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0 <br />Designated Underground Storage Tank (UST) Operator <br />Month1v Visual Insnectic)n C'heckli-t <br />FacilitName hl�.�f <br />- - C3ate : OSJl31l� <br />Facili. Address: 2501 L Jackson Ave <br />- <br />Cit� . Escalon <br />Zip Code: 95320 <br />l�esi�*nated t1�,T C}petItor C onc9tictin� the lra;;p4ction: karcn R Arnaiz <br />International Code C'c�itncll Cf ritt�cation #f; 803'??�5-T_iC' <br />Ea. iratlon %late: CiJt3t/l� <br />Si mature: <br />� <br />Plrotre (?09) 518a483G <br />' -1' s, Y tiA _ I4at iicawe <br />Item E Pa7CJI41 l #�i2litiC, PANE[. /ALAIthl HISTORY NA <br />I mollitor1112 Wstent is owered on and fiter o rat%no- mode. X <br />2 <br />Monito in, systerrl is not currently shops in; art ahs or�arnin s. X <br />3 <br />Alarm history ret o t log for the previous month Is available, and has been reviewed bthe X <br />Designated ii;' T i%eralor. (4ttuch a c � w offhe alarm histog re orr, (o,* to this e�rrra i �c�v�f�abd ,� <br />4 <br />Each alarm for the» ev ious month has been responded to appro�arlately. x <br />5 <br />Sensors locat ` ? t i tC fil<, o C<3ntatlirtfl I7t stiIlips have not alarmed in the past month, <br />5a <br />_ ,List all taiik-iop sw;ips iihere alarins oc czirtrecilar the past inonth-: LI & L4 <br />Y0.£ Sumps where "-w ai, Irm has Occurred in She pat 1l unth must be inst erred 2lY7tN8Y ei ij7 altfi€d service IG'C' mician responded to, and <br />} <br />?'i8 .iuse of the CEtfdna.. iu.loh documentation h?g 7rGJ.'rYYipf ole 3e7 wee to this repo7rl <br />If 317IIP RF - i til <br />� � a ) cl rr cttrfi rt tari tr ;rf arc=rrr 6, lrcrdgw, <br />LEC:TI C11 <br />I <br />_. _ _...,...,u S1 SYSTEM INSPECTION <br />Tank -top Ctlntaii-me rt sunips are free tit tv'ater, debris, and hazardous substance. Sensors are located prop�riy. <br />pole: i isyol 'r?.t, P:f1 L;f F tr7t } a nnh re( t' 'i �7 .cttlPt )S lA'3�7CT1't" an alarm has occurred if( the ) Isi iik'1Yta°i$ i1JY lS�ttck! f�%F7Pi dS tdKA.4f'.r1Tlcp PeC'E73rL'>~ <br />s... _ .f_....�m. .._.— .-----��......»... _.. .._......_.-._�____'__. _ �T e <br />! d I N <br />Sum < Loc utirni- S 7T �- <br />.._� <br />Sump Locatiom. <br />S1[171C17fJc.rfn?tl. •,�'o ',l"I,' j x - <br />7 <br />t� r <br />S . ill cunt tint tir t ores are free of vt t r debris,Ncand hazardous SUbst�ince. <br />_. <br />4 <br />A ..._ ...... X N <br />NA <br />Tank i •xi <br />_ <br />; 'I"ank 3 _._%t(7F'71tZws: Diesel <br />Tank 2 Confc=e: 91 x— <br />8 <br />Linder-dis >ct ,� c orlta .wient areas w,, t r~ ­ of eater. debris, and hazardous substance. Sensors are lircatectproperly. <br />- <br />1 IV NA Y N NA <br />w <br />Dlit eraser 3 x <br />.... ...-. _wwxmowM ' .,,�... <br />PAI't' IVA'ORK INSPECTION Y N NA DATE DONE <br />9-7 <br />i�tt7ni(orin e; .'t' Icl1tl£}n 11aS Vii'' i C i"I 111 YGd 4V"1(lili8 t t il]rDI1tt1S. <br />_. <br />�{ <br />08/08/13 , <br />10 <br />Secondary co::ii tests have be ti co ,' fletcd within the required tirnofi anie. <br />X <br />06/09/11 <br />€ 11 <br />Spill contiin ,-_� ure (bucket) tE�sim �� as completed withiTr the ap st year. <br />x <br />I <br />08/08113' <br />12 <br />Tank'i,?htt1t'•'; rt' 24„Cq%i131eTel'�, ithinrequired tinieftile. <br />13 <br />i met"s"filli s t 1 �' ; completed >, thus rc.cluired t�irrr� frariic . <br />1 14 <br />Other tr Iirc It r1iintirnance v is emirsleted withiuuired timeframe. (List testlinaintenance <br />items be w <br />I <br />� _ <br />��Test llrilu irirc�. <br />FACII. g t;;,Nll LOYEE TRAININ(: <br />Y N B+tA <br />l� t 4 ill facility ew L, !aver•eceived t < r aitircd on-the-job traininu within the past year. 06/03,113 <br />l6 r All tacihti ei cd within th i :.',O days have recelked the req aired on-tlae-job training- X <br />:'dote. Ani- airsw er c, f : -.Id be eai3lai, f' ter +IIe comment section an the f<ill"P . <br />follow -rap act'. r° <br />AUG 21 2014 <br />Magri I of 2 Vi NT o <br />IDEPARTMENT <br />