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COMPLIANCE INFO_2016 - 2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231656
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COMPLIANCE INFO_2016 - 2018
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Last modified
4/26/2022 2:27:53 PM
Creation date
5/7/2020 9:58:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016 - 2018
RECORD_ID
PR0231656
PE
2351
FACILITY_ID
FA0003635
FACILITY_NAME
ARCO 06080
STREET_NUMBER
85
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
19627010
CURRENT_STATUS
01
SITE_LOCATION
85 E LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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SECTION 3: Equipment Checklist <br /> An Inspection must be performed daily.If no problem exists, place a'✓"in the appropriate box. If a defect is identified,place an"X"in the appropriate box.Record defects&repairs on the <br /> "Maintenance Log".Keep copies of repair orders or receipts in the Orange Binder.Proper personal protective equipment(PPE)must be used at all times. Refer to the instruction on the <br /> previous page for assistance in performing this checklist.If Stage II has been decommissioned,you can omit questions marked with an(*). P <br /> Month YearDAY OF THE MONTH <br /> 1 [.:g] 3 ::4: 5 ::6: 7 :8:j 9 1.19:1 11 42: 13 :14:1 15 :1fi 17 1:191 19 1 2bj 211 22 23 :N 25 1:2llj 27 j28 29 30 31 <br /> Daily Inspection Items (Recommended PPE=safety vest,nitrile gloves,delineator poles,caution tape) <br /> 1.Check that gasoline hoses do not touch the ground(if required). <br /> Check hoses for leaks,kinks,flat spots,cracking,or tears and that swivel moves <br /> 2'freely. <br /> 3.Check that breakaways are installed correctly(arrow should point toward nozzle) <br /> and that there are no visible leaks. <br /> 4.If hose retractors are present,check that hose retractors function and have <br /> less that 3 inches of cord showing. <br /> 5.-(BALANCE ONLY)If you have Venturi hoses,(loops more than 10"below the :.d I. <br /> nozzle),check that the correct end is attached to the nozzle(look for stamp that <br /> says"nozzle end"). <br /> 6.`(BALANCENST ONLY)Drain liquid from hoses into an appropriate container <br /> and check that amount is less than a few ounces after 2 attempts. <br /> 7.'Check that faceplate/facecone is in good condition.Look for tears,slits& <br /> deterioration.Plastic seal on facecone surrounding spout is not cracked or broken. <br /> 8.-(BALANCE/HEALY ONLY)Check bellows for tears or slits. <br /> 9.'(BALANCE ONLY)Check that insertion interlock mechanism functions property. <br /> 10.Check nozzles for drips,leaks,or odors. <br /> 11.Check that auto shutoff/hold open latch is functional(if allowed). <br /> 12.Check that nozzle check valve is functioning,properly clamped with no vapor <br /> shadow. <br /> 13.Check that the nozzle spout is tight,round and clear of obstruction. <br /> 14.Check that the latch ring(raised metal ring on spout)is present. <br /> 15.Check that the following decals are present on each dispenser(as applicable):No <br /> Smoking/Stop Engine,Nozzle Instructions,Gasoline Warning,Octane/Cetane, <br /> Ethanol,ULSD,Toll Free Number for Nozzle Problems,Weights&Measures <br /> 16.Check that spill buckets are clean and dry(minimum once daily and before and <br /> after every delivery). <br /> 17.Are drain valves functional and pull chains attached? <br /> 18.Are gaskets in fill and vapor caps in good condition? <br /> 19.Check that fill&vapor adapter caps lock in place and cannot be turned with <br /> hand. <br /> 20.Check that vapor drybreak seal is tight,spring is working and that the gasket is in <br /> good condition and seals tight. <br /> 21. UST Monitoring System is powered on and not in alarm. <br /> Inspector's Initials: <br /> Time of Inspection,if required <br /> Weekly Inspection Record the date of ins ection and inspector's initials <br /> 22.Are Waste Drums properly legibly lableled&secure,containers closed/sealed&in <br /> good condition,less than 75%full <br /> 23.(CA Only)Complete the HeaIyNST Equipment Weekly Inspection and Testing <br /> Checklist(go to the additional HeaIyNST Weekly Checklists provided in theis <br /> booklet) <br /> MonthlyInspection Record the date of inspection and inspector's initials <br /> . . . . . . . . . . . . . . . . . <br /> 24.Print a monthly liquid status report and place a copy in the Orange Binder(if <br /> required.) <br /> 25. Confirm and that nozzle flow rate is between 6 to 10 gallons per minute. <br /> 26.Visually check for PN valve on vent riser&that yellow/white sticker is visible& <br /> there are no vapor shadows. <br />
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