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"""" E <br /> I <br /> ENVIRONMENTAL COMPLIANCEf4l� 0 � E I E D <br /> FACILITY INSPECTION CHECKLIST <br /> FEB 10 2017 <br /> FACILITY#; ADDRESS: MENTAL HEALTH <br /> D <br /> Arco 6080 85 E. Louise Avenue, Lathrop, CA <br /> Leak Repaired Tank 1 Tank 2 Tank 3 Tank 4 Tank 5 <br /> Y or N On-site 87 91 DSL <br /> Y/N or NA Enter product name <br /> Fill/Vapor Caps present, <br /> Dispenser Piping N have proper gaskets and Y Y Y <br /> properly lock? (Y/N) <br /> Fill or Turbine sump lids <br /> Hoses N and gaskets in place and Y Y Y <br /> good condition (Y/N) <br /> Nozzles N Test Boots Pulled Back in Y Y Y <br /> Sumps (Y/N) <br /> Fills Tags Present <br /> Dispenser Fittings N Color Coded Properly Y Y Y <br /> (Y/N) <br /> Top of 45 Degree Taper <br /> Submerged Pump Fittings N LESS THAN 6 inches from Y Y Y <br /> Tank Bottom(YIN) <br /> Overfill Valves/Flapper <br /> Filter Warning Signs Valves set at 95% of Tank N/A N/A N/A <br /> (Y or N) N Capacity (Y/N or N/A) <br /> Pulsar Seals Ball Floats set at 90%/30 <br /> (Y or N) Y minutes of Tank Capacity? Y Y Y <br /> (Y/N or N/A) <br /> Hanging Hardware Annular sensor at the <br /> > 5 yrs old <br /> (Y or N) N lowest point in the annular Y Y Y(notify the operator) space (Y/N or N/A) <br /> WOR/NYC Only: <br /> All sensors set for Y <br /> positive shutdown <br /> (Y or N) Provide the measurements <br /> Any equipment of the annular sensor: <br /> bypassed, disabled or out For Fiberglass tanks: <br /> of spec N Length of the riser + <br /> (Y/N or NA) 87-267 <br /> [(3.14 * tank diameter)/21 <br /> (notify the ECS) 91/DSL-262 <br /> Comments: <br /> For steel tanks: <br /> Length of the riser + <br /> the diameter of the tank <br /> Note: All deficiencies should be communicated to the appropriate Environmental Compliance Specialist. <br /> eMaintenance Ticket# Technician: Company: <br /> 10076075 Gilbert Garcia Gettler-Ryan Inc. <br /> Updated 07/15/2014 <br />