Laserfiche WebLink
OCT-27-2000 18:22 CIT`' OF LODI 209 333 6710 P.09 <br /> UNDERGROUND STORAGE TANK SYSTEM <br /> DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT <br /> Facility Name: City of Lodi Inspection Date- Apn122, 2008 <br /> Facility,Address: 1331 S_ Ham Lane City: Lodi <br /> Name of Designated UST Operator Conducting Inspection: Dennis Callahan <br /> international Code Council Certification NO.: 1004663-UC Expiration Date: 12/20/2008 <br /> Signature: PhO°cz (209) 3336800 ext.2690 <br /> wA-Not AM N, 610 <br /> Item MONITORING PANEL/ALARM HISTORY Yes No N/A <br /> 9-0 Ll <br /> 1. Is the monitoring system veered on and m mode? <br /> 2. Is the monitoring stem mot current shawin anyleak alarms? <br /> 3_ is the Alarm History Report/log for the previous month available, and has it been reviewed by the <br /> Deni aced UST Operator? Attach a copy o the alarm history repor0to this i tion orm_ <br /> 4. Has each alarm for the vious month been res onded to ro riatel ? <br /> UST SYSTEM INSPECTION <br /> 5. Are tank-top containment sumps free of water,debris,and hazardous substance? Note.4 dw amwer to item 4 was"Yes."skip <br /> ro Item 6. Sumps where an alarm bas occurred rip the parr morah mliv be raspeered if u qualified x+ mce reelmiclon hal not respnnded to, mrd <br /> ro rf arfdresaror4 the ca=e do atm+._Doeumesnatiun ve►i nervier sJrv�dd be attocleed so tris <br /> Yes No Yes No <br /> S Location_ S/W Fuel Island <br /> S Location:N/E Fuel Island <br /> S Locatives S/E <br /> S Location:N/W Fuel Island <br /> Sho <br /> 6. Ares ill buckets containment structures free of water,debris,and hazardous substance? <br /> YYes No N/A <br /> Yes No N/A <br /> Tauk I [D- 10,000 Unleaded Tank 4 ID-Waste Oil <br /> Tank 2 ID- 2,000 Unleaded Tank 5 ID- <br /> Tank 3 ID- 5,000 Diesel Tank 6 ID <br /> 7. Are under-dispenser ctiontamment areas free of water,debris,and hazardous substance? Yes No N/A <br /> Yes No N/A <br /> Dis ser_ 12 Mufti- Dispenser <br /> Dis ser- rITDi ser- <br /> �91 <br /> Dis ser- D sic- <br /> El <br /> Dispenser 1 0Dispenser- <br /> 8. Leak detection is located within under�is ooRltai�ent Yes No N/A <br /> Yes No N/A <br /> Dispenser- 12 Multi-pro-duct N Dispenser- <br /> Dispenser- DiVaLser- <br /> Dispenser- I El UDl <br /> spenser- <br /> Dis ser- Dis ser- <br /> PAPERWORK INSPECTIONYes No N/A Date Done <br /> 9. MonitoringS em Certific2t on was completed within the 12 months? 9/272007 <br /> 10. Line Leak Detectors were tested/certified within the 12 months? 9/27/2007 <br /> I 1. Spill bucket containment structure testin completed within the 12 months? 2123/2007 <br /> 12. Line ti tness testingcompleted within the required time ftme? 7/2007 <br /> 10/52007 <br /> 13. Secon containment tests completed within the required time frame? - <br /> 14. Enhanced Leak Detection completed within the r aired time frame? 1 t 10oS' <br /> 15. Other r uired tester mainteBance was completed within nuired time frame? ism test/rnoiAtenance items elow. <br /> Describe Test/Mamtenance:DropTube In Test-ev 3 s 10/312005 <br /> Describe TestfMaintenanee: Static LOAM <br /> ue&Rotation Test-ever 3 yrs 10/31/2005 <br /> FACILITY EMPLOYEE TRAINING Yes No N/A <br /> 16. I Have all Cacili em to received the required onAhe b training within the past yfa!? <br /> 17_ 1 Have all facility employees hired within the past 30 days received the required on-the-job training.? <br /> Note: Explain any"No" answers in the"Comments"section on the following page.Those issues require corrective action from <br /> the UST owner/operator. <br /> 9aGros <br /> UN-057-1R w..w.unklemorr <br />