Laserfiche WebLink
0 <br />MAR 0 7 2017 <br />Covey Engineering Inc. <br />Designated Underground Storage Tank (UST) GWRONMENTAL HEALTH <br />Monthly Visual Inspection Checklist DEPARTMENT <br />Facilil1Name: YRC Freight -Soap Tank Only Date: 7-20-16 <br />Facility Address: 1535 Peseadero Ave <br />City: Tracy, CA Zip Code: 95304 <br />Designated UST Operator Conducting the Inspection: Scott Covey <br />Intematione] Code Council Certification 0: 5252466 -UC <br />EE iration Date: 7PU2ol7 <br />i Signare:.T a/�_a <br />m <br />Ph one: 951-522-5110 <br />_ _ 1=Yes. i'1=No. NA=Not A usbtc <br />Item - MONITORING PANEL/ALARM HISTORY Y N I NA <br />I �Monitorine <br />s; stem is powered on and in proper operating mode. <br />Monitoring system is not currently showing aM nlarms or warnings. <br />X <br />- <br />2 <br />X <br />3 <br />Alarm history report/log for the previous month is available, and has been reviewed by the <br />Designated UST Operator. (Attach a co a the alarm history reporl1log to this orm if available.) <br />X <br />F _ 4 <br />5 _ <br />Each alarm for the previous month has been responded to appropriately. _ <br />X <br />X <br />_ <br />_Sensors located in tank_top containment sumps have not alarmed in the past month. _ <br />Sa <br />- List all Truk -top sumps where alarms occurred in the past month: <br />Nae: X,..ps where an a[nnn Iw, nr ,n .din the pau notch nmwt be hWww[ d unksx a yualdW tervtce reelmician mspaided to. and <br />pro[mrll add, .d the.,so of rhe uW..:W ch dmimmemauan wrrIAing apropriae nnlce io phis repon. <br />/ sun insihCtiun is re mired recon(results in i(cm 6, belmr. <br />UST SYSTEM INSPECTION <br />6 <br />Tank -top containment sumps are free of water, debris, and hazardous substance. Sensors are located properly. <br />NMe: Piewi hu conn qfsum. u ran� re Tired in snm x,,hvm an Ducat hos.,md in the M&I arrm/h or which there is no service record. <br />Y N <br />Y N <br />...--- —— <br />Sump Location: <br />... ----- <br />Sstmp Locution: <br />Sump Locati: <br />Sump Location: <br />Sum Locationon: - <br />Snmp Location: <br />7 <br />Spill containment structures are free of water, debris, and <br />hazardous substance. <br />_ <br />Tank I - Conte irs: - - <br />V <br />y( <br />N <br />NA <br />Tank 3 - Contents: <br />Y <br />N <br />NA <br />X <br />Tank 2 - Contents: <br />X <br />Tank 4 - Contents: <br />X <br />6 <br />Under -dispenser containment areas are free of water, debris, and hazardous substance. Sensors are located property. <br />Y N NAY N NA <br />Dispenser 1/ 2 X Dis enser 9 / 10 X <br />_ <br />Dispenser 314 X Denser I I / 12 X <br />Dispenser 5 / 6 X Dis miser 13 / 14 X <br />Dispenser i / R X Dispenser 15 / 16 X <br />INSPECTION Y N NA DATE DONE <br />__.PAPERWORK <br />rin •stem ttrtification has been coat feted within 12 months. X 7!8/16 <br />dary containment tests have been completed within the required timeframe. X 10/23/13 <br />ontainment structure (bucket) testin was coat leted within the ast ear. X2/8/16 <br />i +htness lestin+was coat feted within re 'iceX <br />i htness testin was coat feted within re aired timeframe. X <br />N <br />required testing/maintenance was completed within required timefiame. ('List test/mainrenance dents below.) <br />est/Maintenance: <br />asl/Adaimenance:esl/Mainlenanee: <br />nAmmf EMPLOYEE TRAININGY N NA <br />_ <br />IS All facility employees have received the required on-the-job training within the past year. X <br />16 All facility employees hired within the past 30 days have received the required on-the-job training. I X <br />Note: Any answer of "N" should be explained in the comment section on the following page, and will require <br />follow-up action. <br />Page I of 2 November 2004 <br />