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4V1 e 713- <br /> Designated er o Storage Tank <br /> { ; :. <br /> a, gnv <br /> i <br /> Monthly Visual Inspection Checklist <br /> Facility Name:CA4 19—Manteca CoDatc 0=17--- <br /> Fa ili ted ess: 430 W.Centers t AUU <br /> CiManteca LLZio Code, 93336 <br /> Desipated,UST"' tsar Conducft the in lection: Dal Smith <br /> International Code Council Certification : 8260473 Expirnion Date:VMS—; <br /> Signature:DSay c (M)SM9737 <br /> V Yes,N N NA Not Ap pilleWe <br /> Item O ITG PANEL l ALARM HI[STORY N l <br /> 1Monitoring system,is powered on and in prolw o crating mode. <br /> 2 �nit�ritt s is ntrt rttl shur�in uu ala s ur v�arriin <br /> 3 Alarm history reporl fur the previous month is available,and has been reviewed by the <br /> Designated UST"Operator,f.4tr h a copy Biles alarm hisrtag re rules to rhlsjlrraaa l eullabl J <br /> 4Each h r e previousmoat s tt r a to appropriately. <br /> 5 Se rs located_ in Wak--Lop containment nt <br /> M have not alarmed in et <br /> 5a - List all i ank-top sumps where ala s occurredits they .°t month: <br /> _ <br /> 14entaa.°Sumps where an alarm Etas aItt Me plaw maratttth nmw be hnpeeW tani� e a quallficttserl t echnichm twLWattilled to,and <br /> {ttrafrthe vanw of th e a larm,A ttaic h do ceaax entatt ►wrifi ilk appimpriaw mnlive to this report. <br /> ! a raax mot is <br /> u1ni treard riesulls On ltawmt ,helow <br /> UST'SYST'E NSlPECTI N <br /> 6 _ _ top containment s of ter,debris,and hazardous substance.Sensors t p per y <br /> ° tr°t lAwl ftartsec°tfrarax cv'wml Is(M&rivilituirrvI M.xattwpt,«vt*el saw Wax olervirtwo fw Ow poll mullishfew w*kh f0tere&on s yr mvillict,. <br /> Sasraa Loa rear° <br /> Sump Lo a l l : <br /> Sraap tion_ Su Location: <br /> Sea Location: Sump L� dmil <br /> S ill containment structures of water.debris.and hazardous t ce. <br /> Y N NA Y N NA <br /> Tank 1 -Contents: dieW T - `onlewvs: <br /> Tank 2-Contents: Tank 4-Contents., <br /> Under-dismuser containment of water,debris,and hazardous mbstance-Sensors am located pToperly. <br /> Y N Delta. Y N NA <br /> Dispenser 2 F r 9/10 <br /> i ger3.64 trispeower 11612 <br /> T1ner_ b _ 1ts1 114 <br /> ssn7/ Di ser 15/16 <br /> PAPERWORK INSPECTION V N NA DATE E <br /> 9 Monitoring system certification has been completed within t 12 months. 08143/14 <br /> 10 Secondary containment tests have been completed i,n the nMired timeframe. V 0WW14 <br /> 11 Spill containmentstructure(bucket)testing was cdrhpleted within the past year. V 6 116 <br /> 12 Tank tightness testing w cn " leted within reguired timefraine. <br /> 13 Line tightness testing w completed within required thriefrarno . <br /> t4 other LeMired testingLmaintenance was completed within required timeframe. List lestitinaintenance items below.) <br /> r" vtf raisers "ex. V OW=4 <br /> estl ai tenancle: <br /> 7°ostl share 'nce: <br /> will, l ! aim <br /> FACILITY 1PL YEE TRAIINING I 'Y I_ N INA <br /> 15 All fal emplgees have received the Leguired onE E-jgab teainin within the nt,year. V <br /> 16 1 All facility 0yees hired 'thin t 3C1 s have received t aired uta-the-Job n' V <br /> ntb: Y hatser "s n e eac !h the edm en ort nut n a page,an h re <br /> follow-up action. <br /> APPROVED <br /> 7J22120173:12 PMBrandon B <br /> Page] at'2 November2004 <br /> REV:5.0 <br />