Laserfiche WebLink
Designated Underground Storage Tank (UST) Operator <br />Monthly Visual Inspection Checklist <br />Facility Name: 7-11 19976 <br />Date: 07/19/2016 <br />Facility Address: 1399 N. MAIN ST. <br />X <br />City: MANTECA <br />Zip Code: 95336 <br />Designated UST Operator Conducting the Inspection: Kaylynn Rammell <br />2 <br />International Co e Co cil Certification • 8456633 <br />Expiration Date: 6/15/2018 <br />Signature:Phone: <br />(949) 460-5200 <br />v _ v.... M -N1., NA —Net Annlirahln <br />Item I MONITORING PANEL / ALARM HISTORY I Y I N I NA <br />16 1 All facility employees hired within the past 30 days have received the required on-the-job training. I I I X <br />Note: Any answer of "N" should be explained in the comment section on the following page, and will require follow-up <br />action. <br />Page I of 2 <br />I <br />Monitoring System is powered on and in proper operating mode <br />X <br />2 <br />Monitoring system is not currently showing any alarms or warnings. <br />X <br />3 <br />Alarm history report/log for the previous month is available, and has been reviewed by the Designated UST <br />) <br />Operator. (Attach a copy of the alarm history report/log to this form if available.) <br />X <br />4 <br />Each alann for the previous month has been responded to appropriately. <br />X <br />5 <br />Sensors located in tank -top containment sumps have not alarmed in the past month. <br />X <br />5a <br />- List all tank -top sumps where alarms occurred in the past month: <br />L2: RUL STP Sump <br />Note: Sumps where an alann has occurred in the past month must be inspected unless a qualified service technician responded to, and properly <br />addressed. the cause of the alarm. Attach documentation verifying appropriate service to this report. If sump inspection is required, record results <br />in item 6, below. <br />UST SYSTEM INSPECTION <br />6 <br />Tank -top containment sumps are free of water, debris, and hazardous substance. Sensors are located properly. <br />Note: Visual Inspection ofsamps is only required in .swops where rrn alarm has orrurred in the pest month lin• which dare is na .service rxc•a•d. <br />Y N <br />Y N <br />Sump Location: "iA <br />Sump Location: r``^ <br />Sump Location: NIA <br />Sump Location: NiA <br />Sump Location: wn <br />Sum '^ <br />p Location: " <br />7 <br />Spill containment structures are free of water, debris, and hazardous substance. <br />Y N NA Y N NA <br />Tank -87 X <br />Tank -91 X <br />8 <br />Under -dispenser containment areas are free of water. debris, and hazardous substance. Sensors are located properly. <br />Y I N NA <br />Dispenser -112 X <br />Dispenser -3/4 X <br />PAPERWORK INSPECTION Y N NA t -IE <br />9 <br />Monitoring system certification has been completed within past 12 months. X E Y <br />10 <br />Secondary containment tests have been completed within the required timeframe. X r NA6 <br />11 <br />Spill contaimnent structure (bucket) testing was completed within the past year. X 10/7/I6 <br />12 <br />Tank tightness testing was completed within required timeframe. X N/A <br />13 <br />1 Line tightness testing was completed within required timeframe. X N/A <br />14 <br />Other required testing/maintenance was completed within required timeframe_ (List test/maintenance items below) <br />Test/Maintenance: X N/A <br />Test/Maintenance: X N/A <br />Test/Maintenance: X N/A <br />FACILITY EMPLOYEE TRAINING Y N NA <br />15 1 All facility employees have received the required on-the-job training within the past year. X <br />16 1 All facility employees hired within the past 30 days have received the required on-the-job training. I I I X <br />Note: Any answer of "N" should be explained in the comment section on the following page, and will require follow-up <br />action. <br />Page I of 2 <br />