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•11 - a • s • 1 1 • <br /> Facility name: Designated •• •r: Expdate: Inspection.... <br /> jj Date: <br /> !' ., _ <br /> Phone:Facill Y contact: Title: <br /> Flnection <br /> • v • prevention: <br /> 11 Suction 0 Gravity Mechanical 11 Audible/visual <br /> . .1.4onitoring Certification ■ Installation ■Other: M 1 .•. _ M2-RPrevBoth <br /> -_{. <br /> . 1�•ir._ ^ !� .•i` . _• l .i• .--. .i <br /> ♦. . . r-•.. .. • <br /> No permit operate t --- -a-y- e- <br /> urrent financial responsibility documents not on file with the EHD <br /> CCR 2712(i) Monitoring and/or response plan is not onsite <br /> Daily monitorin piping(pre-January 1, 1984)not performed <br /> UST system is not operated to prevent unauthorized release,including spills and overfills <br /> WIN <br /> 7 •, • . . . . •" ,. . _ . f '.• . is ! <br /> rMonitoring = <br /> m is not present in the interstitial space of a double walled UST/piping <br /> HSC 25291(b) FA <br /> m r • r, containment is not product tightSpill container not installed,failed to contain a minimum capacity of five gallons,or failed to provide (M2) <br /> .-. <br /> Secondary containment for UST system is not tight <br /> �IFOTOIVIKZ^*�= All releases in secondary piping do not flow to a collection sump <br /> ® CCR 2635(b)(1) i -a means to keep the spill container empty <br /> • rOverfill overridden . meet overfill requirements in this section (IV12) <br /> i # <br /> HSC <br /> 25291 - . . ` • -. . . .f • . � �' <br /> Unauthorized release that:(c). . not escape secondary containment and cleaned up within eight hours (M 1) <br /> productwas not recorded;(e)escaped secondary containment,not cleaned ul3—after eight hours,or a sudden loss of <br /> . reported to the EHD within 24 hours <br /> Failed to inform the EHD of a change of designated operator within 30 days <br /> CCR 2715(b) 11 Designated operator did not possess a current ICC UST System Operator certification <br /> . • s <br /> • not kei <br /> I <br />