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x. <br /> UST OPERATOR MONTHLY INSPECTION <br /> Facility Namc:RAMOS OIL-FRM-1 CAMP <br /> Facility Address:10842 S HAR LAN RD <br /> Ci(y/Statc/ZipTRENCH CAMP/CA <br /> FH <br /> - <br /> t d/ L <br /> Designated US*l'0pera(or:Samuel Delgado llhonc:916-371-2570 <br /> _ ,7 <br /> ICC Certification Nu ber:1065203-uc Expiration Datc:2-25-2013 <br /> Signature: 7= <br /> Item MONITORING PANEIJAIARM HISTORY V N N/A <br /> I Monitoring system is powered on and in proper operating mode. El <br /> 2 Monitoring system is not currently showing any alarms or warnings. VC03 11 <br /> Epr <br /> 3 Alarm history report/log for the previous month is available,and has been reviewed by the Designated UST Operator. 0 0 13 <br /> 4 Each alarm for the previous month has been responded to appropriately. 0 0 Er <br /> 5 Sensors located in tank-top containment sumps have not alarmed in the past month. ❑ C1 <br /> ntc Sumps where analarm has occurred in the pasinh-nih must he inspected n"1­%;'qualified service technician resim,owd to.and pr.qx:fiy;,ddrvwd,the cau.,, ,I th,, <br /> alarm. Attach diwonleniation."crifyinu apgn;Criatcservice In this re nn. If sum insictinn is rcgircd.record results in,item(,.hjnw. <br /> WM SYSTEM INSPECTION <br /> 6 I'ank-top containment sumps are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Ninc: Visual inineccitin tl(sum rs is tinly re uired in sum N WhcrC an I till has ccurr it in the tact­mnh for which ifictc is till service record. <br /> Y N N/A Y N N/A <br /> ,lump I.,ocation: Sump Location: C3 C3 0 <br /> Sump Location: CT-a_0Sump 1,ocation: 0 0 <br /> ,Wrilp[A)Cation: ❑ SUMP Location: <br /> ❑ <br /> Sump Location: 7-7a, ❑ Sump Location: 0 0 0 <br /> 71 <br /> Spill containment structures arc free of water,debris,and hazardous substance. <br /> Y N N/A Y N N/A <br /> lank I -Contents: D17C Tank 6-Contents: 0 131 0 <br /> Tank 2-Contents: ❑ Tank 7-Contents: C1 0 0 <br /> tank-3-Contents: Tr Tank 8-Contents: CFTF El <br /> Tank 4-Contents: ❑ Tank Contents: Tr <br /> tank 5-Contents: <br /> 0 Tank 10-Conien(s: ] MU-0- <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 /> Dispenser# IV Dispenser# <br /> _CT <br /> Dispenser# I A& 2 U El ❑ Dispenser# ❑ 0 <br /> —DISPenser# 2A& .1 <br /> Dispenser# 3A&4 el.1 -90 -0— Dispenser# 11 <br /> Dispenser# 4A& 5 107, 0 ❑ Dispenser# 0 0 0 <br /> ❑ Dispenser# 0 <br /> Dispenser 7[1- Dispenser# 0 <br /> Dispenser# ❑ Dispenser# <br /> P.O. 13OX 401,W SACRAMENTO.CA 95691 <br /> (800)477-7266 <br />