Laserfiche WebLink
ANNUAL CONTAINMENT SUMP INSPECTION <br />Date of Inspection <br />This form may be utilized to document the inspection of containment sumps. 11/8/2021 <br />UST Facility <br />Person Conducting Test <br />Facility Name <br />Facility ID # <br />Tester's Name <br />Stockton <br />32411 <br />BBOWEN <br />Physical Address <br />Company <br />1990 Piccoli Road <br />Tanknology Inc. <br />City <br />County <br />State <br />Certification # <br />Expiration Date <br />Stockton <br />SAN JOAQUIN <br />CA <br />99942 <br />10/20/2022 <br />UST Owner <br />Tester's Signature <br />Date <br />U N F I <br />x�� <br />11/8/2021 <br />Containment Sump Inspection <br />Sump Material <br />Fiberglass Reinforced Plastic F Thermoplastic F Steel F Composite <br />of Construction <br />Containment Sump Inspection Procedure <br />1. Clean-out and properly dispose of all debris, soil and/or fluids from the containment sump. <br />2. Visually examine the containment sump to ensure there are no cracks, holes, deteriorated seals, deformation or other <br />indications that the sump is not liquid tight. <br />3. If the sump appears to be liquid tight and no water was in the sump, the inspection result is "pass" and no further <br />action is required. <br />4. If the sump appears to be liquid tight but water was present within the sump, the inspection result is "fail". <br />5. If there is visual evidence that the sump is not liquid tight, then repair or replacement (see note below) of the sump is <br />required. <br />Inspection Results for the Year 2021 <br />Sump ID <br />(product stored for STP or <br />STP:T1 dsl Diesel - 1 <br />STP:T1 dsl Diesel - 2 <br />UDC 1/ <br />dispenser number) <br />Sump lid/gasket in good <br />Y <br />Y <br />NA <br />condition (yes/no) <br />Sump is dry (yes/no) <br />Y <br />Y <br />Y <br />All penetration fittings in <br />Y <br />Y <br />Y <br />good condition (yes/no) <br />Sump walls/bottom in <br />Y <br />Y <br />Y <br />good condition (yes/no) <br />Are there any leaks from <br />N <br />N <br />N <br />pipe components (yes/no) <br />Inspection Result <br />Pass <br />Pass <br />Pass <br />(Pass/Fail) <br />Comments: <br />WO: 2353287 <br />