COMPLIANCE INFO_1985-2005 - Laserfiche WebLink

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67 YA- Designated0derground )foerator Monthly Visual Inspection li Facili ae- Al Date: Facility Address' city: iD Code: . ` ley Underground Tank Monitoring Mailing and Remittance Address: Valley Underground Tank Monitoring P.O. Box 91 Stockton, CA 95201 ]Designated UST erator Conductin the Ins action:rnational Code Council C rtifi tion#: x iration Date: nature: Phone: Y=Yes,N=No,NA=Not Applicable Item Monitorina Panel/Alarm HistoryY N NA onitopyo m is powers on:iNt er operating mo e. " onitom is not current ny a arms or warnin s. �-'`armpo og or t e pnt is avai a e,an as een reviewsbyfheed UST Operatoopy of the alarm history report/log if available).ace preveous minresp on e to appropriate y.ensoin tan -op contmps ave no a acme in a pas mont .a ost a sumps w ere a arms occurre in t e past mint Note:Sumps where an alarm has occurred in the past month must be inspected unless a qualified service technician responded to, and properly addressed, the cause of the alarm. Attach documentation verifying appropriate service to this report. If sump inspection is required, record results in item 6, below. LIST S stem Inspection an -top containment sumps are ree o water, ens, an azar ous substance. Sensors are located properly. Note:Visual inspection of sumps are only required i n sumps where an alarm has occurred in the past month for which there is no service record Sump ocateon: ranapza ocateon: ump oca ion: ocateon: ump ocateon: bump Location: pi cantainment structures are res o water, a ns, ous su stance. an - intents: an - intents: an - ontents: Contents: n er- aspenser containment areas are ree o water, ens,an azar ous su stance. ensors are located properly. Dispenser aspenser Dispenser 4 Dispenser 11/12 aspenser aspenser aspenser aspenser �E PaperworkIns c ion Y N NA, onitoring system carte ocateon as een compete wit in pastmont s. 77 Secondary containment tests ave een compete wit in require tame rame. 11 Spill containment structure uc et testing was completed within past year. Tank tag tress testing was-c----- te wit in-required timeframes. Line tightness testing was compete wit in-required timeframe. Other require es ing main enance was completecl within require ime rame. (List meant.items below). es maintenance: Test/maintenance: es maintenance: Facility Employee Training YPNNace it emp o ees ave receive t e require on-t e-o trainin int aace ity emp ogees ire wit int a past ays ave receive t e require on-the-job training. Note: Any answer o "N" should be explained in the comment section on the following page, and will require follow-up action. Pg. 1 of 2