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Designatcti I III Otill f StorageTank (UST) C "173 1111 <br /> Ntnntlll.\ inn;il IwIpection Checklist <br /> knated <br /> e, 1'Rt'x• L)atc_ 5'14+7.012 <br /> I resc l_t rn_17 Ot I:01 �t304ILip cone: gs304'SlCoruiuctitt•the Ins vcnon: Steve CouherEx iratiou Date 411812014iode icwt:it l'crtti:aeon a: 5254'5,-l'(' Phonc: (800)-800-4633 <br /> � vac• - -- <br /> Y = Yes, N = No. Applicable <br /> --- <br /> MONITORING PANEL/,\LAR\1 IIISTORI' Y N NA <br /> Item <br /> osycred on and in proper o Gratin + mode X <br /> \ ..::ctn is not currently showing any alarms or warnings, X <br /> l4{arm history repon9og for the previous month is available, and has been reviewed by the 4 <br /> 'rkstenated UST Operator.(Atrach a co r gf1he alarm hismt •reporillog to tris farm ij available. <br /> 4 a h,term fur the revious month has been res onded to a ro riatel X <br /> •t>'ors located in tank-to rnntainment sum shave not alamted in the est month. X <br /> 5a - List all rank-top sumps where alarms occurred in the pari month: <br /> ,Vote Sumps w'Aerr an alarm has occurred in the past.,,nth must he inspected tales,a quaItA,d sena,.technician responded to,and property addrnid <br /> :hr cause ufrhe olarm-Attach documentonan veriAing appropriate service to,his repos. If sump umpeaion is required.record r...Its ina.6,belo <br /> LSTSN'Sl'ENI INSPECTION' <br /> 6 ark-top containment sumps are free of water,debris, and hazardous substance. Sensors are I - - - <br /> Fote {'anal inspection of sumps is oat,-required in.sumps where•an alarm has occurred in the past month for which,here is no sen'icr record. <br /> A' N Y <br /> I <br /> um Location: Surra Location: <br /> um Location: Sum Location: <br /> um Location: Sum Location:S il <br /> l containment structures are free of water,debris, and hazardous substance. <br /> Y N NA Y N NA <br /> ankI -Contents:WASTE OIL X Tank 3 - Contents:A.AWFRE£ZE I X <br /> ank 2-Contents:HASTE OCL X ITank 4- Contents:GEAR OIL X <br /> F Under-dispenser containment areas are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Y N I NA Y N NA <br /> {,pensee <br /> Dispenser <br /> u enser <br /> Dispenser <br /> is enser Dispenser <br /> is enser <br /> Dispenser <br /> PAPERW ORK INSPECTION 1N NA DATE DONE <br /> 9 Monitorin system certification has been completed within past 12 months. X 311612012 <br /> W Seconda containment tests have been completed within the required timeframe. X 12:152010 <br /> I 1 S ill containment ing was completed within the past year. X 311612012 <br /> 12 ank ti mess testis was com Ieted within required timeframe. <br /> 13 Line ti tress testis was com leted within required timeframe. Ji <br /> 14 Cher re uired testis maintenance was completed within required tintefmme. (Lat tesUmaintetnmce items helms.) <br /> Test/Maintenance: <br /> Tes(/Maintenance: <br /> hti <br /> '- TesUMuin(rn<tnrr: <br /> FACILITYEMPLOYEE I-RAINING A' N 71 <br /> 15[ 11 facility employees 1 arc icccn_ed the ict uii cJ on-lhe-lub trainiicithin the Ls�yeur. -- \ — <br /> 16 T 11 facility employees hired within the past 30 Jays huvc received dee rcyuircJ on-the-job bainin <br /> Not aoxwer of'•N" should be explained to the comment section on the following page, and will require follow-up action. <br /> WO: <br /> C'- <br /> WO:2304217 Pagel of 4 November 2004 <br />