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Site Number 1 v Date <br /> 14130E3>- wfti�semcefiEube-SVP Z6:Adpm WNW <br /> Naiirtiiref 6yis e� Typa`of Bayo 'aS.easi Doois Eidtmr`st 1ai91edoh �Nrmtber cf t lift�'d 717±e of Lft {90 Vlfatir 1u r�Cash 13"U-- <br /> Write In the number Are le ttisre pm :0= Are all drains,catch basins and <br /> pits of hoists present? Do bay doors all open, Write In Bre number Write in the number of oil <br /> of bays P-Pits dose and lock propedy? ventilation when doors era of lifts E=Electronic water separators(OW S) drear to dear of debris t <br /> H=Hoist Yes or No dosed? H=HydmGc appear to function property? <br /> NA=No Bays NA=No Bays NA= or Nays Yes or No NA=No LMB NA=No IMIv MA-No OW S Yes or No <br /> NA=No Bays NA=None present <br /> <� Car Wash Wtt any detkieRdeson the baBwRaG. <br /> C>Iirwasft «v Type Atentrfa i Ri0it. I*' Junction =tet` Rii�pasd Wt ee KI Qatreral <br /> Is there a car Wash R=Rollover Does the car trash have Are there any open junction boxes at Am there any exposed Are there any general eiecNcel <br /> wires et the sBe or on the concerns at the site or on Bre <br /> onsite C=Conveyer HP Haah reclaim tanks the site or on the property) property? propyl <br /> S=SeM Serve Wand after please specify Yes or No <br /> Yes or No NA=No Car Wash NA=No Car Wash NA=No Car Wash Yes(explain)or No Yee(ex lain)Ior No Yes a lain N <br /> Qo <br /> Carbon lfo WVRMWR rt�a� jfi.C+atw ,rf.; Backflow Preverrtfnn Devfca`,, riu.� hkT fEanl Flald><fWsw9aYY iia <br /> Write In the number Type of CO detectors S=Solar Panels s the canopy Are bac0ow Provide the date(s) Write n the number of Are wells property identified and <br /> of CO detsdors H=Hard W tred F=NonSotar A=Attached prevention devices of the nasi recant observation wells severed? <br /> B=Battery operated NA=No Canopy F=Freestanding present? testing Yes or No <br /> NA=None present N=None NA=No Canopy Yes or No NA=No Wells NA-No Wells <br /> �BWkCo2�C� eels Generator Tire <br /> ;7�TF3'PobilaAtrfWa6er Fi?�atrar(F9ght>7*e BUmoard $ lnre6tsngrrfahare�r.c��'� strtech' M*'. i+w�1� ;az:` tiL 8i n is Yarehatrdbt .a. tl��.� <br /> Are sectcity ere a o a s there a s air and water avail s Price sign there a Billboard on FORECOURT Are Bre present,charged and <br /> cameras 8 where is it located? sate Is there one present? and free? over 30 feet high? the propmerchandising have an inspection tag within <br /> es <br /> prent? I-Inside present? A=Available and Free �� (Vending,ATM,PIC) the last year? <br /> O=Outside Yes or No F=Available but not Free Yes or No Yes or No <br /> Yes or No NA=No Cot Yes or No NA=Not available NA=No ID Sign Yes(explain)or No Yes or No <br /> es 74 \J 0 Q N <br /> A16ama�arwfingQV. Basement '0114 Lotlpeie_maitVV6cdmng4atNarap--wT-rkw,.,(l" MfdtBtiaptic�s �x � <br /> "pact Protection <br /> General Pavement ;7rj, IlYasta VYaOer <br /> Any other fuefing <br /> system Qe bulk Does the site have a Concition B=Bollards <br /> propane,electric car basement,crawl space, A=40"from curb <br /> chargers,etc) below ground service bays? G=Good D=20'from dispensers Water is supplied by. Waste water is handled by <br /> C=Cracked(Heaving W=101 from doorways Well or City/Municiple? City Sewer or Septic? <br /> Yes(Wtain)or No Yes or No L=Low Spots NA=No Proper exdtange <br /> yT=Tripping Hazards Circle ALL that apply // <br /> It <br /> N\ N A D W NA / 'I <br /> Number of = ns M uldinyR"ask ens the have lite Please identify any waste(and drumsJ onsite,comment on quantity,type(liquid,solid,waste oil,tires,batteries,lamps).etc.and <br /> ESO P ISP=Dispenser Area appropriate identifying ffwaste containers era labeled.Please be sure to check behatdlsides of the building,ininear the hash enclosure,etc_Ifthere are <br /> switches INK=Tank Area signage? none,please state Mat-Also Bat any type of containment the drums may have. <br /> onsite ILD=On the buiiddn <br /> ' Wim`�Qi CAV— S 6L-. i <br /> ` 2 J . <br /> �,d�� o,cr�g• �t�•� LA <br /> 3 <br /> 4 <br /> Comments on any damagedfdefective equipment- <br /> �Ui 1 3 201 <br /> ENVIRONMENTAL <br /> HEALTH rEPARTMENT <br /> issued t212712017 Page 8 of 10 <br />