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C:) <br /> Q ESIGNATED UNDERGROUND STORAGE TANK UST OP N <br /> ( ) OPE(� MONTHLY VISUAL IN PE N <br /> KUST Ob <br /> ality Name Quik Stop Market#138 -'=--- <br /> Address 1153 Lincoln Blvd. Date ,;"' ctober 7,2014 0 <br /> V State.zip Tracy,CA 95376 <br /> C Operator Ca <br /> � reenter,Curtis � <br /> Cettiricabon# 8167865-UC p <br /> Expirationarch 20, +r <br /> ttafure <br /> .rs v' —`�` fi ._ . <br /> ry O <br /> Phone"" X_9825-7$5T <br /> > '-Mon <br /> _ MONITORING PANEL I ALARM HISTORY <br /> 1 IAo+tato" system s powered on and in proper operating mode. <br /> M 2 Monitoring system is NOT currently showing any alarms or warnings. , <br /> 3 Alarm histo re rt! for the <br /> _� _p°b9 , -. 911ab1e,and has been reviewed by the Designated UST Operator <br /> 3a is a copy of the alarm hl <br /> sf — - ■ <br /> 1 Each alarm for the <br /> —_ — — <br /> - _-- previous � ies4;!to appropriately. ❑ ❑ i n <br /> _ _,._ -- <br /> O located mtank-top oo rrient slimes have NOT alarmed in the past month— <br /> no. <br /> Un sumps where alamrs occurred in the past month: <br /> - -- —-- <br /> f <br /> hes occurred in the past month must be Inspected unless a qualified service technician responded to,and <br /> t the alarm. Attach documentation verifying appropriate service to this report <br /> rd results in item 6,below. <br /> LLO t3ST SYSTEM INSPECTION �- x <br /> 6 Tank-top containment sumps are free of water,debris,and hazardous substance. Sensors are located properly. i <br /> Note Visual rnspe tmr of sumps is only required in sumps where an alarm has occurred in the past month,for Kfth them is ro service record <br /> r Y N <br /> Sump Location- { ❑ ❑' <br /> Sump Location: 4f: a r" ❑ ❑' <br /> Sump Location: ❑ El <br /> Spill Containment Structures are free of water,debris,and hazardous substance. ` <br /> Y N NA t I Y N I NA ; <br /> Tank f - Gasoline 87 x; _ rank 3 - Gasoline 91 ■ ❑ ❑ O <br /> Tank 2 - Gasoline 89 _.r <br /> Under-dispenser containment area s"a' ffazardous substance. Sensors are located properly. <br /> Dispenser 1/2 <br /> Dispenser 3/4 S� t�� �� ' � { <br /> i <br /> L - -- - P11 }E. Date r N ! NA' <br /> t1- toring system certdication has been completed within the past 12 months. 08120114 ■ ❑ Elp <br /> ary containment tests have been completed within the required timeframe. 04/29!14 ❑ ❑ <br /> tnment srruciure(bucket)testing was completed within the past year. - 08/20/14"hit I ■ ❑ <br /> ss testing was completed within the required umetrame ❑ O <br /> SS testing was completed within the required timeframe. __ ❑ - <br /> O <br /> riryuired tasting I maintenance was completed within the required timeframe. (List items below) - _- <br /> 09/02/14 ■ ❑ E] <br /> ♦♦f� T88tf tenan Air Quality — -- <br /> C3 D <br /> lMatrrtenanu� <br /> C , FACILITY EMPLOYEE TRAINING �Y N <br /> try ernployebs have re C,"I A the required on the lob training within the past year 11111 ❑ <br /> employees hoed witrrn ine p�rs13 days have received the required on-the-job training <br /> "_. .w_... .. .. Page 1 <br />