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.l_ <br />�r <br />RAMOS <br />1.0 i Olr COMPANY <br />Facility Namc:RAMOS OIL - CRECH CAMP <br />Facility Address:10842 S HARLAN RD <br />City/State/Zip:FRENCN CAMP/CA <br />Designated USI' Operator.Stev/n Richardson Phone:916-825-7412 <br />ICC Certification NumbJ"ep8218604 Expiration Dale:8-29-15 <br />Signature: Date: 4 r <br />Item <br />MONI'T'ORING PANEL/AI.ARM HISTORY <br />Y <br />N <br />N/A <br />1 <br />Monitoring system is powered on and in proper operating mode. <br />® <br />❑ <br />❑ <br />2 <br />Monitoring system is not currently showing any alarms or warnings. <br />® <br />❑ <br />❑ <br />3 <br />Alarm history report/log for the previous month is available, and has been reviewed by the Designated UST Operator. <br />® <br />❑ <br />4 <br />Each alarm for the previous month has been responded to appropriately. <br />® <br />❑ <br />❑ <br />5 <br />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 mmnh must Ix inspected unless a qualified service technician respond to. and properly addresscd, ttv cause of the <br />'alarm. Altach documematum twrif in a roriate service in this re nn. If sum in: •ction is n; luitud, rewrd results in item 6. lx:low. <br />UST SYSTEM INSPECTION <br />® <br />7T <br />❑ <br />6 <br />Tank -top containment sumps are free of water, debris, and hazardous substance. Sensors are located properly. <br />Note: Visual inspection of sum s is only required in sums where an alrm has occurred in the munch for which there is no service record. <br />Y I N I N/A <br />Y <br />N <br />N/A <br />Sump Location: El❑ ❑ Sump Location: <br />❑ <br />❑ <br />❑ <br />Sump Location: ❑ ❑ ❑ Sump Location: <br />❑ <br />❑ <br />❑ <br />Sump Location: ❑ ❑ Sump location: <br />❑ <br />El <br />Sump Location: ❑ ❑ Sump Location: <br />❑ <br />7 <br />Spill containment structures are free of water, debris, and hazardous substance. <br />Y N N/A <br />Y <br />N <br />N/A <br />Tank 1 — Contents: DCC ® ❑ ❑ Tank 6 — Contents: <br />❑ <br />❑ <br />'tank 2 — Contents: ❑ ❑ ❑ 'tank 7 — Contents: <br />❑ <br />❑ <br />❑ <br />Tank 3 — Contents: ❑ ❑ 'Tank 8 — Contents: <br />❑ <br />'tank 4 — Contents: ❑ ❑ ❑ Tank 9 — Contents: <br />❑ <br />❑ <br />❑ <br />'rank 5—Contents: 1-971-n- <br />❑ *rank10—Contents: <br />❑ <br />❑ <br />❑ <br />8 <br />Under -dispenser containment areas are free of water, debris, and hazardous substance. Sensors are located properly. <br />Y N N/A <br />Y <br />N <br />N/A <br />Dispenser # l ® ❑ ❑ Dispenser # <br />❑ <br />Cl <br />❑ <br />Dispenser # I A& 2 ® ❑ Dispenser # <br />❑ <br />7T <br />❑ <br />Dispenser # 2A & 3 ® ❑ ❑ Dispenser # <br />11❑ <br />Dispenser # 3A & 4 ® ❑ ❑ Dispenser # <br />❑ <br />❑ <br />❑ <br />Dispenser # 4A & 5 ® ❑ ❑ Dispenser # <br />❑ <br />❑ <br />❑ <br />Dispenser # 5A ® ❑ ❑ Dispenser # <br />❑ <br />❑ <br />❑ <br />Dispenser # ❑ ❑ ❑ Dispenser # <br />❑ <br />❑ <br />❑ <br />P.O. BOX 401, W SACRAMENTO, CA 95691 (800) 477-7266 <br />