Laserfiche WebLink
1 <br />UNDERGROUND STORAGE TANK SYSTEM <br />DESIGNATED ST OPERATORtil T Y INSPECTION REPORT <br />Facility Name: Inspec toy <br />G t ( `� '� 1 Pwe.laLe; 11119,l <br />Facility Address: ,- _ / ( City: r <br />Name of Designated UST Operator Condtietutg Insp ction: Eva ngelina Barroso-Traylor ` <br />International de Council Certification No.: 8200889 -UC Expiration Date 3/1012019 <br />Signature. " I Phone: (909) 455-2275 ext. <br />_ . Mr. — Was A.-...11 <br />Item <br />MONITORING PANEL / ALARM HISTORY <br />'Fes <br />No <br />N/A <br />i <br />Is the monttoring system po veered on and in proper operating mode? <br />F] <br />2. <br />Is the monitoring system not currently showin any leak alarms? 4 <br />[� <br />I <br />is the AlarmHistory Report/ log .for the previous month available, and has it been reviewed by the <br />Designated UST Operator? (Allach u copy of the alarm Jiisto rc tt/lox to this ins ection form.) <br />4. <br />Has each alarm for the previous month been responded to a ro ' tel ? <br />❑ <br />UST SYSTEM INSPECTIO, <br />5, <br />Are tank -top containment sumps free of water, debris, and hazardous substance? Note: If die answer to Hern 4 eras "Yes," skip <br />to Hein h: lrtmpr iihere air alat-m has occurred it; the pass month nr. . t he impected If a qualified service technician Ira, riot responded to, and <br />prajrarly+ aeldres ed,, the cause of the alarm. Doom etwoion tivri, eta r roerhue eerviceshould be attached to this rcpart. <br />�Yec �NT <br />Vnc Nn <br />1- s':1-. <br />