Laserfiche WebLink
Designated ndergro Storage T (UST)Wrator <br /> Monthly Visual Inspection Checklist <br /> Facility Name:Su er Stop Date:04/22/09 <br /> -Facility Address:290 N.Main <br /> Zi Code:95336 <br /> Ci :Manteca <br /> E esignated USTOperator.Conducting the Inspection.Karen R Arnaiz <br /> Internation ode Counc' Certification#: 5266643-UC Ex iration Date: 07/16/09 <br /> Si a Phone:(209) 518-4836 <br /> Y=Yes N=No,NA=Not A livable <br /> Item NITOING PANEL/ALARM HISTORY Y I N NA <br /> I Monitoring system is owered on d in ro er operating mode. X <br /> 2 Monitoring system is not.currently showing any alarms or warnings. X <br /> 3 Alarm history report/log for the previous month is available,and has been reviewed by the X <br /> Designated UST Operator. Attach a copy..of the alarm history re ort/lo to this orm i available. <br /> 4 Each alarm for the pwnjous month has been responded to appropriately. <br /> X <br /> 5 Sensors located in tank-top containment sumps have not alarmed in the past month. X <br /> 5a _ List all tank-top sumps where alarms occurred in the past month: <br /> Note:Sumps where an alarm has occurred in the past month must be inspected unless a quaked service technician responded to,and <br /> properly addressed,the cause of the alarm.Attach documentation verging appropriate service to this report. <br /> AiE!M inspection is required,record results in item 6,below. <br /> UST SYSTEM INSPECTION <br /> 6 Tank-top containment sumps are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Noze:Visual inspection of sumps is o re fired in sum s where an alarm has occurred in the ast month or which there is no service record. <br /> Y N Y N <br /> Sump Location:91 Turbine X <br /> Sump Location:Diesel Turbine X <br /> Sump Location:87 Turbine X <br /> 7 Spill containment structures are free of water,debris,and hazardous substance. <br /> Y Y N NA <br /> N NA <br /> Tank I-Contents: 91 X Tank 3-Contents:87 X <br /> Tank 2-Contents:Diesel X <br /> 8 Under-dispenser containment areas are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Y N NA Y N NA <br /> Dis enser 1/2 X Dispenser 9/10 X <br /> Dispenser.3/4 X Dis enser 11112 X <br /> Dispenser 5/6 X <br /> Dispenser 7/8 X <br /> PAPERWORK INSPECTION Y N NA DATE DONE <br /> 9 Monitoring system certification has been completed within past 12 months. X 03/25/08 <br /> 10 con containment tests have been com feted within therequired timeframe. X <br /> 11 Spill containment structure(bucket) sting was com leted within the past year. X 03/25/08 <br /> 12 Tank tightness testing was com leted within required timeframe. X <br /> 13 Line tightness testis was completed within required timeframe. X <br /> 14 Other required testis maintenance was completed within required timeframe. List test/maintenance items below. <br /> TestlMaintenance: <br /> Test/Maintenance: <br /> TestlMaintenance: <br /> FACILITY EMPLOYEE TRAINING Y N NA <br /> 15 All facik employees have received the required on-the-job training within the past year.05/28/08 X <br /> 16 All facili em to ees hired within the past 30 da s have received the required on-the-'ob trainin . X <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 /> Pagel of 2 November 2004 <br />