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RECEIVED <br /> ENVIRONMENTAL COMPLIANCE JAN 2 2 2016 <br /> FACILITY INSPECTION CHECKLIST <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> FACILITY#: ADDRESS: DATE: <br /> 2186 3212 N California Stockton, CA 1/7/16 <br /> Leak Repaired Tank 1 Tank 2 Tank 3 Tgnk 4 Tank 5 <br /> Y or N On-site 87-1 87-2 91 <br /> YIN or NA Enbr product rumor <br /> Fill/Vapor Caps present, <br /> Dispenser Piping N have proper gaskets and Y Y Y <br /> properly lock? IY/N) <br /> Fill or Turbine sump lids <br /> Hoses N and gaskets in place and Y Y Y <br /> good condition (Y/N) <br /> Nozzles N <br /> Test Boots Pulled Back in Y Y Y <br /> Sumps (Y/N) <br /> Fills Tags Present <br /> Dispenser Fittings N Color Coded Properly Y Y Y <br /> (Y/N) <br /> Top of 45 Degree Taper <br /> Submerged Pump Fittings N LESS THAN 6 inches from Y Y Y <br /> Tank Bottom IY/N) <br /> Overfill Valves/Flapper <br /> Filter Warning Signs Valves set at 95% of Tank NA NA NA <br /> (Y or N) N Capacity(YIN or N/A) <br /> Pulsar Seals Ball Floats set at 90%/30 <br /> (Y or N) Y minutes of Tank Capacity? Y Y Y <br /> (YIN or N/A) <br /> Hanging Hardware <br /> 5 yrs old Annular sensor at the <br /> > <br /> > N lowest point in the annular Y Y Y <br /> or rs <br /> space (YIN or N/A) <br /> (notify the operator) <br /> WOR/NYC Only: <br /> All sensors set for Y <br /> positive shutdown <br /> (Y or N) Provide the measurements <br /> Any equipment of the annular sensor: <br /> bypassed, disabled or out For Fiberglass tanks: <br /> of spec N Length of the riser + <br /> (Y/N or NA) 1(3.14 ' tank diameter)/21 87-241 <br /> (notify the ECS) 91-243 <br /> Comments: <br /> For steel tanks: <br /> Length of the riser + <br /> the diameter of the tank <br /> Note: All deficiencies should be communicated to the appropriate Environmental Compliance Specialist. <br /> eMaintenance Ticket# Technician: Company: <br /> 10007888 Tim Adams Gettler Ryan Inc <br /> Updated 07/15/2014 <br />