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Oct 16 07 07:22p Sheila Wallace <br />Ca. 95632 <br />4 nn <br />L16 23, d Street Galt, <br />20977;44; :0524-9087 - Fax 209744-011 <br />9256897921 p.20 <br />DesignatedQP <br />Operator <br />Monthly t ieN <br />Checklist <br />apiration. 213108' <br />Designated Operator: Zane A. Nimmo ICC # 5263322 -LTG <br />y=yes Ngo NA --not applicable <br />Signature ,.T :►r. <br />(Attach alarm history, if available) X <br />Sensors located in tank top containment sumps have cot alarmed in the past ► 7 ; <br />Last all tank -top sumps where alarms occurred' r the past month.. %_ _ <br />Nate _ Sumps where an alarm has occurred ' the past month must be inspected unless a ggual fled serviservicce to <br />report. <br />to, andproperly addressed, the cause of the aaarm. responded <br />Attach documentation verifying app F <br />UST SYSTEM INSMUILIVir Y N 1 <br />Y N <br />Tank -top containment sumps are free of water, debris, and hazardous substance. Sensors located properly. <br />Note: Visual inspection of swaps only required in sumps where an alarm has occurred in the past rawth for which there is no servrce record. <br />Sum location: �- Sum location: <br />Sum Dation: S location: <br />S location:. Sum 2 ocation: <br />.. .� .__..-.. .t 71-4: Rr kck-rarlinils substance. <br />-lu- EEfi <br />A �. <br />t4 1: � U; I Ns located ro <br />M ,Q co <br />m c m a <br />r^ <br />N "13 0 k4�'" '.• = 1 * * CZ.Ar OD om' <br />�? ato W <br />teJ• 8 Ij=>n 0 ��ffpp f <br />� C¢? .a 9 R 4••- d.D 2 � Ci. 3 M- � :� •jF <br />Dispenser 15116 Dispenser 27126 Satellite <br />Dispenser 17118 <br />Dis enser 27 Satellite <br />Facility Emjbloyee Training . <br />All facili a to ees have received the required on.-the-'ob #rainin t�v thin the ast Year. <br />All facility emnlovees hired within. the ast 30 days have received there aired on the job�tra��9. <br />a <br />