COMPLIANCE INFO_2013-2016 - Laserfiche WebLink

Home Browse Search

CgHR Tank IJ 39 -PFJ -617 SOUTHE CALI ORNOpMtDr Monthly Vmal I Monthly Designated Operator Inspections Rev. 11/18/2011 (949)458-USTO(8786) Month: JULY Year: 2013 CUPA Fadlity ID : PTO Ew Date: DO Inspection ate:Designated Operator Conducting theInspection: FA0012979 12/31/2013 Ott lr Zo 13 LANCE YORK Facility Name: International Code Council Certification # and Expiration Date: PILOT/ FLYING J - LODI #617 5296385 -UC ! SEPTEMBER 1, 2014 Facility UST OwnerOperator. Facility Contact DO Stamp and Signature: PILOT /FLYING J JOSE JIMENEZ t_ T 6-r - fJC�t�A.tA 7 Zo :IA-t1hTEt_ INn-a"Sttp— FaddyAddress: 15100 THORNTON RD, tAA S Zo t L . S rM Wia1J iD LODI, CA 95242 Contact Phone M (209)33 9-4066 :' r f ' ChecklistInstructions: A UST Designated Operator (DO), who possesses a current "California UST System Operator" certification issued by the International Code Council (ICC) ❑ No record must conduct a monthly visual inspection of the UST system. The DO must provide a copy of this monthly visual inspection checklist to the UST Owner or Operator. The DO must alert the UST Owner or Operator of any condition discovered during the monthly visual inspection that may require follow-up actions. The UST Owner or Operator must maintain a copy of this monthly visual S nate f Des' nated Operator inspection checklist and all attachments for the previous 12 months. The records must be maintained on-site, or, if approved by the local Certified Unified Program Co alto of inspection Agency (CUM or their desi nate, off site at a readil available location. LIMA 1. Is the monitoring system powered on and in the proper operating mode (i.e., functional and not bypassed)? ❑ ❑ 2. Does the monitoring system show gq current alarms or warnings (i.e., "all functions normal")? ❑ ❑ 3. Is an alarm history report or log for the previous month available and has it been reviewed by the DO? " Attach a copy of the Alarm History ReporMog to the VIC if available. If not available, explain why not in General Comments section. ❑ ❑ 4. Has each environmental alarm for the previous month been responded to appropriately, according to the response log and/or maintenance records? (NOTE: Non -environmental alarms such as tarpaper replacement printer error, low ❑ ❑ product, fuel delivery needed, and invalid fuel level, if related to low product in the tank, do not need to be logged. All others do). No environmental alarms since last DO inspection on 5. Have nit tank -top containment sump sensor alarms been triggered within the past month? ❑ ❑ 5a. List all tank -top sump alarms triggered in the past month below: (Attach service records for each alarm, response) ❑ L - 1-,-37 t-• 1 - Afito , f .A. -7 7- t s-3 5 L� - AS - t t 1—Va-C>� S cord t_ T 6-r - fJC�t�A.tA 7 Zo :IA-t1hTEt_ INn-a"Sttp— ❑ No record tAA S Zo t L . S rM Wia1J iD ❑ No record ❑ No record ❑ No record ❑ No record