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" 00 <br /> CD <br /> OW <br /> co 0 <br /> � <br /> CD <br /> y 0 Lrl <br /> m 3 <br /> _ c o <br /> W 0 <br /> O `c <br /> 1 W co <br /> CD <br /> O CY)� <br /> N � <br /> O <br /> N 0 <br /> LU <br /> 7 <br /> 7• <br /> n <br /> O <br /> CD <br /> C) <br /> DESIGNATEDUNDERGROUND STORAGE TANK UST 0–'-- ATOR <br /> N MONTHLY VISUAL INSPECTION CHECKLIST <br /> – <br /> "'� Faahty Name Quik Stop Market*13a <br /> Q' Eacalry A.odress 1153 Lincoln Blvd. J—E 2016 <br /> `C11Y.slate Tip Tracy,CA 95376 <br /> I JDsignalea Operamr Harold Largo <br /> O Lllc:-�C'11111 <br /> ona $293993F.Akatlph December 16,26t6? 9 mks (816i'3T31186 <br /> CD n tl <br /> Item MONITORING PANEL!ALARM HISTORY Y N tp <br /> ■ ❑ ❑,I <br /> �.. <br /> O F ^ $ MOneonng System s NOT.,renlly show g a y ala ms t g ■ ❑ <br /> =3 3 Alarm h91ory report 11og for the Rm`ri0a5a <br /> momh s i�hle.—h-b—I4vi✓,ww!by to ■ ❑ ❑),5lgnabd USTL)gerMar <br /> va <br /> Q 3. Is arwprofuraalemr myrep-1/bgr m 1— _ _ ■ D O 1 <br /> D) a Each ala r the Preu th has bee a Ixmoed t pp p ately ❑ ❑ ■ <br /> 5 Sensors 1—ted n tank IM nte'nmenl summa have NOT mead in tl p 1 nth ■ ❑- ❑ <br /> sa Lim an tanMf s wn --_ F..,_ <br /> � W some re alenns occurmo m rna w 1 ur th ..... t <br /> O <br /> rpt Na.camps Imes an s4ml hu pmare0 M Me Asst masa musi Aa msJ»ned a MI'ed s ce rarm,oan rnvpo diur to sk-- d <br /> Iy pmperp,*ne aed.Ihacapx Cfftaharl ARIEa daCllmmfMun verryinp agYapnaa+.SarvicnblNs repod <br /> :3• <br /> CD ._._ PECTION -_ I <br /> 7 6 Tank-IOp w mn Bnl p are free of wale debars,aM haz d us SeDsfa S s0 a In ted prpperly I <br /> r-h Nr#e Yuusl inspBlYUn of sumps m%raW Em SWllfra xhlwa ak'm has opuneo sfm Matmaltn forvh c'1laNabnR xmxlattYU <br /> Y N v N <br /> c -- ❑I❑ $IImP LOpatkln. ❑ ❑ tt <br /> Sump LoceOon: !! ❑ Q <br /> �. Sump Locab I Cl i❑❑I amp LufaW ❑ ❑ <br /> Sump tncaaan: Sump Lxallom <br /> 7 Spol Containment SNadluea am Nee Of water,dabns.Mb Iloserdo0s wastatme. <br /> l YINNA� ❑ 'I <br /> _ I■l❑ ❑ <br /> Tank 7- 67 _ I, <br /> Tank - 69 _ -� �_❑ _ _ - - .i <br /> ?, Ct <br /> l) . 8 Untlerdspenser containment ueas are free 01 WWr.l Y I N h�rdous subamrlce Sensors en bcatad txopeM �+� <br /> c <br /> Ell❑'❑ fi <br /> s <br /> Dispenser f/z I <br /> w � <br /> Q a. ■ ❑ ❑ <br /> I s Diapxnaer 3 <br /> Crya <br /> L mte Y N NAI <br /> C # PAPERWORKINSPEC7ION p6It91t5 ■ ❑ <br /> C1 <br /> e d w mn Us past 72 monms &u ■_D I <br /> �' � ... .ttrm certdlcsiron nes been - <br /> N $ Ielatl within$la_m9mreC Nmettame,_ pgrygMS ■_❑- <br /> 10 _gaary contarnmem lasts Itava been minas cottgietetl wnhm the Oast year -. - G ❑ ■ <br /> 11 S�dl gpnteinafxnt atnrqura @uOkNlleshag ❑ ❑ ■t? <br /> N 12 TahkAghtrcesa maNn9 was 0ompiamd vritlarl the ragoaed ameheme. <br /> C) , Ies1aW xWa rampieted aNthh+the ropmred nmetreme 6maName.(Usl cams beknv) 15 :■ ❑ ❑ <br /> y3 telstgMneea _- - vAmin the raga._. - <br /> 54 6ytK nagwre0 teed+■I meartenance vme camDle� - - ❑ ❑ ❑j <br /> (� ! .--.. AVO.1it'Tast - -- <br /> NA., (D <br /> �' FACjL17Y EMPLOYEE TRAINING <br /> rewO ❑ ■ O <br /> Hare roed the regwrad en-Iha Idb t�ml�np wilfl udpost <br /> l a lob Q' <br /> 15 All feCs16Y em00Yes5 Pas days I JU h <br /> All Id 'tY Fm(ylGf2[5 n red ul!hin Ina C rN _ — CM[arl rl <br /> O <br /> S•a W <br /> +yh <br /> CSD <br /> 0 <br />