COMPLIANCE INFO_2013 - 2016 - Laserfiche WebLink

Home Browse Search

� 1 P.O. Box 4208 Sonora CA 95370 Ca: 623541 A-Haz AlitechCompliance [1 t�1�7j ��1S AU ` Phone: 209-532-7320 without Compromise """ \ } Fax: 209-533-2650 MONITORING SYSTEM CERTIFICAT-10-NI& WH SYSTEMS ail@alltechpetro.corn A. Facility General information Facility Name: Costco # 1031 Manteca Date of Testing: Thursday, August 18, 2016 Facility Address: 2440 Daniel St., Manteca CA Facility Contact Person: Dave Zizzo (Ser. Sta. Supervisor); Facility Phone: 209-824-2860 LIA: San Joaquin Health Inspector: Stacy Rivera. Make/Model of Monitoring System: Veeder-Root TLS -350 B. Inventory of Equlpment Tested/Certified: Tank ID: Unleaded 87A Tank 1 Tank ID: Unleaded 87B Tank 2 ®In -Tank Gauging Probe. Model: Mag Plus ®In -Tank Gauging Probe. Model: Mag Plus ®Tank Annular Space Sensor. Model: 794380-301 ®Tank Annular Space Sensor. Model: 794380-301 ZPiping Sump Sensor(s). Model: 857080-112 ZPiping Sump Sensor(s). Model: 857080-112 ®Piping Sump Annular: Model: 794380-304 ®Piping Sump Annular: Model: 794380-304 ®Fill Sump Sensor(s). Model: 794380-323 ZFi11 Sump Sensor(s). Model: 794380-323 ®Fill Sump annular Model: 794380-304 ®Fill Sump annular Model: 794380-304 ZSecondary Piping monitor Type: Vacuum ®Secondary Piping monitor Type: Vacuum ®Electronic Line Leak Detector. Model: V -R PLLD ®Electronic Line Leak Detector. Model: V -R PLLD CRTank Overfill / High -Level Sensor. Model: V -R Audible ZTank Overfill/ High -Level Sensor. Model: V -R Audible ®Pass ❑Fail ® Fillspill Bucket Tested: ZPass ❑Fail ® Fillspill Bucket Tested: Tank ID: Unleaded 91 Tank 3 Tank ID: Fuel Additive Tank Zln-Tank Gauging Probe. Model: Mag Plus ®In -Tank Gauging Probe. Model: Mag Plus ®Tank Annular Space Sensor. Model: 794380-301 Z Tank Annular Space Sensor. Model: 794380-301 MPiping Sump Sensor(s). Model: 857080-112 -Piping/Fill Sump Sensor(s). Model: 794380-323 MPiping Sump Annular: Model: 794380-304 ElPiping/Fill Sump Annular: Model: 794380-304 XFill Sump Sensor(s). Model: 794380-323 ®Secondary Piping monitor Type: Vacuum ®Fill Sump annular Model: 794380-304 ®Mechanical Line Leak Detector. Model: FE Petro JZSecondary Piping monitor Type: Vacuum ZTank Overfill / High -Level Sensor. Model: V -R Audible ® Electronic Line Leak Detector. Model: PLLD ® Fillspill Bucket Tested: ®Pass ❑Fail ®Tank Overfill / High -Level Sensor. Model: V -R Audible Z H11s ill Bucket Tested: ZPass []Fail Dispenser ID: 1 &2 ® Sump: EKDry ❑Water ❑Product Dispenser ID: 3&4 ® Sump: ®Dry ❑Water ❑Product ®Dispenser Containment Sensor(s). Model: 794380-323 ZDispenser Containment Sensor(s). Model: 794380-323 UDC Annular sensor. Model: 794380-304 M* UDC Annular sensor. Model: 794380-304 ®Shear Valve(s) (Functional test) XShear Valves) (Functional test) Dispenser ID: 5&6 E Sump: ZDry ❑Water ❑Product Dispenser ID: 7&8 N Sump: ZDry ❑Water ❑Product MDispenser Containment Sensor(s), Model: 794380323 MDispenser Containment Sensor(s), Model: 794380-323 ®UDC Annular sensor. Model: 794380-304 N UDC Annular sensor. Model: 794380-304 ®Shear Valve(s) (Functional test) ZShear Valves) (Functional test) Dispenser ID: 9&10 ® Sump: ZDry ❑Water ❑Product Dispenser ID: 11&12 ® Sump : ®Dry ❑Water ❑Product Z Dispenser Containment Sensor(s). Model: 794380-323 ® Dispenser Containment Sensor(s). Model: 794380-323 lar sensor. Model: 794380-304 0 UDC Annular sensor. Model: 794380-304 es) (Functional test) ®Shear Valve(s) ('Functional test) : 13&14 ® Sump: ZDry ❑Water ❑Product Dispenser ID: 15&16 Z Sump: ®Dry []water ❑Product LAnn Containment Sensor(s). Model: 794380-323 ZDispenser Containment Sensor(s). Model: 794380-323ular sensor, Model: 794380-304 ® UDC Annular sensor, Model: 794380-304es) (Functional test) ®Shear Valve(s) (Functional test) Dispenser ID: Vent Stack Transition Sump Dispenser ID: Additive Tank Vent Sump N Sump. Dry ❑Water ❑Product 0 Sump: [KDry ❑Water ❑Product ® UDC Sump Containment Sensor(s). Model: 794380-323 Z UDC Sump Containment Sensor(s). Model: 794380 323 UDC Sump Annular sensor. Model: 794380-304 ® UDC Sump Annular sensor. Madel: 794380-304 * Sensor installed but not operating properly. Technician: Date: 08/18116 Certification: Veeder-Root B36878, Level 4 ICC UST Service Technician # 8146912 -UT