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Designated Underground Storage Tank (UST) Operat r y � T <br /> Monthly Visual Inspection Checklist , <br /> Facility Name TCC Il Manteca CO [late; 07117117 <br /> Faeilid : 430 W.Center Street <br /> _ <br /> City: Manteca Zi Codw. <br /> Designated UST Operator Conducting the inspection- ID*vW Smith <br /> International Code CouncilCertification 6 73i Date-W7119 <br /> Signature:David Snit Phonc:(M)5 73 7 <br /> Y Y N Ne,AiA Not Ap Acalde <br /> Item MONITORING PANEL!ALARM HISTORY '1' N NA <br /> IBM <br /> 1 nnittsrin sit is wcr nn uaad in r n `ng an a✓ <br /> Monitoring system is not currently showing alarms or warnings. <br /> 3 Alarm history report(log for the previous month is available and has been reviewed by the <br /> Designated UST Operator.(Attach u en ,(if Aw atom:histo, 3 repinVlog to thisform r' valla r1 <br /> Each a arm:. or the previous montb W been responded to appropriately. ► <br /> S c cal ted in -to c <br /> X ontainment have not alarmed in the past montit <br /> a List ulltank®tale sumps where alarms occurred in the past month: <br /> Nine:SanWm where an alarm has ocrurred in thepaw numth nuna he inspertedantess as guar sen°tea trahnician respandedra.and <br /> pwpertv addresses.thecause oj'tjteartaarr ,At .h documentation verk`-hrg arprWriate sers4ceto this report. <br /> d/.�a La. �°tlaarx Lx ut r°a udta•1tr#tm�a tato.. <br /> UST S STE INSPECTION <br /> 6 T _ atdp containment s (if wit ,debrii,ana hazardous substance.S oii iii lbeiteder y:_ <br /> t�, % t faxsjre ri aarr x tr esradt wa rrfrc°rt Xaa.xarata rR?r .ate <br /> alarm era r ct tea Orr rt uka ttt10 jor wiNch therear!tar sero#a�°r <br /> V IV Y N <br /> atrar Lcr ticrat; Stttrrp LcBcratlttj <br /> 5arnrp ictus° Stan Ln tics <br /> In <br /> _ — _.. <br /> Surra ocudira: rrrup Lacrtinrat <br /> 7 Spill containment structures are free 4f de ri and hazardous substance. <br /> Y I hi I NA I Y N IN <br /> Tank I -Contents diesel I Tank 3-Contents: <br /> Tn 2 Contents: <br /> T 4-Contents: <br /> Cinder-dis r containment ams are free of water.debris,and hazardous substance.Sensors am loca d pp2crly. <br /> Y NA Y Ply <br /> PJ 1/2 Dispenser 911!1 <br /> 1)%e user 14 Di penver•1 /1 <br /> Dispenser f 14 <br /> PAPERWORK <br /> S E N V N 14!1 DATE DONE <br /> _ <br /> Monitoring system certification has been completedwithin t 12months'. W O 16 <br /> 1Q Scc 1a �tai t tWs have n completed `thin the roquired timeframe. 0WW14 <br /> I 1 S itl c tai cut t bucket !cerin cunt Ie ithin the be O 3/16 <br /> 12 Tank tightness testing n lete within required timeframe. <br /> 13 Dine tijiftness testing was completed within—required timeframe. <br /> tr° <br /> 14 Odwr re iced testinaintenancernle within in uir tiaras e.(List er ulrr rrunet,itenvi be1 v..) <br /> Te.olal aline ri ; is n ti _ 09/28/14 <br /> TestlMaintenance. <br /> FACILITY EMPLOYEE TRAINING V N NA <br /> 15 all facility to ve received the! uircd on—c—Job training 'n thept nar. se'' <br /> 1(s 1l f citit lays�Wwlithiai e t 3�dayst�ve �v:�MMng <br /> �Plk <br /> �nmores y stttser ''s +ex n t �requ <br /> fn11n - p aetian <br /> APPROVED <br /> 7117120172:09 n <br /> Page t of 2 November 2004 <br /> V:5.0 <br />