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_ m <br /> O m D <br /> -► o <br /> CD O Q_ <br /> o jNq . Nt�H k <br /> t cttttl atn ,� 011 0 CD <br /> rn <br /> t r S N cn O N <br /> ucil " .k1 iNg3 OPE I'l)1ZAC�ti "E` !It co' O 1 <br /> (p hafiG. es5 2---�-o �_. RATOR MO N`l"I Y IN, <br /> ofl3esi� 128' OURS- O <br /> 1—nt ttt hat C hated liS j{j �RIOp R�---_____....- t Arron Date, May 25 2016 O (D N <br /> SrFna`'�- 't Cou -}—STOCKTON '. , (D <br /> 1 -------- O <br /> t llrl t `- <br /> O <br /> �tt(cttali�ttCionty�a; SHAWN RODRIGUEZ ON O <br /> �7 <br /> Item8412602-UC Exp ration Date: 5!412018 OQ. <br /> v �J <br /> G ---- <br /> 0) is the ' Phone: (559)688-2977 e t. <br /> mtr to Cn <br /> 3. NIA=noc A O <br /> tT is�e monit, s stems ?t1(}ry NCI ANFL!ALARM HISTORY Yts TVn O <br /> otic <br /> 4. vest alcrm list�en hist t i znn sho`toptir operas mode'? -- _0 <br /> d ll$t t) er Repo Coe for the g anj leak alarms? 3 77o <br /> Has each aln ator? r Arron tr Pati tour rlontlt available,and has it been rcvicwed by the Q <br /> Lot '+ o , 7 <br /> the regi -YL l+F e a7arnt history re orl/to to this ins eciion form) <br /> responded to appropri uety? <br /> ccoutatnment UST____._._SYSTEM INSPECTION (p <br /> h Baird-mhe e ! sumps free of water,debris,and hazardous substanCer Not:IIn. <br /> C tresaed. � dm used m the past month mtast t tnrpected if a gaol f ed sr .h.ti e nca re..s�x;rnred m,mid o <br /> w DOC'^trmalwrr I , m nate—[cc should h—tt-h1d t.fills <br /> Location. Yes No Yes'No Q.• <br /> 6, I Ovation: Sum l ocatron -- _ - i (D <br /> Are <br /> bulk, _ Swap Locatson _ Q <br /> s(containment stm-tures)free of water,debris,and haz ret us:Ubstan ^: <br /> t I Yes No N/A - I,Yes No NIA <br /> auk 1 1D _ - - <br /> 87 - - N <br /> - - <br /> Tank 2 9- --_ Tank 4 113 - <br /> i rink 3 1D-DIESrI.. Tank>ID _-_� N <br /> 3 fankbll3 <br /> _ -_ <br /> Are tattier-dis enser containment areas free of water,debris,and hazardous subsaan e? <br /> Yes No NIA. <br /> - Yes No NIA <br /> _._...__ <br /> Dis eastr L'2 Di riser-9!10 <br /> Dispenser 314 _ 0 1 ElDis enser-11112 ____- 0 <br /> Dis riser-_5i6 ❑ ❑ , ® llis enser-13114 <br /> Dispenser-718_-- - ( {� i ® Dispenser-15/16cQ <br /> 8. Leak detection"!o cri,located uithm under-dis enser containment. -- ---- Yes, No <br /> --- 1 Yes No NIA _-- <br /> Dispenser-1/2 - 1 C1 Dis enser-9110 <br /> Dis enser-11112 -- Q <br /> Dispenser-3J4 ® Dis enser-13/14 <br /> D' riser-Slb ® llis enser Q <br /> Dispenser-7/'8 _--- --- Yes No NIA' [late <br /> PAPERWORKINSPECTION --- ® []� A(1d2 <br /> 9. Monitoring System Certification was completed within the past 12 nton _ ® � �1�_ �(2(}16 N <br /> _________.___ ® gj2I2016 v <br /> feted willful the past 13 months? va <br /> l 0. Line Leak Detectors were tested ctmfie�l�;Ntihm the past 12 months? (n <br /> Spu1 bucket(cQntainnlent structure)testing comp _ _ _sf` 712912015 <br /> �_ m <br /> j 2. Line tightness testin cam feted wJth dtwithtn thetreq d lune tratne _� ❑ �,_ `_- - 0 <br /> containment tests comp --- . O <br /> 13. Secondary /ass testlrttainlenanre arms nl <br /> cod Leak Detection c_m-P,1 U wtthm the re uvcd tt�tc Frame? <br /> I p—__ -- <br /> 'maintenance was Com feted wnhut re utted tlme it ane' Q_ <br /> ulna testin OCD ❑ �_' 0 <br /> . re mtenancc:A. �,.. — _ G o <br /> scribe TesUMa' <br /> TestlMallrten;i G rtjA1�z, ~�t t ar i _ <br /> N <br /> �rtbe wihtn t o m <br /> prom FACILITY EMP .obattutt <br /> uired on the ntred an the oh trauun •?. to <br /> to ees received���e ass 30 s n cety <br /> .!, e O <br /> rD � <br /> o <br /> 1 0 <br /> G o <br /> O Q <br /> tQ 3 <br /> (D o <br /> o O <br /> —h W <br /> �1 N <br /> •A <br /> OD <br />