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R.J. MYERS&CO, INC. <br /> P. 0. BOX 191 <br /> CANOGA PARK, CA 91305 <br /> 818-702-6470 /818-702-6484 FAX <br /> Annual Environmental <br /> Facility Inspection <br /> Address:440 Charter Way,Stocktcn, Ca. Inspector:Jack Barry Date:10/12/98 Fac#625670C-0276 <br /> I Disoenser/Pumo Leak No Leak Renaire Y/N 111 Leak Detectors Leak No Leak Reoaired Y/N <br /> Piping Housing <br /> N/A <br /> X <br /> Check Valve Test <br /> X I N/A <br /> Hoses Sealed j <br /> i <br /> X N/A <br /> Nozzles Proper Clearance to Lid <br /> X N/A <br /> Fittings IV Observation <br /> X Monitoring Well <br /> Impact Valve Operational Caps Secured&Locked(Y/N) <br /> (Y/N) Y Y <br /> Filter Warning Signs(Y/N) Box Covers Fit Properly I <br /> Y Y <br /> Pulsar Seals V Visual Premises <br /> Y Check <br /> II Tanks Electronic Tank Monitors <br /> Operational(Y/N) N <br /> Fills Tagged Properly Emergency Pump Shut Off j <br /> Y Switch Operational(Y/N) Y <br /> Fill Boxes Free of Dirt,Debris, Check for Evidence of Spills: <br /> Water, (Y/N) Y NONE <br /> Fill Box Drain Valve Operational Low Spots Around Facility <br /> (if Present) (Y/N) Y Property NONE <br /> Vapor Recovery Fittings Landscaped Area <br /> X � FAIR <br /> Submerged Pumps Nearby Ditches,Creeks, Etc. <br /> X NONE <br /> Turbine Relays (Y/N) VI Miscellaneous <br /> (Operational) Y <br /> Length fill Drop Tubes DIESEL PLUS PREMIUM UNLEAD Fill/Vapor Caps Functional <br /> 136 137 139.5 139.5 (Y/N) Y <br /> Tank Bottom to Top of Fill Riser Fill/Vapor Cap Gaskets <br /> 139 140 139.5 139.5 Present/Functional (Y/N) Y <br /> Top of 45 Degree Taper<6 Fill adaptor Gaskets Present/ <br /> Inches from Tank Bottom Y Y I Y Y Functional (Y/N) Y <br /> Overfill Valves Operational Pump Controller Box Sealed <br /> Y Y Y I Y (Y/N) Y <br /> Drop Tubes Labeled (Y/N) Remote Single Wall Fills (Y/N) <br /> (With engraving tool) Y Y Y Y N <br /> Note: <br /> Comments: Replaced(2)fill caps, (1)dry break cap. Installed (4)tank bottom protector's, (3)vent pressure valves, (1) diesel <br /> dust cover, resealed (2) drop tubes, (4) fill adaptor gaskets, (4) drop tube Orings, (1) pack super weld. <br /> INSPECTOR'S SIGNATURE: <br />