|
..r: f! r4pY of
<br />or-Q.'tfn r i, the �Or'!'A MN%;
<br />y1J flociflrlafo(1 llrl(terflrrrund Slnragr+ Tank (LIST) 0,10tator
<br />I M1t I\ uanaIIj inn Chv(.kitt
<br />ri
<br />tin
<br />cnO I''•' .,I,.,i I,, i ,, , ,n,rtint! J
<br />{ I ,nil r Inn! Ihr, II,•.I rr r Lrn ,.r.rl Ir I
<br />w.I1 Pn t1 _y�i_
<br />MONITORING I'ANf:liIALAIM 1115,TORY
<br />____-
<br />M,+rn11,In,,l :-t ;l,rn r. l,ntvru•11 nn ,1nd In innit(q uln•1.dlnr� nlurlr' � � I
<br />- Monllo'mj •,}..Irrn n. not ( uuFrnlly-3,(miny rmy ,d,nnr.
<br />N,mll t I ,Im,I "'I for flit, urrvunr, AireIlll I•..,vruLd,lr•. ;11111 11. n. tn�r,i •rnr•!u •; L/ Ir,r
<br />INI operolot/I le) '� V
<br />chr I ,h 11 ,tl,un1 I'll Ihc• lurviotls; niontlI fiats, hell l gtr:.lur,utnd to �1111rrulit, trly•r
<br />—. `on�olS localod v II, Link--lo1 r t unLuc
<br />nrnnl r,urtt[ h1vr: no;u
<br />+t Arnurl In ITUI
<br />: r.t'.l mol III,
<br />._:, , .i,�nr,r•e r,y, ,nJ,�• _ .--
<br />a-hrn•,11 ,rrn' Litt fu l rr, fhf•r , I rn ,roll
<br />r
<br />.,r• r..... _ ._ ... .
<br />Yv UST SYSTEM INSPECTION
<br />rF t' Tani` -top containment sumps are free of water, debris and hazardow, sub,lafu r ;Irl,., r r
<br />/T1 , r r , •t rn r, a rr » r n rf...rrr �� r r. , 1
<br />Y-
<br />O
<br />0/�
<br />M
<br />fes'
<br />v O
<br />M
<br />O_ Q
<br />rf
<br />r�
<br />V
<br />..1•
<br />• . Mo , . P1111- In 11111p, et,n a en o tan• hdx rrurtrxl—
<br />STP Tank Sums Y N 1
<br />— Fill Sump , r N e
<br />1 Diesel - -
<br />1 -- -
<br />Monllorin s stem certification com leted
<br />ths
<br />2
<br />2
<br />3
<br />Ili
<br />3 ---
<br />Secondary containment tests completed SB -989
<br />thst
<br />4
<br />4 - - -
<br />1
<br />5
<br />and hazardous substance
<br />5
<br />7
<br />Spill buckets containment structures are free of water, debris,
<br />L12
<br />Fill Spill Buckets
<br />Y
<br />N
<br />NA
<br />Vapor Recovery Spill Bickel
<br />Y 1 N JNA,
<br />1 Diesel o rip
<br />"ts
<br />Line lightness testing
<br />1 0� _ -
<br />_ ___--
<br />Lquld
<br />14
<br />Other required testing !maintenance was corn leted with reNguired timeframe.
<br />Liquid
<br />I
<br />2 Debris—�
<br />Line Leak Detectors were testeftertified
<br />ever 12 months
<br />2
<br />f
<br />Llqu4
<br />.Vaf1'1
<br />Dynamic Back )resSUre test ST -27
<br />every 12 months
<br />3 ..
<br />_------1
<br />3 Debns
<br />I{`"'�-`
<br />Static Pressure Inte rit Pressure Deca test ST -30
<br />ever 12 months
<br />-- Debns
<br />.�—.
<br />- Liquid
<br />,7q root u1 e rn,bYc Morn, oto,
<br />Enhanced Leak Detection (ELD) „,';;w,,, 7,7
<br />every 36 months
<br />4 Liquid
<br />Ile
<br />4 Debns ---f--
<br />Cathodic Protection
<br />every 36 months
<br />e"
<br />O
<br />tar
<br />squid
<br />, n r ,v r..Td1n,:, Hours Volt
<br />AM
<br />Liquid
<br />5
<br />I
<br />- -
<br />5 Debns -
<br />Y N JNAi
<br />e
<br />Under -dispenser containment areas are free of water, debris, and hazardous substance. Sensors are located Prer: l
<br />Dispensers
<br />Y
<br />N
<br />NA
<br />Dispensers Y
<br />N
<br />NAI
<br />YeJl
<br />112 Lqu d
<br />16 j
<br />All facility
<br />11112 Liquid.---` g
<br />Debris
<br />,_ — --
<br />---- -
<br />'
<br />Prntm+l lcTl
<br />'l
<br />rrr: r: -r =gra:
<br />3 /4
<br />Liquid
<br />13 / 14 Lgt,ld .------ t...._
<br />Debns
<br />Debns -
<br />5/6
<br />Liquid
<br />15 / 16 Liquid
<br />Debris
<br />cebns
<br />Pndur9 lual '
<br />:n❑+Final
<br />718
<br />Liquid
<br />17 118 Liquid
<br />Debns
<br />Debns
<br />91 10 Llqukl
<br />19 / 20 Liquid
<br />I Debris I
<br />Debns
<br />i Prob�!F lost
<br />rrn Ce Flea:
<br />\^V
<br />PAPERWORK INSPECTION State CodeIMMe
<br />Y N
<br />NA DAVE
<br />UST
<br />Monllorin s stem certification com leted
<br />ths
<br />X
<br />r�
<br />Ili
<br />System
<br />Secondary containment tests completed SB -989
<br />thst
<br />1
<br />Testing
<br />S ill bucket containment structure tesh g_
<br />ths
<br />X
<br />L12
<br />DUCurne
<br />Tank trhtness testin corn leted
<br />ths13
<br />"ts
<br />Line lightness testing
<br />ths
<br />_ ___--
<br />14
<br />Other required testing !maintenance was corn leted with reNguired timeframe.
<br />14a
<br />Line Leak Detectors were testeftertified
<br />ever 12 months
<br />X
<br />- -'
<br />14b
<br />.Vaf1'1
<br />Dynamic Back )resSUre test ST -27
<br />every 12 months
<br />-
<br />_------1
<br />4c
<br />I{`"'�-`
<br />Static Pressure Inte rit Pressure Deca test ST -30
<br />ever 12 months
<br />t4r1
<br />,7q root u1 e rn,bYc Morn, oto,
<br />Enhanced Leak Detection (ELD) „,';;w,,, 7,7
<br />every 36 months
<br />_-
<br />Ile
<br />au,ua,r
<br />Cathodic Protection
<br />every 36 months
<br />O
<br />tar
<br />tee, tilt
<br />, n r ,v r..Td1n,:, Hours Volt
<br />AM
<br />I
<br />- -
<br />-
<br />Y N JNAi
<br />r�
<br />All tardlt
<br />ent Io ees have received the required on-the-job training within the past
<br />YeJl
<br />16 j
<br />All facility
<br />cen 12yecs. hired within the past 30 days have received the required on-Ihrfob
<br />1_N21e: an answer ul "N"should be e><plainod In ilia common) socnon below and will reuuiro follow-up aptiun
<br />,_ — --
<br />---- -
<br />'
<br />Follow up___--
<br />
|