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El <br />f' <br />`�' R 1,Mas <br />r. off zr MPANY <br />Facility Name:RAMOS OIL - French Camp <br />Facility Address: 10842 Sl1ARLAN RD. <br />City/State/Zip:FRENChI CAMP/CA <br />Designated UST Opera . t en Richardson I hone:916-371-2570 <br />ICC Certificatio u 8604 Expiration Datc:8-29-15 <br />Signature:Zo Date: 10_-2 <br />Item <br />MONITORING PANBL/ALARM HISTORY <br />Y I <br />N I <br />N/A <br />I <br />Monitoring system is powered on and in proper operating mode. <br />01 <br />0 1 <br />El <br />2 <br />Monitoring system is not currently showing any alarms or warnings. <br />® <br />❑ 1 <br />❑ <br />3 <br />Alarm history report/log for the previous month is available, and has been reviewed by the Designated USC Operator. <br />® <br />❑ <br />❑ <br />4 <br />Each alarm for the previous month has been responded to appropriately. <br />® <br />❑ <br />5 <br />Sensors located in tank -top containment sumps have not alarmed in the past month. <br />Note: %umps where an alarm has occurred in the print tmnth must lie inspected unless a yualiricd service technician respored u+, and properly addressed. tilt cause or the <br />alarm. Anach documenwtun vert( yin a ru rune service w thtc rc m. I riatme ins sat Girt is rc uired, reamd results in item 6, below. <br />UST SYSTEM INSPEcTiON <br />® <br />❑ <br />❑ <br />6 <br />Tank -top containment sumps are free of water, debris, and hazardous substance. Sensors are located properly. <br />Nene: Visual insetinn of sum s is onl • re sired in sum x where an :din kis occurred inthelmilisl nnnth for which Iherc is m+ survia: record. <br />Y I N N/A <br />Y <br />N I <br />N/A <br />Sump Location: ❑ ❑ ❑ Sump Location: <br />❑ <br />01 <br />0 <br />Sump Location: ❑ ❑ ❑ Sump Location: <br />❑ <br />❑ <br />❑ <br />Sump Location: ❑ ❑ ❑ Sump Location: <br />❑ <br />❑ <br />❑ <br />Sump Location: ❑ ❑ ❑ Sump Location: <br />❑ <br />❑ <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 />'rank I –Contents: DVC 'rank 6 – Contents: <br />❑ <br />'Tank 2 – Contents: El ❑ 'rank 7 – Contents: <br />❑ <br />❑ <br />❑ <br />Tank 3 – Contents: ❑ C1 El 8 – Contents: <br />❑ <br />❑ <br />❑ <br />'rank 4 – Contents: ❑ ❑ ❑ "rank 9 – Contents: <br />❑ <br />Cl <br />❑ <br />Tank 5 – Contents: ❑ ❑ ❑ "Tank 10 – Contents: <br />❑ <br />ITT <br />-F-0- <br />❑8 <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 # ® ❑ ❑ Dispenser # <br />❑ <br />❑ <br />❑ <br />Dispenser # L ❑ ❑ Dispenser # <br />❑ <br />❑ <br />❑ <br />Dispenser #Z 3 ❑ ❑ Dispenser # <br />❑ <br />❑ <br />❑ <br />Dispenser # W 34+- Ej ❑ ❑ Dispenser # <br />El <br />El <br />❑ <br />Dispenser # 1 ❑ ❑ Dispenser # <br />❑ <br />❑ <br />❑ <br />Dispenser # SA /{ Dispenser # <br />11❑ <br />Dispenser # ❑ Dispenser# <br />❑ <br />❑ <br />P.O. 13OX 401, W SACRAMENTO, CA 95091 (800) 477-7266 <br />