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by 20200037 <br /> oti+�as� FACILITY INSPECTION CHECKLIST <br /> o <br /> ,woo'+1. <br /> Facility M Address, City,State: Date: <br /> Arco 6080 185 E Louise Ave, Lathrop, CA 95330 1/21/2020 <br /> Contractor: Technician: <br /> Gettler-Ryan Inc. Matthew Campbell <br /> Tank 1 Tank 2 Tank 3 Tank 4 Tank 5 UDCs <br /> 87 91 DSL <br /> Enter pixiduct name <br /> Fill and Turbine sump lids and gaskets in Y Y Y NA <br /> place and good condition(Y/N) <br /> Test Boots Pulled Back in Piping Sumps Y Y Y NA <br /> (Y/N) <br /> Top of 45 Degree Taper LESS THAN 6 Y Y Y NA <br /> inches from Tank Bottom(Y/N) <br /> Sensors in the lowest position, in the Y Y Y Y <br /> appropriate sleeve(Y/N) <br /> Piping sumps/UDCs free of damage,leaks Y Y Y Y <br /> and releases to the environment(Y/N) <br /> Liquid and debris removed from all Y Y Y Y <br /> containment areas(Y/N) <br /> DW Piping sumps/UDCs,free from leaks in YY Y Y <br /> the interstitial area(Y/N or NA) <br /> Ground water bailers and tank gauge sticks NA <br /> all operable and serviceable(Y/N) <br /> Hanging Hardware less than 5 years old and <br /> not expired(Y/N: if no provide detail) Y <br /> Under dispenser piping or fittings, pulsar y <br /> seals,filters, meters,etc.free from <br /> leaking/weeping(YIN, if no provide detail) <br /> Replace TLS bulb and battery(confirm yes. y <br /> If no, explain why) <br /> Replace overfill alarm bulb(if accessible by <br /> ladder:or if bucket truck already onsite) Y <br /> confirm yes If no,explain why) <br /> Use this section to provide more detail on any deficiencies above: <br /> Note: All deficiencies should be communicated to the appropriate Retail Compliance Coordinator(RCC) <br /> Updated 01/28/2019 <br />