|
C
<br />Designated Underground Storage Tank (UST) Operator
<br />Monthly Visual Inspection Checklist
<br />Facility Name: Ryder Stockton
<br />Date: 1/10/12
<br />Facility Address: 3633 Duck Creek Drive
<br />' I
<br />City: Stockton
<br />Zip Code: 95215
<br />Designated UST Operator Conducting the Inspection: Rolando Urbina
<br />International Code Council Certification #: 8009631 -UC
<br />Expiration Date: 10/29/2012
<br />Signature: % f
<br />��•c.•�Z_� Com' s-�L• l•.:
<br />Phone: 408-942-8686
<br />Y - Yea. N - Nd NA — Not.ii—thr.ete
<br />tura; 4tt.mrl visci rxNvt.1 ALAIM IllstflRV
<br />Y i N NA
<br />1 ♦irtrt:aring .i rc-n is + tcicd sir x1d ;r,r aL �€', • mc,ttc.
<br />' I
<br />�fart,tx,r tit. t*,n cr gat cvrrrriElrti�h::a_ng :tt} r �t�t s carT___---
<br />ltum ht.ierrr IryaM';: fir thi ;xrviow. month to xL,%dAblr, wif h.e. hcen re ic-*W h) thr
<br />(kws vd 1. %T 0.xsattx r'trtuch s -OPI ,rt file :ti rtrn htatt:a't r v,r::c=r! ss, :hit k:rtn t a:trsl-J'He
<br />3 F:Attt alarm int Ihr f,rtt,tru�_tutnth tzar i+een rr,xxfe3 �ntratrt�__._._.__.�-_...._..._.._ ... _.._.
<br />4 St.0 K%locAted its !X1k !qP C011tuntnetit t.!p hate oet alamcsf in 0-e In antlt.
<br />1-:+f ail tank-usp cupw t ,ah.•r.: <tlatvsn tx :: sing:!':n the pa.,t mim.1h 4 .Y t.;e'v. Z
<br />I
<br />-_... ...
<br />4,. j- ?.a+'ej.[ +s♦est it u4J"'<h 1421 kw—,j w 4., (ail! ro:.."A -.: 4 if .^,<Y�eafhf �b.(Ya. v %tW:itY:r Mn r{Y ,:. flK,..:v
<br />iJ�nnty<:::.i:ur•..•.r( .r, _ a,:.,.• ,y "h. a;.irar :: es<N :ia..:..www•.xarl ..�•li:+<( ar,x+r.y. �:r' r: r•rrrr• s, �..rto•u.
<br />.t !:9�-L! fd G.'Y'_ !:iA :Y / rIY .{ r uf �f'1 /ii �! �i'M •�
<br />t ST SN s rt~Nt IMPECiION
<br />I -_, - vJ)*tiaca- St-rtstxr are lv, ated P"wrly.
<br />t,ceultasr.,:€rnt .t:u .err £►rc of x;€ICY, a£rtxl._ at`.+f h3;arritxta
<br />-Js€sl•t
<br />_:��}:.:t l;rar): •r �+az 'n.+r r', tt_ `..M�r.-'w.�rd �t a t.+v t; ,yw „v ,rw k<fi ,Wsrtf r�.•Re' <: WwSrlh✓+Jt.;F ;r4 rr :, n!. +.nrsr.<
<br />4'tigt� t_x trs-H. i7i ct4 41an1
<br />i-- 7 .titimp 1.e4,'rstrrin: 1. *Vl011 x
<br />__
<br />Sum�t.r,Yatt,rr i)ss it¢«rt�K —i--�4 = 5, bxwfoiy
<br />= ti trl t rtut zie:rtcrnt arut turk.c ue ffYe 4L -f w aer dr5>a t., ant! hararctatu+t ih+t trier.
<br />_
<br />i- N 1.i
<br />�ttH{t
<br />:t11G 1 ! �: atftF;t I)tr`i,cl 11.1151 ! Yl ! i 1 srk i i tdt:t. �Cti' t 1ti1
<br />i .i
<br />t f .utk : (i:r3P1Jf► 13trael it¢-.rrtrAb. t :«t:d Oil
<br />3 s t'at#cr•tit. e€irtr mr. unment are.tt mr irrr Of -A-4tV_ WW1 Ad %Uixetanrr. %0!ver%are I. ►trtl �crl�
<br />ilkti
<br />�.._•... �Ih.'txri♦ t`......_
<br />tris .�trea'r i'3` x (�i>.4. •tt5tr
<br />131s ifett.iA'! '._
<br />Sl
<br />...... _ .,. _. .,,....—_,.._._._.
<br />� s 1}Fs f:irf.^►
<br />i x
<br />P VERWORK IN-SPEC-1ION' ' j 1 \~A�t3 i iE t?Oti£
<br />__�.. _ _
<br />i i �i: s*:ita,r, . utrn�:rr?iYicat�tac h.e, t t�L,Jrs lr cvi u:titrna et 12_^,nlh.
<br />4 1
<br />_. _..
<br />?t St`itY1L3. s"ik`:t�it}ittt tt ifRd.i bale t}Ci7't .: t: R•. i)kr'Itii :t,tiSl" thr, `id'1W I!mrtl-Ame. ' X 1 I1 • 12
<br />i �t,Fl a:+drtA1{fT--Pt ArdiDAM;NACket)'gZ _Z 1, .e¢j a, :ltr,yset Drat, i X .4
<br />5 1 f l .;!: � �'t_I:tC'G'• [CNt>!2 ' N S• ,_ixn lrtt+ci 'A it:l;f, r.%sTi.ft'61 tt±st"trurrK ... .. - ..., t
<br />.
<br />t if '.;'.e=.$,vE.. t..f'41�Z"�yf�.�:W ,kv .4tt17�)!t'tY:t1
<br />€ t,j t"k?:r.•"c�''s^t'll!1_c.SE:::.8t:r74:.`rrliYl.L::t'G'.l-,3+iLa:.'r�TtC�C �w tiitt>~•fYqU�rtRt7S%St€rSY.'SC.:.....1:.`._/:cY:i�MJ't+f: stint
<br />:':-'t'+rfr %Y-H.rixi
<br />1 > •z t1,tt,'S;tN;rP: i ,
<br />1
<br />FACIUM VNIPl t. V4. ttt,+►iNING
<br />} !� Lsl r,..1:S`ttt�tt.•t�i`<�SiltC't'C_liteS� S:`a .'i; c.,rt tlit•"��!_tSiS'3;r,.^ 4c'.lr
<br />�
<br />_a,?::tR_tt,C�h:..t ...__..__._,._.
<br />�
<br />h - -s tY!;ITItriC"C'i <',;trL X.it„r3 :.i'111:.itC _'i`i )LCL �kr f M1gti:rrtt <?tt-Rlie-;t fra;nt^
<br />_,_
<br />t
<br />4
<br />Note- Any answer of "N” should be explained in the comment section on the following page, and will require
<br />follow-up action.
<br />Page I of 2 September 200.4
<br />
|