Laserfiche WebLink
Site ID: 1576-1 <br /> Affords-Te$t <br /> 416 2°d Street Designated Operator <br /> Gait,Ca 95632 Monthly Inspection Checklist <br /> 209-744-0112 Fax 209-744-0116 <br /> Site:J&L MARKET Date: 4/8117 <br /> 8125 S ELDORADO STREET JUL ' 8 __ _17 <br /> .FRFNC'.T4CAMP CA Q57i1 .._� , �4EALTFI <br /> ENVIRONM � <br /> ❑Zane A.Nimmo ®David A.Winkler D Felix G.Ramirez <br /> Edward Stearns <br /> #5263322 #5263373 #5273934 #5250492 <br /> Y=res N=no.NAmnot a livable <br /> MONITORING PANEL 1 ALARM HISTORY Y N NA <br /> Monitoring system is powered on and in proper operating mode. X <br /> Monitoring system is not currently showing any alarms or warnings. X <br /> Alarm history report/log for the previous month is available,and has been reviewed by the Designated UST X <br /> —Operator— Attach a co v of the alarm history re ort/lo �10 this form available.) <br /> Each alarm for the previous month has been responded to appropriately X <br /> Sensors located in tank-top containment sumps have not alarmed in the past month. X <br /> List all tank-top sumps where alarms occurred in the past month: <br /> Note:Sumps where an alarm has occurred in the past month must be inspected unless a qualifiedservice technician responded to,and properly <br /> addressed the cause of the alarm.Attach documentation verifying appropriate service to this report.Ifsump inspection is required record results in <br /> item 6.below. <br /> UST SYSTEM INSPECTION <br /> Y I N I NA Y NT NA <br /> IT Lop containment sumps are free of water,debris,and hazardous substance.Sensors are located properly. <br /> Nore:Yrsual i coon o su s is on re fired in sum s irhere an alarm has occurred in the P=month or which there is no service record <br /> Sump Location:87 STP X '' Sump Location: <br /> Sump Location:91 STP X ;.; Sump Location: <br /> Sump Location:DIESEL STP X Sump Location: <br /> .-Spill containment structures are free of water,debris &hazardous substance. <br /> Tank 1 -Regular X Tank-5- X <br /> Tank 2—Plus X Tank 6- X <br /> Tank 3 -Premium X Tank 7- X <br /> Tank 4-Diesel X Tank 8- X <br /> i Under-dispenser containment free of water,debris,&hazardous substance. Sensors located properly. <br /> Dispenser 1/2X Dispenser 19/20 X <br /> Dispenser 314 XDispenser 21 X <br /> Dispenser 516 X Dispenser 22121 X <br /> Dispenser 7/8 X Dispenser 23/22 X <br /> Dispenser 9/10 X Dispenser 24/23 X <br /> Dispenser 11112 X Dispenser25/24 X <br /> Dispenser 13114 X j Dispenser 26/25 X <br /> Dispenser 15116 X Dispenser 27/26 Satellite X <br /> Dispenser 17,x18 X I Dispenser 27 X <br /> ` <br /> I <br /> 6•d dgtr.Z L L L 8Z Inf <br />