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Des i(ynated #nderground. Storage Tank (UST) Operator <br /> onth1v Vistial Inspection Checklist <br /> E Rt- alatt <br /> Name: Tracy Bird,Shell Tette: 05/26/2010 <br /> _ _ __.._.__.� �� __............ _ .......... <br /> Facr=ity 'address: 372.5 Tra�v° Blvd, <br /> _. .___ _____.._... ..._._.. .. _._ - __.. _. _ __......_ ._, . <br /> ( ltt� 7(race _.._...Zip C fade: 953776 <br /> — _, _ .................... <br /> 17>,1 =aitted cS"T operator{-`0nduct€ a tLi� i€iupoctaa:>at. �3rian E)uas� �a <br /> _______ _ __...... <br /> International Code ( cUT �€ �, trt`sl 80214'16 L-C" Ex iration Date: 12 110/2012 <br /> _.. _._. 4..:__P <br /> S€,=7aatu, :........_ _ �_ Phone: (888)700 EPIC__.... <br /> 4 rllca[r(a <br /> Tern _ .... O t TORING P N t I ARNI HISTORY Y N N.% <br /> ......._M o t€tt7a€.'1S7 L., ,Vste in 35 t��,!�.�red on and in�'�ra>a3c.€ tt 4€ Sir 1�. S�"ode,. <br /> � <br /> n <br /> 1a EttPa3Sa ��tcna t_ not currcntlyt s€s)L�it t$7� '3flartns or 14 1rnimis <br /> _._ <br /> Alar'P s� <1't'rel t_rs 1 x�r Fit FE ilrne �_vro� �n sEti? i.� xv t-�tis�1� �tn,,'£t7, ts,'>3�._�. " .�:y�t,� ti e _..� .. ....... t <br /> l�csi<_=nawd L ST Oper ,ator-, ,Atla h r7 z op of the rzd�b7 srr hta r 2 r 2�r 22 jt$�ttr t�2l;i Jt37711 '�`ti�r s it thi'c.) <br /> alarm fire`they previous month lrtts l?ecn ass trn�3�d icy�I�prct rtat�lr. � <br /> 5 i Sensors locate d rr tank-ti>lr L rr ttln?ra nt surra s 11a&€ rrot alarr3�cd in tlr� /rest aratrratla. 1 <br /> 3� 't - 2.¢_t£Ta tc.F2t ;-jr.a#) *:2('73 ;s 11F�aLt£^Ciir`,78'IP2:ti#7c,-i,fP"' €7 <br /> gd.'[ r >. <br /> i 727.�.ak'�7fl.t, pp€CPtt2`2: , <br /> : 1a:c:S'�+Ja,3 .,k:.t «z, .trJ� .._.. ".1<:<ss „4 ..r.?_� s f;�a�,_ <,s�_'__�.�.+..�-,zusF_•�<<_.�-ar i�.aF�v ssa e9xdi'kxrl fr a�sf3n,�r.d(+F,c7zIf1` <br /> s <br /> .... ......_.. .".."............ <br /> . <br /> ___...., .. C'S'T �,1 �+I t-N1 INSPECTION' <br /> Tank-top coni a€ment starters are free t`rl"wa cr, cicltrr€`r.. mgid hazardous substtance, Setlsors;arc located properly. <br /> ='7 <br /> i1"'d l71t :.! E aE itf l "fa.i! `t#t3fb 1'f7.7 } )Zs`E?�ft t7#.'Ft„2.,L'°x't1�iXt�,1d}lJi'1i➢'t6 YT <br /> ........ ..,:._.._........ <br /> Sump Location, <br /> _. _ ._. _ <br /> �z�r2?n I tae�ut2ra2t` Sump Location: <br /> ........ <br /> .fid{'np L ilt'iFIion. at77 1 Location” t <br /> 7 Spill co tlitl tient structures arc free of"water, debris. and h i ardous substance, F� <br /> Tank l L:o7a ent`: 87J'aa3 Gmier Gents,, 91 <br /> 'Karat: ? ContEws, 89 4 C`Oatr"WA Diesel Q <br /> 8 Undcr-dispenser containment areas are f-ce of water.dcbris mid hazardous S risors are located ro erl� <br /> ' . <br /> Dispenser 9 IO Ix <br /> t).j 3£nser- <br /> 5.-,...,,6. .. � F�7s21°L�nser /.3............. <br /> ._._...,.,.._.. Ex <br /> 1).rra€t cf,,• s r�1ti g(Pi.itl' t' <br /> ... <br /> Monitoring S st€,tt,certll,c a ai i has been completed d withirt past t2 months, [7x gr <br /> I is Secor€d tr l cure ar ime t rest"',_hal,e becti crrta m wd xidiirr the required time rare c._.-. 121"22,2009 <br /> _._._. <br /> H Spill €crrtain nc nt straut tzi tl��ic F Et' € tan s�arm.... ted� atiu a thepast r. .� _t <br /> _. <br /> 13, tpTtPcCcnx1 . , ctrfile fante. m <br /> I ' Line tigh.r. ss tertawas completed Svttaf2 required fimeft rne, �y � <br /> . ....,.. <br /> 14 1 Other requirl. test€m' maintenattc,c V as�i'€�8ct4d wiih3tl equi€ �tl oral drama t 2,7 F it'st 7Un fel <br /> g� <br /> tc.. <br /> ...._ ................ ds1 1 77c17] C 't€9r ttaTat~4 A <br /> tit ' ££adZ c; 7tTtdC£'. ; <br /> F <br /> ' c et 7�d'6tf�ra7re c': £, <br /> FA CI L I <br /> " All i'ac ilitv empio\cc-,13avc r ceiye i the required£jai 'Calc cel}tr a€ i ng 1 ahm the pas L€c'ia'. �( <br /> W _ <br /> 16 All facility a niplo ec.s hired S,ithin the past 0 c ivi have€�c eive f tlr> ra. ui cis bars-tl, -lcl�t€ air€iar�. 3 � <br /> Note ern,,.answer of in the co'm ent section on the following pate,and will rea�tzare <br /> follow-up action. <br />