IL <br /> r <br /> REC <br /> —H C <br /> AMP <br /> Facility Address:10842 S HART RD <br /> City/State/Zip:FRENCUI CAMP/CA <br /> Designated UST0PLrator.Stcypn Richardson <br /> --- <br /> V <br /> 3 <br /> lhonc:916-825-7412ICC Certification Nunbt,8 Expiration Datc:8-29-IS <br /> Signat.re. <br /> ALTH <br /> Date: <br /> Item MONITORING IIANE14AIARM HISTORY <br /> I Monitoring system is powered on and in proper operating mode. y N N/A <br /> 2 Monitoring system is not currently showing any alarms or warnings. 11 El <br /> 3 Alarm history report/log for the <br /> previous month is available,and has been reviewed by the Designated us'r Operator. <br /> 4 Each alarm for the previous month has been responded <br /> 5 Sensors located in tank-top containment sumps have not alarmed in the past month. ❑ <br /> Note: Sumps whercan alarm has occurred in lk past nuanth must he inspected unless qualaiedsurvice technician re.sparacd to,and properlyaddressed.the cause of the <br /> alarm. Attach d--iin""inn,writ yin a na rine sorvicc it)this re rt. If sump inspeciftin is rcquired,record resu i in item 6,below. <br /> UST SYSTEM INSPECTION <br /> 6 'rank-top containment sumps are free 01�water,debris,and—hazardous substance. Sensors arc�located properly. <br /> Note: Visual ins moon of sumps is only re uired in sum s where:m arm has occurred in lk ast month liar which there is no service record. <br /> Sump Location: Y N —Yq—VNT—N/A <br /> 1:1 11 <br /> Sump Location- 0 0 ❑ Sump Location: 11 0 <br /> Sump Location: 103 D ❑ Sump Location: <br /> Tr 0 <br /> 101 <br /> Sump Location: 0 ❑ Sump Location: <br /> 0 D Sump location: <br /> 0 <br /> 7 Spill containment structures are free of water,debris,and hazardous substance. 0 <br /> V N N/A <br /> Tank I —Contents: DF., 13 11 rank 6—Contents: ❑Y N I N/A <br /> 'rank 2—Contents: 0 0 0 rank 7—Contents: ❑ <br /> —Dro— <br /> Tank 3—Contents: ❑ <br /> 0 El D "bank <br /> _ 0 ___1 -s: ❑ <br /> 0 <br /> ❑ <br /> Tank 4—Contents: 11 El D 'rank 9—Contents: <br /> ❑ <br /> 'rank 5—Contents: 11 13 0 Tank 10—Contents: C1 0 <br /> 8 Under-dispenser containment areas are free of water,debris,and hazardous substance. Sensors arc located property. F-1 0 D <br /> Y N N/A Y N <br /> El Dispenser 1111 <br /> 0 Dispenser# 0 0 0 <br /> D 0 Dispenser# 0 <br /> Dispenser# 3A&4 <br /> Dispenser# 4A&5 D Dispenser# 11 11 0 <br /> Dispenser#5A Dispenser# 11 11 0 <br /> Dispenser# ❑ 0 Dispenser# 11 D 0 <br /> Dispenser# 01 <br /> P.O.BOX 401,W SACRAMENTO,CA 95691 <br /> (800)477-7266 <br />