Laserfiche WebLink
Afforda-Te$t Designated Operator <br /> 416 2nd Street Gait, Ca. 95632 Monthly Inspection Checklist <br /> 209 744-0112 -800 524-9087 - Fax 209 744-0116 <br /> Site: Date: <br /> 4- <br /> ❑ <br /> L! <br /> G <br /> LyIeD.Nimd{o Zane A.Nimmo David A.Winkler Felix Ramirez <br /> 95249115 1; #r'5263322 #5263373 95273934 <br /> Signature 11 �7=\es X—tio NA—not applicable <br /> MONITORING PANEL ALARM HISTORY Y IN LA <br /> -Monitoring System is powered on and in proper operatin2 mode. <br /> Monitorhig system is not currently showing any alarms or wamings. <br /> -Alarm histo Ky report for theprevious month is available and has been reviewed by D.O. <br /> (Attach alarm history) Not.Available <br /> Each alarm for the previous month has been re-sponded to appropriately. <br /> Sensors located in tank-top containment sumps ilave not alarmed in the past month. <br /> List all tank-tol)sumps where alarms occvre ;n -Z Ft; -ks r H7017th: <br /> Yote:Sumps where an oicirm%711S OCCUlTed in be inspected unless a qualifiedservice technicit <br /> to. and jwoj)eHv oddress e,"'. tiie cause of the alarm. _:,jiientation rerililirrg appropriate sen 4ce to this <br /> 11'sump inspection is n ecnar r. ;veoi-d results in sten: <br /> 7" <br /> UST SYSTEM INSPECTION <br /> I Y I '-'- NA I Y 1 N- INA <br /> Tank-top containment sumps are free of water,debris. and hazardous substance. Sensors located properl-c. <br /> 7- 7--2 <br /> Note: Visual inspection of.imps onk required insunips%%he.-" alarm ha>occurred in the past month_t�x�'Oijch <br /> Sump location: Sunu) location: I. i <br /> Sump location: <br /> Sump location: i L J <br /> Sump location: Sump !LOCY:Ion: <br /> Spill contairunent structures are free of water. deb--.-'<. & hazardous substance <br /> Tank I -Regular Diesel <br /> Tank 2-Plus <br /> Tank 3 -Premium Tank 6- i L <br /> Under-dispenser containment free of xvatler. jelbi-1:5. cC hazardous substance. Sensors located in) overly. I <br /> Dispenser lit �' Dispenser 19/2 <br /> Dispenser 33,4 j x Dispenser 21 <br /> Dispenser 6 Dispenser 22/21 Satellite <br /> Dispenser TS _Dispenser 23,,,22 Satellite <br /> Dispenser 9:'10 Dispenser 24/23 Satellite <br /> Dispenser 11/12 Dispenser 25/24 Satellite <br /> Dispenser 13A4 Dispenser 26/25 Satellite <br /> Dispenser 15%16 Dispenser 27i'26 Satellite <br /> Dispenser 17/18 Dispenser 27 Satellite <br /> Facility Employee Training <br /> .All facility employees have received the required on-the-job training within the past year. <br /> All facility employces hired Nvithin the past 30 days have received the required on the job training. <br />