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05/08/2008 09:30 FAX SJEH 16002/005 <br /> -Tv <br /> Afforda-Tea')t <br /> 416 2nd Street (J'falt, C41. 9.5632 Monthly Inspedion Checklist <br /> 209 744-0112 - 800 524-9097 - Fax 209 744-0116 - — I <br /> Site: Date: <br /> Designated Aerator: David Winkler [CC 9 526-3373-UC 3/3/08 <br /> sionature Y=ye.s N no NAr-notapplical)ie <br /> M kVN NA <br /> Moni.0ring System is powemode. <br /> Monitorin s stoat is riot rently showhir any alarms or warnings. <br /> Alarni history re. art for the previous month is available and has been reviewed b U.U. <br /> (Attach nlarrn history,ifavail"b1c) <br /> Each alarrn for the 2revious month has been responded to a2propriately <br /> Sensors located in tank-top containment sumps have not alarmed in the past 111011th. <br /> .hs!all iank-tup sumps where alarms occurred in the:past tw)n1h:__ <br /> Notc:Sumps where an 71firm has occurred in the past month 1"xist be inspectied unless a quahried service technician tesponded <br /> to,and jirr)jmr4v addressed.the call.ye oj'the:aj,7nn. Aftardy documentafion vet-?f <br /> ying appmI.Iriale Service to this wpol't. <br /> Ifmanp Inspect ion is re trim!I-ecuttj resylts in item#6 Mow <br /> UST SYSTEM INSPECTION <br /> TAF Y=N A <br /> 'I'llIlk-top containment sumps are free of water,debris,and hazardous substance. Sensors located properly. <br /> I-Notc; Visual inspection ur.�urnps unly rcqliirrAl in sumps where an alarm has occurred in the IniA nionth for which there i.K no service rennet. <br /> .-Sump location: Sum location: <br /> SUIFIP location: <br /> ,.SurnR location: <br /> :--SumE location: Sump location: <br /> Spill containment structures are fret;of water, debris, &haaardoussubstance. <br /> Tank I -Regular ' F Tank 4� Diesel <br /> Tank 2-Plus Tank 5- <br /> Mink 3-Prcrimuin Tank 6 L— <br /> 'I J nder-dis2enser containment free of water debris, &hazardous substance. Sensors located P)ro Berl V. <br /> Dispenser I/'2 \<L--- T)imcuger 19/20 <br /> Dispenser 3/4 X- Dispenser 21 <br /> 1)isL)cnscr 516 Dispenser 22/21 Satellite <br /> T)i.spenser 7/8 Dispenser 23/22 Satellite <br /> DiTenser 9/10 "Disperiser 24/23 Satellite <br /> Dispen%er 11/12 .-alisanser 25/24 Satellite <br /> Dispenser 13/14 .-Diseenser 26/25 Satellite <br /> Dispunsur 15/16 Fhspenser 27/26 Satellite <br /> Dispenser 17/18 Dispenser..27 Sa Mite <br /> MIHENEE�I 11111 Mill �Ell I III I I <br /> Facility Employee 'J.'raining <br /> All fac!liIemploygesHave received the requiretl trainin�within the oast_year. <br /> All facility employees hired within(lie past 30 days have received the required on tbe.job training. fl:::� <br />