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HomeMy WebLinkAboutMITIGATION 11/12/2003 , ., ~ i" ~ f' FROM :TRI-STATE FAX NO. :7609561015 Oct. 01 2004 08:58AM P3 . MONITORING SYSTEM CERTIFICATION For Un ~ A/l.!rlri$dic:lÛ1rø WitJUn lie SUn" tlICøJiIorniø AlllhortOl Cltød: Chaplu 6.7. Hø/th aIIJ SP/ftJÞ Cod.: Chøpt.r J 6. O¡"ü/",,), nil. 2J. CtdlførnJtl Cod. 0/ RøgIllt4lon.r This farm nua be used 10 doc__ teIdae aød mvløinø oflDOllitoriD¡ eqWpJIIðOf. A sðOát8t.e ðe~~qlltfotl or tf;Vort must~1t Dl'eDaMÇ fw.,each IIIðqjfðrÎnQ lYIfelft coDtrol pmteI by rbe teclmician who plrt'onns tb work. A copy of tb.LI tbnn must be provided Co &he tank ~y¡tem owuor/opnw. Tho OWNi'/opatOr must submit. ~ of1bis '£0= to the local agtIDC)' re,utatm¡ tJST øyal.cm, within 30 ~~~ . . A. GenenllDformadoa Pacilh)r NIItIIII: Sit. A.ddœü; .~- ~ FadlityConlG\ penoa: ~1Jrv.. ~ MMo/Mòdet ofMoø.ltotiq S)'øcm¡: I ~tH- ~ ~j.. B. laveatory ofEq'Dip__. testedICtrdned I~~ TI'luø: . C II1.TII\II: GaI&aiDJr Pmbo. Model: [J AmmIIt SJlIIœ w \limit S~r, Mod81: C PJpJAa S\Itnp I Tmw.I1 sèD$òt(.). Modlll: C Ptll Sump Sealøf(S). MødeI: IJ Mechanical L1De Leak Dctcdor.· M04cI: Q BtCCUOAlc UIICI,LcIIiI: 0eIedGr. Moctel: C Tank Ovcdll/ lliah.tevd Sensor. Model; Q Ok . . InI1 . Scctiou.Boö. 2 TIIIi: ID: C 1ft-TIllIe 0au8lD3 Probe. Moc!cl: Q AnøuIar Space or Vautl SenIor. . Model: o Pip" sam, fTnDoh 1IeIIsor($). MDd6l: t:I FlU Sump Sonaor(.). Mode!: ." o Moobllll.lR! Une t.Àdc DctectM. Modo!; Q .I~D Une!.at DeteNt. Mod"; Q Tant OvedUl/ HJ,p.1.ev.t SGJUOJ'. Mode): Q OII\et' ui t 0 &IIcI madallo S~ E OD h 2. Ðåpaør ID: a Dispcmcr CoøtUàmont SauIOI(s). Model; o Slaear Valvc(.). ¡;¡ o..~t F . mtd D..,..r m: a 00penI8' ~c SiInAOf(.). Mødc1! _ C . ShcIr VaIw(S). ·QDi C . DapIuer m: : MWIJf a DbpenIet ContIdnment ~s). Modd: Q Ib- Va1w(.). C Sbar VaJ¥II(l}. IDIOt . md ~ . C D Contlllmrl4l1l P fII!Id Ctlllln ~lt1bl fiIoiIi&y CGaIIbII more _0 Of dålpcøIOd. GCIp)' tbJa Imn. IIIGIudc ~ fi)r ..,., lank uci dJIpcftHr at UtI! fàalli\)'. c. C.rtUltttlnD..1 urtI~ ... a. eqùi~ ......... .. ........at wu........,..m.. ct.wlth the maøllA*rers' . ........ ACtIcW to ..... c.ruacatlø " ~ (... ...11"11*-,...,' dMekI....) . Þ'OfIIUItlOD I. eoriect ... It 'lot r.... ~I die ..,aut of JIIOII1torfq ec¡at,.... 'or.., -'111 rÞ, I ~. .110 ..... COP1 oltll. JWIIOriJ (did""'" 1fIPII): C SyItaIMC-ap I;] ry TtdmilriaN.me (priDU: -.Jid McKee ~il".re: -.' c.rtItIoaIiQa No.: I'Y7.-D'%J-"b Liecwo. Net.: _Â738065 Tilting CompIIw Name: 'frl..StaIe ~.. PbOD.e No.;L760..--J_95d-0024 SbAddreu: ~I)\ ~ ~a£. ~ Date ot'restinSfSerYic_.JV t.~ I~ TIID~ID: t:'t~' c rn-TIIIIII: 0II.Iaina Pn*t. . Mc.*I; . ADnular 8~ 4rVlQ1t &Nor. Madel: = ~ . PlpbqJ sump I Tnøah Sc:DIor(.). Modøl; _ ~ Q Fill SW'Ip,'8Ga:ø(I). I MÆIif ; ~ ~ MecbanaI LlDt Lat DettGtof. Modo!: o Btoc:tI'Oßlc·Lfnð ....DáM1tOr. NGcW; C. T.,rcf)var4dl:~"'r,. MOdel: . a" .' . " .' .. . ÌIñd·~rd Jø 8!actioa Ban 1'a$ ID:r' C I.... Tant GaIr¡IAJ PrDIIo. Model: t)' ADiDlIao 8pace or VIIUb s.wor; Mo4eI: _ Q PJpfAa Sump I Tnaab Scasar(I). ModoJ; C FIll SwIp SCDICK('.). , . Model: Q ~1IaI LIao Lnk DOIcotior. Mðdèl: o B1ecUodio JJA\1 J...eû. t>eMøtor. Mad81: C 1II1II: II ¡H¡ah+ml ScnI«. ~I:I: c Odu:r ' . "aQ4 ... StIOtioD£ Oft 0iI,...m: .~ ..t : . . DI8øIa8Ir OIJpfoi....qa S=a(s). . MødeI: - ~ .~ Sbcar Va1ve(.). ·M..........,..,... 4:........tIcna BJ4Ø. No.: ' ~~ City:~ III;(J. ~ Zip:~. . Coøt.act. Phone No.: C l4'~ ).....,~ - ~& . ~ Daœ ofT~'tinllSeryioil1¡: JLI~,g¡, ....;. 2 ~ leU tiIIOl i ¡', ':'0 FROM :TRI-STATE FAX NO. :7609561015 Oct. 01 2004 08:59AM P4 . ..-. ..-.---- D.. RardU 01 TøtiaClSvvidag Software VemlOD ins1all1d: \:J(b- c YOI a No" .NlA [J No· C N/A .v. Q:;y.n, C No· . Wit.. i' Q yq* . No _ ru it IIcable , I ~ COllUru_tl: -- .- .~ - I'd; w. .~ .. .. .. hph13 03101 ~~ '" FROM :TRI-STATE FAX NO. :7609561015 Oct. 01 2004 08:59AM P5 w.........· - -.. a coo I ' F. lø-Taak GlUlginll SIR Equipment: 1J CIu:I:k tI1Ï$' box it' QI.32k pugin& i. usecl only for învenlOty control. . Check t.bß bœ if no taDJi.: PÜ¡Íô¡ or SIR equipmem Is Installed. This scctiön must be completed it" tn-tank pqÎDa equipment is used to pcrlonn leak detection moni~a. eo...let. tØ toII..la. ... t: . a YII g No· Hu aD IDput wIriQ .... Jnapeowd tbr ,1qIW ernry.nd ~ IMludIag "'''1 fot'lPØUftd fAutLl? CVII C ND" W... all iIIIk "fi1laiiy IaIpocttd fðr dIrn8&' aad residue' buiJdup? EJ Yes Q No' W.. ~ of~ product 1~1 n:adiDgt _teel? a v. a No' w.. aoøutIIC:)' of ~ water 1CNe! fIIadIDp tested? IJ Vea Q NO" WertllJ1 pro_ NJuWIt4IWOpMY'l ov. C~ Wetè all itc:mI OD tile equipment ~s ~ cb41økUl& c:omple&ocl? u. .. ID tJae Secdoa a. beIowþ deK.dIM baw uuI wbea tINs............ w.,e or will be con-ected. G. LIae lAå'D.ctOl'II (LLD). . ChecIc thit box ifLLOs IR D~ JAata11ed. Coaml.,. tit, ""tmalr daaddIm CV.- e No' Far aqutpmorat ~up or amma1 cquipnœut c~ WIIB 8 leak sJmuIlted to vørii!f LLD perfœ:mauots? C N/A (CAd ø/llhøl øppIy) SismIJated lCI8k raIO; Cl3 B-P.h.. C 0.' g.p.b; 0 0.2 g.p.b. , . (;I YO$ tJ No' W.. aJllLDI ~ed IA4ICCWMe wiIhio R:BQ1Mory nqu1rmnaúB'l QY~ o ,No" \V8Ø.dIÞ tcstm8 ....... pnpcWc.ubnted? ·~,Y.:· ; tl No~ 'F.crr;~ µv.. docIs 1b8 LLD ftIIIItot produat flow ifk døt:ects..løak? ,I!I NJA, Q Yas· e No' "~r elllCØ'OJlfc XJ...Þt. 400* Ibe Qltbilto ~117 shut vif ifduÞ J.1J) ~ . I"'? ; !:I'NlA i ' . g YOI g'Nø- Far e1ectrontc I.J.J)e. d.oa m. curbJae fØàIIIadcaUy aIDII: oft" If IIQY pontolll of che ~itortl\A II)II1aD .. cúa&bbxl C N/~ I or cIÎICQálHÌdIId? . '0 Y08 !;I,NO- , For eloii:ftüiIo LL.Dt, dÞa Cbe turbiDe 1UIOmatiea111 sbu& off if any portioò of tho r:a.œitoriDe aysœm mIIlfì~ '0 N/A (If. ~ I t8IIt1 C V.. g No" far e1cwvDfç LWI, bavo aI1l1JOeS1ible wiriII& CGIØIICIåaas beam vLtuIIly iDlpectacl? ,.,D.NlA I OYa Q No*' W... III Icema 011. 1II.e eq"tDC~. ~ cheoldflt aonapl.et8d? . . Ja .. Seetloa'R. below, Ülcrlbe how .. ....bea 1IMIe cIoIIci.....~.. Or wlO be corrected. B. CO~mCIIÙI ,~ " hie S 013 eM_ , . ~ ..~ FROM :TRl-STATE FAX NO. :7609561015 Oct. 01 2004 08:59AM P6 .' " Dispenser .', '-",.' ATG - --------------------------------------- --, r------------ -- I I ~.--- ~ I ,"'~ ',\ I I l \ 1 I l \ I I \ W , \ ' I I ", ,/ I . .' I I '.--- I J 'urbine Sump BeA I/JJlfJ!lU.J PtI/I'Ir .5NvT-O ¡: ~ ,S/;tt4J~&- ..._~. PS III LA - 04 Shop . USF Bestway ~. 490 Lisa Marie Ct. Bakersfield Ann ular Space