Laserfiche WebLink
CIRCLE K REFUEL PETROLEUM INC. 419 SOUTH MAIN STREET, MANTECA, CA <br /> I r1deq!t0L111d Slol-ire Tank(UST)Operator <br /> Nlonthk Vi­11 111silection Checklist <br /> 0.14' 01 26n,1;7 <br /> p <br /> 1 0 K."'n 1" <br /> "un, n["teat ion at <br /> piration Date: _O--S/OS/I5 <br /> '0 <br /> 2 oq5 <br /> 'hone:( 01) 5 IRA <br /> 111�31 <br /> Y=Y.,Ne N.,NA-NWA imble <br /> Item --- <br /> 06'KI'ORING PANI Li 1kLAnM HISTORY Y N NA <br /> tell'1.17jorcrrc•d on and n!j,­j­ <br /> a"i alarm, <br /> .. .. <br /> X <br /> is not currenik shtmuwan� <br /> X <br /> C ao I has been reviewed by the X <br /> Maral histon repin Io, or the previous�,�()ntjj <br /> I P <br /> �Desi mach act of the ala-:him-1, e)ortlo to this form i mailable. <br /> t ro r. <br /> 4 Each alarm for[lie precious ajolitill[in., et, <br /> ondrd l ro trate/ X <br /> to <br /> Sensors located in utak-to containment sum i have .11am,ed in the ml month <br /> 53i.io-rlal)A-tap rumps where alarms orrurredin the part month:L3:01/10 repaired by HAfC. <br /> .........1h run b, q-itfed—110111111-—p—kd I..-d <br /> UST SYSTEM INSPECTION—— <br /> lank-top containment sumps are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Note I'-!d urgx•rnun aLwr p, h m2rtrrd­','.',P-,,'. —an alarm has <br /> TY TN Y I N I <br /> Su"I Localio", 91 STP X <br /> Sum Location. STP X <br /> Sunt)Locaiiw, Diesel STP X <br /> 7 S ill containment structures are free of water.debt-is,and hazardous substance. <br /> V INA <br /> Tank I Contents:91 -1 N I Tank 3-Contents:Diesel Y N NA <br /> I <br /> X <br /> J'ank 2-Contents:87 +X <br /> 8 Under-dispenser containment areas are free of water,debris,and hazardous substance. Sensors are located properly. <br /> V N NA I Y N I NA <br /> Dis enter 11 2 <br /> Dis cruet?14 X <br /> PAPERWORK INSPFC71 ION V N NA DATE DONE <br /> 9 Monitoring system certification has been completed rviihin pa,( I'mofuhs. X 05/17/16 <br /> 10 Secondary containment tests have been complaedwillun the requiled limeframe. X 05126/16 <br /> 11 Spill containment structure(bucket)testing was con pi ied�%iihin the past year. X 05117/16 <br /> Tank 12 lightness testing was completed within required iinaefianie._ <br /> 13 Line tightness testing was completed within required timeframe <br /> 14 Other required test ing/maintenance was scom&ted within req u ircd timeframe. (Lisliesilmaintenunc nems below.) <br /> Test/Maintenance. <br /> TestlAlainlenunce. <br /> TejjXA4ainrenanre* <br /> FACILITY EMPLOYEE TRAINING <br /> F15All facility employees have received the required on-the job jratjnr within the past year.01 X <br /> 1 16 1 All facility employees hired within the past 30 days have received the required on-the-job training. X I I <br /> AV Note., Any answer of"N"should be explained in the comment section on the following page,and will require <br /> follow-up action. <br /> Incorrect date for expiration of the designated operator's ICC certification and incorrect date for secondary containment <br /> testing <br /> Photo taken on- 5/15/2017 <br />