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Designated Underground Storage Tank (LIST) Operator <br /> Monthly Visual Inspection Checklist <br /> acilit i <antc: Tracy Blvd.Shell ( Date;03/24/201tl <br /> _........ <br /> _ <br /> Fit ddre s:3725 Tracv Blvd. ' <br /> Cita T`rac�° _ 1i C'ocle.a1S37fi <br /> 1)esaawat ate ti L ,'T' C�crattc�r Ca.tnductirtat t1i Ir accty�cyit: I rian I)unahak t� <br /> lata rnational Code Council Certiucat on k 8021436-LIC � � 1?+ irgzc ca`t Date: 12 f 10/2012 <br /> Mean 1101 1"1`0)121\C; t'1\ 1,t rel aii2 1 11I s7 t?1Z l NA <br /> i�' stctaa 1`lae�ltit iCl CtCl c[tt tilt)i r Cb C rcattCl iT�tt£Z <br /> 2 )Jonstorin svmcm is not curreentls slacts tna a t "salaarnas or warn <br /> ..Alarm history rc tart Icat,for previous -� ..,...._._.. � „ <br /> a la f naeaattla i�,available,and has been res°tcwctf by the � MR <br /> 15esi= natal I ST C7 tcratctr. (Attach ca ctr ra o0he taltarrrC histol-,1 1'e)0r°t110 to I lis jxrrrrt 1J'av ailcxhle.J <br /> 1,1-4- Each alarm for the previous taaorath has tic <br /> Sensors located is tank-top containment n s have not 6tBarnac�d iia tttrc sear month. <br /> >a m List till tank-tale.srarrr/ts where alarms occurr-ed in they/.rrd.sa month: �� ��'t�C� +• t F-:t L I <br /> Vole :gaup ha-fv an alaa,ml Ilan w,reea relit In aaa�}vrc�nrarrttda ttsd te. daastact d.a ttarla�e.�ra atuar.z� tt s�°ra��c=tr }amra rasa res�a��rarfcsl rn.trr�¢! <br /> r }p ) <br /> p 6¢s:aatt��rraasdre c�Fa Cdr zsthe <br /> s�cn arara a11 <br /> ar r:d ralarm, <br /> xrkd�tPaatta�ra�ti°a��aa'tadssedarasa 4'c�i`rdi�ir�g argr�ax��aa�sraits sr+��weif)tFsrs s°aynrr°t <br /> A d <br /> Fi ? "1`ank-top containment sumps are free of water,debris,and hazardous substance, Sensors are located properly. <br /> to a z+marl rra,drus€rte da, rsuarrrs Is emir`s°rrquired rrr.,nimms'1ra°c an uhlr m haw f)(v rrre d ars thej!rLvt drrrrrrth for which there is no ervu-e rce card it N <br /> �_._._.,_. ,Sirrra� Laac-tatierra: <br /> i `a'Ceartls d czcalion: <br /> ` j �tarat/r L rka°tttierrt: � .Saarra�Lr�ctttitrrr,' <br /> .SCtrar a Location., .SuM r Location: <br /> sill a .antainna rat strucattra s arc lice ctf vaaztcr,e ksrls.gancl lrazatrtlous,substance. <br /> \ N <br /> Tatar 1-C arra>rttc: 7 Tank a Contents: 91 j® <br /> l`tank 2,-C"earrte°rrt. #1 l E l ank 4-- atents: Diesel <br /> a <br /> _.� t?:ac9cr 'eraser rcaatt tistttacnt areas are fits rtt svat�r.<l4 res,aat;cl Itaa rdous substance. Scissors are locate <br /> ci tocrl l <br /> W _ <br /> if � r1 �' :tie# <br /> t 1?i.s ac rt4 r I f 'Ciilbarcat x11'11 1)r.c <br /> enser 9 i I1) Gilb arca lrll'l.S <br /> 1 I)i rad>raser 3 r Gilhareza 1PC � I)tsrras€r 11 l Cttlbarca1P <br /> i.lt.wdre r2sc?..g tr Pi Ciilbarcaa 11'Ea ® I 1)ix)a ns- r 11. 14 fiilbarco MPD ® <br /> is ar/ Lmvx r-?r 8 Cilbarco N11'D ® 27 ��!fi Ciilbarco MPAPERWORK INSPECTION A DATI <br /> PT� l <br /> Ea Monitorma systcaaa certification has been ceaa (. Izaaf <br /> 10 Secondary containment tests have:been con 0 t 12/22/1.009 <br /> 1 1 S ill containment structure(bucket)testing <br /> was crana)tletcci�sritlain she fast year, <br /> "ank tight % vt ► rs � d1c unreel tirnefrante. � <br /> 13 Linc tzatttness testing a ctiRlea1 avtthita r�arcd timeframe. <br /> _ ightt ma _ <br /> 14 = Other r uired tesune maintenance auras crane le.tctl s€tthtn t�uired timeframe. fl in tc�.c°t%rrrcrarrtcrrcrarccF lie Other deletes. <br /> ie�st-"�lfcairrtcracraatclraasaiat [zi 1 1i{l /2(1111 <br /> _ _ — �— <br /> ?r st,4lcaintertane <br /> last%.11eaimenanc e: <br /> qg 1 rC 11 1T 1°1R< 11'I,CIE 1l3 t 1 Vi r l' li <br /> xv <br /> r11� LIsI- <br /> alcags rthe <br /> l Mees hirctl a ' ba>t3t la' `answerta �`"ti«•sboulr tat elainec! In flat conaancnt sectiaan ren flee fcallosarilnf; pant,and t+°llt rewire <br /> follow-uta action. <br /> 1'aa-e 1 tate? <br />