Laserfiche WebLink
OCT-27-2005 13:23 CIT',I OF LODI 209 333 6710 P. 15 <br /> UNDERGROUND STORAGE TANK SYSTEM <br /> DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT <br /> FacilityName: City of Lodi Inspection Date: October 19, 2007 <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.: 1004653-UC Expiration Date: 12/20/2008 <br /> Signature: Phone: (209) 333-6800 ext.2690 <br /> N/A=Not A iiia bre <br /> Item I MONITORING PANEL/ALARM HISTORY Yes No I N/A <br /> 1. Is the monitoring system powered on and in in mode? <br /> 2. Is the monitoring system not cw-rcnt]X showing any leak alarms? <br /> 3. 1s the Alarm History Report/log for the previous month available, and has it been reviewed by the <br /> Designated UST Operator? (Attach a c2a of the alarm history report/logreport1log to this i etian orm_ <br /> El I El <br /> 4. Has each alarm for the previous month been responded to a ro riatel ? <br /> USI'SYSTEM INSPECTION <br /> 5. Are tank-top containment sumps free of water,debris,and ha778CCdous substance? Note:1f rho awwy-to firm d was "Yes,"shp <br /> to Item 6. Sumps Orem art alarm Inas occ,rrred on the past mOW11 nnist be inspvctrd r(a gnollfred setvrce rechnictan hos not responded to,and <br /> rn er addressed the earese o the a[4vo.Docxr+entWion veri a r laude srrvict Aarfd b e aaached to dus r ort <br /> Yes I No Yes I No <br /> Sump Location: S/W Fuel Island ','� Sump Location:NE Fuel Island <br /> Sunip Location:N/W Fuel Island ' Suaw Location S/E Shop <br /> 6. Ares ill buckets containment structures free of water, debris,and hamrdous substance? <br /> Yes No N/A Yes No N/A <br /> Tank 1 ID—10,000 Unleaded an 4 ID—Waste Oil <br /> r. Tank 2 ID— 2,000 Unleaded Tank 5 ID— <br /> Tank 3 ID— 5.000 Diesel Tank 6 ID— <br /> 7. Are under-dis ser containment areas free of water, debris,and hazardous substance? <br /> Yes I No NIA Yes No N/A <br /> Dispenser—1/2 Multi-product M I LLJJ Dispenser Dispenser— - Dispenser— <br /> Dispenser— Dispenser— <br /> Dispenser— Dispenser L11 Li <br /> — <br /> S_ Leak detection is properly located within under-dispenser containment <br /> Yes I No N/A Yes I No N/A <br /> Dispenser— 1/2 Multi- uct Dispenser— <br /> Dispenser— El Dispenser— <br /> Dispenser— 17 Q Dispenser— <br /> Dis nser— Dis sor— <br /> PAPERWORK INSPECTION Yes No N/A Date Done <br /> 9. MonitoringS tem Certification was completed within the 12 months? 9/27/2047 <br /> 10, Line Leak Detectors were tested/certified within the 12 months? 9/272007 <br /> 11. Spill bucket containment structure testis completed within the 12 months? 827!2007 <br /> 12. Line tightness testis completed within the uired time frame? UL Li 2/132007 <br /> 13. Secondary containment tests completed within the rSquired time frame? jjj0j0<J 0/52007 <br /> 14. Enhanced Leak Detection completed within the required time frame? t'%el <br /> 15. Other required testa► maintenance was completed within required time frame? (List rest/maintertance items below_) <br /> Describe Test/Maintenance: Drop Tube Integrity Test-eveg 3 yrs FEf <br /> 10/31204$ <br /> Describe Test/Maintenance: Static Tor ue&Rotation Test-eve 3 10/312005 <br /> FACILITY EMPLOYEE TRAINING Yes No N/A <br /> 16. Have all facility employees received the required on4he-job training within the past yTar? <br /> 17. Have all facility employees hired within the past 30 days received the required on4he jib 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 /> UN-057-t2 WWW.n.domorg M6105 <br />