Laserfiche WebLink
Monthly Visual Inspecti 'Checkii <br /> S'0r7 <br /> �acil <br /> Visual <br /> Ins eCti 1C <br /> ity Name: lc <br /> FF <br /> acilityAddress. <br /> /7 4ac: <br /> hatedGBi Conducting the inspection: <br /> ITTEbrinational-Code Council CUTtifirAtiOn 7 <br /> 9�on Date:e' ie' <br /> o olle <br /> It <br /> C <br /> L/ <br /> -AHISTORY <br /> T.vv�G'�N-�Jvo' -Not A PPfic a kill <br /> WYNITORI NIj4iG; PANEL/ALA N 'NA <br /> Fl <br /> I Monitoring system <br /> ' 2 Monitoring's stem is not currently showinst any alarms or wamids. <br /> Alarm history report/log for the previouLinoitilb-Lkay-ailabic,And As begnaviewedbythe <br /> Designaled'UST Operator. (Attach a cop),of <br /> the alarm hist"t," rt/lo to this form 11 available) <br /> 4 Each alarm Tor the previous month has been reqd4pAp ly. <br /> -Sensors—10camd in tank-top containment sums have not alarmed i the past month. <br /> -54 List all tank-top sumps where alarms acCIu-radjPjjjkEjp=Wv <br /> Arm, Sumps whet# <br /> dab essed the"we qfthe aiar,"�Aflmh lit &*vab,090dxemJI;e INIA-1cal MVx...dd to,and <br /> yenvfl,MIS re/W'I. <br /> UST SYSTEM INSPIEC ON <br /> Tatrk-top containment sumps are fret ofwater,debris and hazardo sAq,Rnc-. Sensors are located properly. <br /> Note;11�1 15-1),mulredin MMIAN r'here un alai'hast <br /> rly. <br /> !W <br /> Sum Location: Sum <br /> Z talion: Y N <br /> 7. <br /> NII-Ri. Sump <br /> m <br /> Sum L�ailon. Sim <br /> Win Location, <br /> 7 S ill containment sirucluj:,,az-&fr or-wistar,debris wtd <br /> -% V 'N 'N <br /> Tank I –Consents: Tonk 3 711 <br /> Tank 2- Cvnicn(s. Tank 4 a7ren—ij -2-1 <br /> Undcr-dis ensercontshrmentareft.=, 140b"*W E ows substance.-Sensorssim located 001 — <br /> D' 2 N -NA I Y J94 7 <br /> n;.-- •n 7—,A <br /> Diss eraser J 14 <br /> Du enser516 <br /> nser 7/7 AI 13:/-16 <br /> 9 WORKINSPECTAN I Y N Nq DATE DONE <br /> venific"on Its%%m letedwithin est 12 o-ntfia­. <br /> containment tea"4sve-tim <br /> 10 Sec conta thG all limeffame. <br /> 12 Tank ti hincsfi IcalLu was - Wallin 160til.fed"Inefilme- <br /> 13 ne it htn SIR <br /> 14 Other re Uir,dicsy /n- M—t!5�� <br /> - - irmffvwe items below <br /> TesilUainienattce! <br /> resilmaintena"Ce.. <br /> T11-1111wal"emance. <br /> -FAC-IL-IT-Y EMPLOYEE'J'RIAU <br /> 11 All fM ploymes Nithin the post year. V N NA <br /> _16 1 All t 30 9-hiinve received 1h recluircatin-the-Wbiraining. <br /> .)Note: Any answer of'-N-AboaW"evmPtamnetift The comment section am the following page, and will require <br /> follow-up action. <br /> V-Ugc 1 n12 Septemb r N-"4 <br /> W" 1,10: 1,10 600Z-20'J3s <br />