COMPLIANCE INFO_1986-1996 - Laserfiche WebLink

Home Browse Search

Facility Inspection Form Facility#: BPI-1195 Test Date: 12/05/95 Work Order No. %5116 Tank Area Dispenser Area Stage II Equipment Check fill type General inspection: Check system type Coaxial: [ X] S U N/P Problem System Balance system:[X] Dual Point: [ ] Impact valves: [ X] [ I [ ] [ ] Assist system:[ l Conventional: [ ] Hoses and nozzles: [X] [ l [ l [ l Check hose type Type of assist R U M P D O Coaxial:[X] Check tank type Tank# Check how determined Number of hoses per product: [ I [4 I [ 2] [ 2] [ j [ 1 Dual:[ ] Steel: [X] [ W/OIL J Store manager: [ 1 Number of dispensers per product: [ I [ 2 l [ 21 [ 2] [ J [ l S U N/P Problem System SW Fiberglass: [X] [GAS ] Store tank chart: [ ] Meter Y N Face seals:[X] [ ] [ ] [ ] DW Fiberglass: [ ] [ ] Technician: [X] Calibration sticker present: [XJ [ 1 02/01/95 Belows(Boot):[ X] [ l [ I [ l Slfiodic prot.: [ ] [ ] Tank diameter: [ Xj Vertical check valves: [ ] [ X] Date of last calibration: Belows(Springs):[ XI [ I [ I [ ] jnknown: [ ] [ ] Visual verification: [ ] Electronic monitors System light: Red: [ l Green: [ I Product Lines Y N Amp reading: Steel: [ I Suction: [ ] Electronic tank gauges present:[X] [ J NOTE a6bn1m uk is pm.=L a aita Fiberglass: [ Xj Pressure: [ X] Type: VEDEEROOT t1m wxirwflm amn be caWvcw- Y N DW Fiberglass: [ ] Operational:[ X] [ J Strike plate: [X] [ ] Trench liner present: [ ] Electronic lite monitors present•.[ ] [ X] Note:if problem,list tank#&product Cathodic protection: [ ] Type: S U N/P Problem System(s) Unknown: [ ] Operational:[ ] [ ] Fill Cover: [ X] [ I [ I [ I Leak Detector Interstitual monitors present Fill cap: [X] [ X] [ ] [ W/OIL I S U N/P Tanks:[ ] Fill cap seal: [XI [ I [ I [ l Upon arrival: [X1 [ l I 1 Lines:[ I Drop tube: [Xj [ I [ I [ l Replacement history Operational:[ I [ j Drop tube shield: [ l [ ] [X] [ I System Type Serial number Other monitors present V/R Cover: [ ] [ ] [XI [ 1 [ I[ I [ l Type: V/R Cap: [ I [ I [X] [ I [ ][ I [ l Operational:[ l [ l V/R Seal: [ X] [ ] [ I [ I [ ][ I [ ] Monitoring Wells V/R Dry Brake: [ ] [ ] [XI [ l [ l[ I [ ] S U N/P Pump: [X] [ I [ l [ l [ I[ 1 [ l Present:[ X] [ I [ I pump cover. [X] [ I [ I [ I [ I[ I [ I Caps locked:[XJ [ ] [ I Iove rfill: [XI [ I [ I [ ] Containment System Problems:[X] [ ] [ J rspill:: [ ] [ ] [X] [ ] Check one Type: Y N Drain mechanism: [ ] [ ] [X] [ ] Fill pipe spill containment: ( ] Waste Oil Monitors-Present: [ ] [ X] Ball float: [ ] [ ] [ J [ 1 At both subpump&dispenser ends: [ I Type: Ball float length: [ l [ I [ I [ ] At subpump end only: [ ] Operational[ ] [ I Swing joints(tank end) At dispenser end only: [ ] OR Water Separator-Present:[ ] [X] Flex [ I Pi [ X] Unk. [ ] No containment: [Xj Quantity: Legend: S-Satisfactory;U-Unsatisfactory;N/P-Na Present;Y-Yes;N-No;R-Regular,U-Unleaded;M-Midgrade;P-Premium;D-Diesel;O-Other Comments: Kow Commm maba is m be mad to alt mm wbicb mad im wdiaw amadm cad aro lase wtdcb carrot ba cumW at tm um ddb tm. wmptsmd. WASTE OIL HAS NO CAP ON RISER OF ANY KIND. ALSO FILL ADAPTER SEAL TO RISER ON SUP AND RUN SPLIT AND FALLING APART