Laserfiche WebLink
Village West Marina, 6649 Embarcadero Dr, Stockton, CA <br />Designated Underground Storage Tank (UST) Operator <br />Monthly Visual Inspection Checklist <br />Facility Name VILLAGE WEST MARINA Date: <br />Facilin Addre<s: 6649 EMBARCADERO DRIVE <br />Cin': STOCKTON Zi Code: 95219 <br />Dc ionated UST O orator Conductin the Inspection: GREG KAISER <br />Intetnational Code Cou I cation: 5252318 Ex iration Date: 10/152015 <br />Sir_ -nature: Phone: ( 209 ) 887-2639 <br />Y=Yes.N=No. NA =Not A licable <br />[rem MONITORING PANEL /ALARM HISTORY Y N V A <br />I N%Ionitorins system is owered on and in ro er o eratin mode. %c <br />_2 Monitorings stem is not currently showing an alarms or warnings. k <br />3 farm history report/log for the previous month is available, and has been reviewed by the <br />I Desianated liST O erator. (Attach a co o the alarm histol re ort/lo to this.form if available. <br />4 ;Each alarm for the revious month has been responded to appropriately. X <br />[:=Sensors located in tank -top containment sumps have not alarmed in the past month. k <br />r 53 I _ List all tank -top sumps inhere alarms occurred in the past month: <br />\ote: Sumps rvltere an alarm has occurred in the past month must be inspected unless a qualified service jechne,,,ponded to, and <br />properb- addressed the cause of the alarm. Attach documentation verging appropriate service to this re <br />lfsutn its ction is required. record rendts in item 6, below. <br />UST SYSTEM INSPECTION <br />6 ' Tank -top containment stumps are free of water, debris, and hazardous substance. Sensord properly. <br />Aote: lhstml i ection ofstnn s is onl - re aired in suan s where an alarm has occurred in the ast month e is no service rernrd. <br />Y N Y N <br />Sum Location: Sump Location: <br />Sum Location: Sump Location: <br />Suinp Location: Sump Location: <br />7 i Spill containment structures are free of water, debris, and hazardous substance. <br />Y N NA Y N NA <br />Taal: -I— Contents: X Tank 3 — Contents: <br />Tank 2 — Contents. X Tank 4 —Contents: <br />S Under -dispenser containment areas are free of water, debris, and hazardous substance. Sensors are located ro erl . <br />Y I N NA Y N N <br />Dispenser:� 1 ' / x Dispenser 30 / 31 <br />Dis ensernz'-'-� Dispenser 3 7 / 35 <br />Dis ensu , l 'x Dispenser <br />Dispenser 27/2.1 Dispenser <br />PAPERWORK INSPECTION Y I N NA DATE DGiv', <br />9 MOn;t'Nr;nCF s stem certification has been completed within past 12 months. �— — <br />10 Seco containment tests have been completed within the required timeframe. <br />1 S ill containment structure (bucket) testingwas completed within the ast ear. >C <br />i <br />1112 Tank tY ess testin was com leted within required timeframe. <br />--- - <br />August 2014 monthly D.O report with correct secondary containment test date <br />Page 22 of 28 Photo taken on March 16, 2015 <br />