Laserfiche WebLink
•��ivu uui uaaas •� �'T_ — N ��1 <br /> AUG 11 15 <br /> UNDERGROUND 5'1'UKAGr: 'DANK �Y�'� RONMEN _ <br /> DESIGNATED UST OPERATOR MONTHLY INSPECTION'l 'CjRT <br /> l i Facility Name: Inspection bate: July 28, 2015 <br /> UNITED GASOLINE <br /> Facility Address: City: STOCKTON <br /> 3440 E. MAIN ST. <br /> Name of Designated IJS1'Operator Conducting Inspection: JACOB A.WEAVER <br /> International Code Council Certification No.: 8338858-UC Expiration Date: 3/5/2017 <br /> Signat Phone: (559)688-2977 ext. <br /> N/A=Not Appticable <br /> Item MONITORING PANEL/ALARM HISTORY Yesl No I N/A <br /> I. Is the monitoring system powered on and in proper operating mode? <br /> 2. Is the monitoring system not currently showing any leak alarms? 0101 El <br /> 3. Is the Alarm History Reportllog for the previous month available,and has it been reviewed by the <br /> Designated UST tor? (Attach a copy o the alarm history report/logreportllog to this inspection orm.) <br /> 4. Has each alarm for the previous month been responded to appropriately? <br /> UST SYSTEM INSPECTION <br /> 5. Are tank-top containment sumps free of water,debris,and hazardous substance? Nate:1fdw answer to Item 4 was"Yea,"si6p <br /> to Item 6.Swaps when an damn has occwred in the paw month enar be aspected±f a qualtfmd serwoe tednnwian has nae revs x3ed to,and <br /> adtbrsm4 the amase of the alarm.Docaswrnrahon ver; a servx a shoatd be auached to this <br /> report <br /> Yes No Yes No <br /> Sump Location: Sump Location: <br /> Sump Location: ❑ I Sump Location: ❑ ❑ <br /> 6. Are spill buckets(containment structures)free of water,debris,and hazardous substance? <br /> Yes No N/AI Yes No N/A <br /> Tank 1 ID—87 1 M I Ej I Ej I Tank 4 ID— <br /> Tank 2 ID—89 Tank 5 ID— ED <br /> ®_ <br /> k Tank 3 ID—91re Tank 6 ID— ❑ <br /> 7. Aunder-di containment areas free of water,debris,and hazardous substance? <br /> Yes No N/A Yes No N/A <br /> D' —1/2 ® D' —9/10 El <br /> Dispenser—3/4 ❑ Dispenser—11/12 El <br /> Dis —5/6 ❑ Dispenser-13/14 f <br /> ElDis —7/11 ® ❑ Dispenser—15/16 <br /> 8. Leak detection is property located within under-dispenser containment. <br /> Yes I No I N/A Yes I No N/A <br /> D' ism—12 0 Dis —9/10 ❑ <br /> D' —3/4 D' —11/12 ❑ <br /> D' —5/6 0 1 M I El Dispenser—13/14 ❑ <br /> I Dispensq—7/8 ® I El I ❑ D' —15/16 ❑ I ❑ <br /> l M <br /> Y PAPERWORK INSPECTION Yes No N/A Date Done <br /> If 9. Monitoring System Certification was completed within the past 12 months? 6/29/2015 <br /> 10. Line Leak Detectors were tested/certmed within the past 12 months? ® 6/29/2015 <br /> 1 1. Spill bucket(containment structure)testing completed within the past 12 months? 6/29/2015 <br /> 12. Line ti mess testin com leted within the time frame? ❑ <br /> 13. Seton containment tests com leted within the uired time frame? ❑ <br /> 14. Enhanced Leak Detection completed within the required time frame? ❑ ❑ <br /> 15. Other testis maintenance was co leted within aired time frame? (List test/maintenance items below. <br /> Describe Test/Maintenance:A.P.C.D. I El <br /> Describe Test/Maintenance:V/L'S ❑ <br /> FACIIdTY EMPLOYEE TRAINING I Yes FNoj N/A <br /> 16. Have allEfacji�i#yto ees received thereuired on-the-'ob trainin within the t ear? <br /> 17 Have allity employees hired within the 30 days received the on-the job ? ❑ <br />