COMPLIANCE INFO_1987-1998 - Laserfiche WebLink

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Facility #: B.P. 1-1191 Test Date: 11/16/95 Work Order No. %5022 Check fill type General inspection: Check system type Coaxial: [ I S U N/P Problem System Balance system:[ ] Dual Point: [ X] Impact valves: [ X] [ ] [ ] [ ] Assist system:[ X] Conventional: [ ] Hoses and nozzles: [ X] [ ] [ ] [ ] Check hose type Type of assist R U M P D O Coaxial:[ X] Check tank type Tank M Check how determined Number of hoses per product: [ ] [ lq [ lq [ lq [ 2 ] ( ] Dual:[ ] Steel: [ ] [ ] Store manager. [ I Number of dispensers per product: [ j IS] [ 5 ] [ 5 ] [ 1 ] [ I S U NIP Problem System SW Fiberglass: [ X] [ ALL ] Store tank chart: [ ] Meter Y N Face seals:[ X] [ I [ I [ 1 DW Fiberglass: [ ] [ I Technician: [ X] Calibration sticker present: [ X] [ ] 01/11/95 Belows (Boot):[ X] [ ] ( ] [ ] Cathodic prot.: [ ] [ ] Tank diameter: [ X] Vertical check valves: [ ] [ ] Date of last calibration: Belows (Springs):[ X) [ I [ ] [ ] AdftTnknown: [ ] [ ] Visual verification: [ ] Electronic monitors m light: Red: [ ] Green: [ ] Product Lines Y N Amp reading: Steel: [ I Suction: [ ] Electronic tank gauges present:[ X] [ ] NOTE, If abwglm tat is peem6 a aftiie Fiberglass: ( X] Pressure: [ X) Type: VEDEEROOT p1m vadkombaooedu w& _ Y N DW Fiberglass: [ ] Operational:[ X] [ ] Strike plate: [ X] [ I Trench liner present: [ ] Electronic line monitors present:[ I [ ] Nae: If problem list tankw & product Cathodic protection: [ ] Type: S U N/P Problem System(s) Unknown: [ ] Operational:[ 11 j Fill Cover: [ X] [ ] [ 1 [ I Leak Detector Interstituai monitors present Fill cap: [ X] [ ] [ I [ ] S U N/P Tanks:[ I Fill cap seal: [ X) [ I [ I [ ] Upon arrival: [ X] [ 1 [ ] Lines:[ I Drop tube: [ X) [ I [ I [ ] Replacement history Operational:[ 11 ) Drop tube shield: [ I [ ] [ X] [ ] System Type Serial number Other monitors present V/R Cover. [ X] [ 11 ] [ ] [DIESEL ] [ FX2D ] [ 0220951470 ] Type: V/R Cap: [ XI [ I [ 1 [ I [ 1 [ I [ I Operational:[ 1 [ ] V/R Seal: [ X] [ ] [ ] [ I [ I [ ] [ I Monitoring Wells V/R Dry Brake: [ X1 [ I [ I [ 1 [ I [ I [ I S U N/P ump: [ X] [ I [ I [ I [ I [ I [ I Present:( Xl [ 11 ] mp cover. [ X] [ ] [ ] [ I [ ] [ ] [ j Caps locked:[ X] [ ] ( ] Overfill: [ X] [ ) [ I [ ] Containment System Problems:[ I[ ] [ ] Overspill: [ Xj [ ] [ I [ I Check one Type: Y N Drain mechanism: [ X] [ ] [ I [ ] Fill pipe spill containment: ( X] Waste Oil Monitors - Present: [ ] [ ] Ball float: [ ] [ ) [ ] [ ] At both subpump & dispenser ends: [ ] Type: Ball float length: [ ) [ j [ ] [ ] At subpump end only: [ ] Operational[ I [ ] Swing joints (tank end) At dispenser end only: [ ] Oil Water Separator - Present:[ ] [ X] Flex [ ] Pipe Unk. [ X] No containment: [ ] Quantity: Legend: S-Satisfactorv: U -Unsatisfactory: N/P-Not Resent: Y -Yes: N -No: R-Remdar. U -Unleaded: M-Midarade: P -Premium: D -Diesel: O -Other Comments: Nog: Crest s*Wm to to be and to tw ire whwh need immediate aumum and= items which caoam be coffxmd at ft Cam ado teat w compkwd. SUBPUMP UNDER 2 FEET OF PEE GRAVEL, RETAINER AROUND SUBPUMPS ONLY GOES DOWN 16 INCHS, DIE HAS NO OVERFILL ON FILL PIPE, SUP SUBPUMP ALWAYS ON