COMPLIANCE INFO 2006 - 2010 - Laserfiche WebLink

Home Browse Search

UNDERGROUND STORAGE TANK SYSTEM DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT Facility Name: City of Lodi Inspection Date: January 25, 2008 Facility Address: 1331 S. Ham Lane City: Lodi Name of Designated UST Operator Conducting Inspection: Dennis Callahan International Code Council Certification No.: 1004653-UC Expiration Date: 12/20/2008 Signature: Phone: (209) 333-6800 ext.2690 N/A=Not A plicable Item MONITORING PANEL/ALARM HISTORY Yes No N/A 1. Is the monitoring system powered on and in proper operating mode? ® ❑ Q 2. Is the monitoring system not currently showing any leak alarms? ® ❑ 3. Is the Alarm History Report/log for the previous month available,and has it been reviewed by the ® ❑ ❑ Designated UST Operator? (Attach a copy of the alarm history report/log to this inspection form.) _ 4. Has each alarm for the previous month been responded to appropriately? no kLA-PAJ ❑ ❑ UST SYSTEM INSPECTION 5. Are tank-top containment sumps free of water,debris,and hazardous substance? Note:/jtl7e answer to Item 41vas "Yes."skip lin Item 6. amps where an alarm has occurred nn the past 171017th nnrst he inspected rl a cpmlilied service teclnncum has not responded to, and 1 properly addressed,the cause o the alarm_Documentation veri wng appropricrie service should be attached to this report- Yes e rt.Yes No Yes No Sump Location: S/W Fuel Island E ❑ Sump Location: N/E Fuel Island ® ❑ f Sump Location: N/W Fuel Island ® ❑ Sump Location: S/E Shop 6. Are spill buckets(containment structures)free of water,debris,and hazardous substance? Yes No N/A Yes I No N/A Tank I ID- 10,000 Unleaded ® ❑ ❑ Tank 4 ID-Waste Oil ❑ ElZ Tank 2 ID- 2,000 Unleaded ® ❑ Tank 5 ID- El El Tank 3 ID- 5,000 Diesel M I ❑ I ❑ Tank 6 ID- 7. Are under-dispenser containment areas free of water,debris,and hazardous substance? Yes No N/A Yes No N/A u Dispenser- 1/2 Multi-product E ❑ ❑ Dispenser- ❑ ❑ ❑ 1 Dispenser- ❑ ❑ ❑ Dispenser- ❑ ❑ ❑ Dispenser- ❑ ❑ ❑ Dispenser- ❑ ❑ ❑ Dispenser- ❑ ❑ ❑ Dispenser- 8. ispenser-8. Leak detection is properly located within under-dispenser containment- Yes No I N/A Yes No N/A Dispenser- 1/2 Multi-product ® ❑ 1 ❑ Dispenser- Q ❑ ❑ Dispenser- ❑ ❑ ❑ Dis nser- ❑ ❑ ❑ Dispenser- Q ❑ ❑ Dispenser- ❑ ❑ ❑ Dispenser- ❑ ❑ ❑ Dispenser- ❑ ❑ ❑ PAPERWORK INSPECTION Yes I No N/A Date Done 9. Monitoring System Certification was completed within the past 12 months? ® I [—:IT-[] 9/27/2007 10. Line Leak Detectors were tested/certified within the past 12 months? 9/27/2007 11. Spill bucket(containment structure)testing completed within the past 12 months? ® ❑ ❑ 9/27/2007 12. Line tightness testing completed within the required time frame? ® ❑ ❑ 2/13/2007 13. Secondary containment tests completed within the required time frame? 10/5/2007 i e&Z� 14. Enhanced Leak Detection completed within the required time frame? ❑ I ❑ 10 t vs- 15. Other required testing/maintenance was completed within required time frame? (List tesdmaintenance items helow.) Describe Test/Maintenance: Drop Tube Integrity Test-every 3 yrs ® 1 ❑ ❑ 10/31/2005 1 Describe TesUMaintenance: Static Torque& Rotation Test-every 3 yrs ® ❑ ❑ 10/31/2005 FACILITY EMPLOYEE TRAINING Yes No N/A 16. Have all facility employees received the required on-the-job training within the past year? ® ❑ ❑ 17. Have all facility employees hired within the past 30 days received the required on-the-job training.? Note: Explain any"No"answers in the"Comments" section on the following page. Those issues require corrective action from the UST owner/operator. UN-057-1/2 wim.unidocs.org 9/26/05