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Designated Underground Storage 7` Operator <br /> iL <br /> Monthly Visual Inspection he klist <br /> Facility Name: CC 1/Manteca CO Date. 8312W17 , <br /> Facility A . 43o w.Center street <br /> Ci : Manteca Zi C e 336 <br /> Desiggated UST 9peratorConductin the in cction: David Smith <br /> � ��L <br /> International Code Council Certification 73 la ion Date: 111I 5 <br /> V Ves,N N6,SNA NatA cable <br /> Item MONITORING PANEL/ALARM HISTORY Y N NA <br /> EM 1111101 EM <br /> 1 Moni,oring sys tcm is powered on and itr roper o crating mode. ler <br /> Monitoring system is not d shawinany alarms or warnings. r✓ <br /> 3 Alarm history rt/log for the prcviow month is available,and has been reviewed by the <br /> Designated UST O erart .(Attach cr copy(iftete alarm histoly reporellog to thisform Lf,available.) <br /> q Eoj,.b Alarm or the previewrnottt s nresponded to appropriately. � <br /> 5 Sensors located in tat -to containm thave not a in a month, ve <br /> 59 - List all ianhmtop sumps where alarms <br /> occurred_- in the post month. <br /> Xorw SupWs tiara an alann has occurred in the paw maemtth mum be htipceted tatthtts a taxtlme-4 enav re attchut reqxwded to,and <br /> rm er°1®°rtdd- s.Aerrrt evy'thea mt..4t hdocantraaraxrdanmero*sg qjqwqpdawse^jeazothis rqwt <br /> Ifs lea tfatat Px lair f,recani reguils in lraeat 6, <br /> 1111111 1 1111 Il111lII11111l1I1 <br /> UST SYSTEM INSPECTION <br /> T _top tsbt ' lmint itimps arefree o tci,dibris,and luizard6us substance.S ori are located y. <br /> ware.°r i 0nd 1441'Woloav qrAwmpt&a mals rtwaaire d in,ratmup t*Owrr€tat alann hm aavo m V in the pave oat thfiW Whirb dwer&x`auaa "+&tv re <br /> uor Lnc rti ,Sump Location. <br /> iumip L,txcc doff. Sirrarlr Location. <br /> ttrE Location.- � Sump Loc tion. <br /> S ill containment structures are free of water,debri& hazardous t ce. <br /> Y N NA Y I N INA <br /> Tank i-Contents diesel Tank 3-Cont nu: <br /> Ta -Contents. Tank 4-Contents: <br /> Under-dispenser containment areas are free of water,debris,and hazardous subaonce,Sensors are located properly. <br /> l N NA Y N NA <br /> L7ir reser <br /> 1/2 2 ;er 9 f 10 <br /> tic ser 3! ispetiser 11/1 <br /> L)is ser rb <br /> P.1ypeaver13114 <br /> L)i eraser 7/ L►o neer°15116 <br /> am <br /> P"ERWORK INSPECTION V N NA DATE DONE <br /> Monitoring system certification has been completed within past 12 months. 0 11 <br /> 10 Secondary containment tests have n completed in the requf tirtref me. 14 <br /> I l Sill containment s (bucket)to .h was o 1 ' vii ` 'the tf 116 <br /> 12 Tank tightness testing co feted within re at. timeframe. <br /> 13 Laine tightness testing was completed within required timeframe. <br /> 14 OtIter req!!ired testin&/maintenance was completedwithin uir timeframe.(List testImaintenance items below.) <br /> TestlMaintenonew cathodic protection OW=14 <br /> Test/ ainterro .e.® <br /> TestlHainte 'race® <br /> FACILITY EMPLOYEE TRAINING Y N NA <br /> 13 All facility,emploXm have received the r aired on-c-job training within the t year. le <br /> I All t'aeilit lyee hired 'thin e t 31) s have civ t �i ori-t ®Job as ter <br /> ole:Any oos �r o ' ® shoo c ex eco t on ant o o age, <br /> an requ e <br /> follow-up action. <br /> C APPROVED <br /> 3/281201711:56AMBrandon B <br /> Page l of 2 November 2004 <br /> It d':5.0 <br />