Laserfiche WebLink
OCT-27-2700 18:23 CITY OF LODI 209 333 6710 P. 14 <br /> UNDERGROUND RGROUND STORAGE TANK PfSTEM <br /> DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT <br /> r Facility Name: City of Lodi Inspection Date: Nove nber 28, 2007 <br /> Facility Address: 1331 S. Ham Lane City: Lodi <br /> Name of Designated UST Operator Conducting Inspection: Dennis Callahan <br /> Interoational Code Council Certification NO.: 1004653-UC Expiration Date: 12120/2008 <br /> Signature: Phooe: (209) 333,-6800 ext 2690 <br /> NUA=Not A - ble <br /> Item MONITORING PANEL/ALARM HISTORY Lj <br /> -Ta- <br /> Yes <br /> No NIA <br /> I- Is the monitoringsystem powered on and in mode? <br /> 2. Is the monitoringem not currmtl Showingan leak alarms? <br /> 3. Is the Alarm History Reportllog for the previous month available,and has it been reviewed by the <br /> Desi ated UST O or? Attach a co o the alarm hist re rtfl to this ins tion orm. <br /> 4_ Has each alarm for the previous month been res nded to a ro riatel ? <br /> UST SYSTEM INSPECTION <br /> 5. Are lank-top containment sumps free of water,debris,and hazardous substance? Noce-ljrh�answer to frets 4 tau"Yes,"skip <br /> to!rein 6. Sumps where an alorm Etas occ+rrred in tlm past mack <br /> rch moist be rnsp d,f n qualified service tedrrrteian Iran not responded ro,and <br /> ro addrsssed the wase o dw alarm [bturtortorY.. Ver... a rule service shoeJd be ortached w tltts re 'i Yes No <br /> Yes No <br /> Sun Location: SJW Fuel Wand Sump Location:N/E Fuel Is4vtd <br /> SunV Location: N/W Fuel Island SuEp Location: S/E Sho <br /> 6. Are s ill buckets(containment structures free of water, debris,and hazardous substance? Yes No NIA <br /> Yes No NIA <br /> Tank 1 ID-- 10,000 Unleaded 'Tank 4 ID—Waste Oil <br /> Task 2 ID— 2,000 Unleaded Tank SID— <br /> Tank 3 ID— 5,000 Diesel Tank 61D— <br /> 7, Are under-dispenser containment areas free of wafer,debris,and hazardous substance? Y <br /> Yes No N/A es No N/A <br /> Dispenser— l/2 Multi- roduci Di nser— <br /> Dis nser— Dispenser— <br /> Dis <br /> is nser— <br /> Dis enser— <br /> Di user-- <br /> Dis enser <br /> Dispenser— <br /> 6. Leak detection is property located within under-dis ser containment Yes No N/A <br /> Yes No N/A <br /> Dispenser— 1/2 Multi-product Dis nser— <br /> Dis nser— Dispenser— <br /> Dispenser— Dts ser <br /> Dis nser— <br /> Di enser— <br /> PAPERWORK INSPECTION Yes No N/A Bate Dane <br /> fi9. MonitoriLnugS stem Certificationwas coin leted within the 12 months? 9/27/2007e Leak Detectors were tested/certified within the 12 months? 9127/2007ill bucket containment structure testis cont lated within the 12 months? 2113/2007 <br /> e ti tress testis completed within the required time fi-ame? p/SC21?07= i e51'i� <br /> 13. Second containment t�coin leted within the required time frame. it g v5• <br /> 14. Enhanced Leah Detection coin leted within the aired time frame? <br /> 15. Other r uired testis maintenance was completed within required time frame? ist tesll"imntenance items below. <br /> _�]Describe Trst/Maintenance: Dro Tube Int Test-every3 10131/2005 <br /> Describe Test/Maintenance:Static Torque&Rotation Test-eve 3 yrs 10/31/2005 <br /> vej the <br /> EM ed on-the-"ob trainingwithin the past ear? <br /> FA LOYEE TRAINING Yes No N/A <br /> 16. Have all facili em to ees received the ua <br /> 17. Have all facility em loycts hired within the past 30 days received the aired an-the-job trainin .7 <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 /> UN-057-I/2 <br /> r+ww.a raidoCa.o►it 9126/OS <br />