Laserfiche WebLink
4315 E Waterloo Rd <br />04/18/18 <br />Designated operator monthly inspection report dated 6/28/17. <br />UNDERGROUND STORAGE TANK SYSTEM <br />DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT <br />facility Name: Waterloo Shell Inspection Bate: d/ag/20017 <br />►•actlny Address: 4315 E. Waterloo Rd City: Stockton <br />Mame of Designated UST Operator (conducting Inspection: Alex Jabbari __----- <br />international Code Council Certification No.: Expiration Date: 1013/2018 <br />5243897 -UC <br />Signature: ' i Phonc: 3891262 <br />(925) <br />NIA — Not A tieshle <br />Item MONITORING PANEL /ALARM HISTORY Yes No N/A <br />L Is the monitorin s stem owered on and in ro er o ceratin � mode? <br />2. Is the monitoring g s stem not current!y showing any leak alarms? <br />3. Is the Afarm History Reportflog tier the previous month available, and has it been reviewed by the <br />Designated LIST Operator? Aftach a cop , o/7he alarm hisinty re ordlo r to this in.yPectiOn orm"1 _ <br />4. Has each alarm for the revious month been responded to appropriately? <br />UST SYSTEM INSPECTION <br />5: Arc utnk-top containment sumps free of water, debris, and hazardous substance? Note.: t/rhe answer a. !tem 4 was �re,. "or <br />"K4 " skry to Gem 6. Sumps where an alarm bras occurred in the fxrst month must he msrmaed rJa quol fed service technician has not res/vended <br />to, mut ro, rh• addressed lite mase " the alarm. Uocumenfarian vrn/v u re vete service slwuld be mlached to this re rpt <br />Yes FNu Yes No <br />Sump location: I El I Sump Location: <br />Sump Location: Ll I F1 I I Sum Location: <br />6. Ares ill buckets (containment structures) free ofwater, debris, and hazardous substance? <br />Yes No N/A Yes No N/A <br />Tank I ID - Re pular Tank 3 ID - <br />'rank _' ID - Premium JEJEJ1 El 1 Tank 4 ID - <br />7. 1 Are under -dispenser containment areas free of water, debris, and hazardous substance? <br />Aaron Hang, EHS <br />PR0231760 <br />PHOTO # <br />Page 15 of 36 <br />Dis enser - l i2 ® E]❑ Dis enser - 9/10 <br />U 1J ILd <br />Dis enser-314 Dispenser - I1/l2 <br />EJ M <br />Dis enser - 5/6 Dispenser - 13/14 <br />Dis enser 7'8 Dispenser - 15/16 <br />8. <br />Leak detection is ro erl located within under-dis enser containment. <br />Yes No N/A <br />Yes No N!/ <br />Dis enser 1/2 Dis enser - 9/10 <br />1 Li <br />Dis enser-3/4 Dis enser-II/12 <br />Dis enser- 5/6 El Dispenser- 13/14 <br />Dis enser - 7/8 Dispenser - 15/16 <br />PAPERWORK INSPEC•I'ION Yes No -NA <br />l-- DOWI)oee <br />Monitoring. System Certification was completed within the past 12 months''_ <br />4110/2017 <br />y• <br />I p" <br />Secondary containment tuts cornpletrd within the rcyuircd time franc? <br />VPH <br />bu(containment structure) testing completed within the past 12 months? <br />4/10/2017 <br />within the required time franc'.' <br />ss testing completed <br />within the rc�_luired time frame? <br />LKEE�Spill <br />s testing completed <br />was cora feted ++ithin required time frarne"? (l.isf fest. maintenance items Mow t <br />ther re uired testin t/msintenance <br />Descrihe 'I est/Maintenance: ST 27 and ST30 <br />Li <br />11 <br />0 <br />1)c,cribc TesUMaintenance: <br />- <br />FACILITY EMPLOYEE "f RAINING <br />Yes No L^� <br />the re uired on-the-"ob trainin t wiiltin the ase ear'? <br />�. <br />I lave all facility employees received <br />.....t.,.,,.< hire -d within the oast i0 days received the re uired on-the-job trainin �.? <br />Aaron Hang, EHS <br />PR0231760 <br />PHOTO # <br />Page 15 of 36 <br />