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Attachment 5 <br />TANK INSPECTION CHECKLIST <br />Pane 1 of 4 <br />FACILITY NAME: TRACY MUNICIPAL AIRPORT <br />FACILITY LOCATION: 5749 S. TRACY BLVD., TRACY, CA 95377 <br />DATE OF INSPECTION: <br />INSPECTED BY: Qualified Tank Inspector (STI certified)? ❑ Yes ❑ No <br />Authorized Inspector (API certified)? ❑ Yes ❑ No <br />® NIA <br />® WA <br />NON -FACILITY INSPECTOR: ❑ Yes ® No If yes, from: <br />INSPECTION TYPE? ❑ Daily ® Weekly ❑ Monthly ❑Quarterly ❑ Annual ❑ Ten (10) year <br />Note: If Monthly, Quarterly, Annual or Ten (10) year, must do Tank Integrity Testing per Attachment 6 <br />1.0 <br />Records of petroleum discharge from secondary containment? <br />❑ Yes <br />❑ No ® N/A <br />1.1 <br />Records of storm water discharge from secondary containment? <br />❑ Yes <br />❑ No ® N/A <br />1.2 <br />Records of leak sensor checks? <br />❑ Yes <br />® No ❑ N/A <br />1.3 <br />Records kept? Inspection: ® Yes ❑ No ❑ N/A Discharge: ❑ Yes []No ® NIA <br />2.0 <br />Type of petroleum container? ® Tank ❑ Drum ❑ Other container. <br />2.1 <br />Age of tank? AVGAS 212000 JET A 3/2000 <br />22 <br />Type of tank? ❑ Riveted Steel ® Welded Steel ❑ Other: <br />2.3 <br />Number of tank compartments? ® One (1) — JET A ® Two (2) - AVGAS <br />2.4 <br />Capacity of each tank compartment? Primary: 8,000 AVGAS Secondary: <br />10,000 JET A <br />4,000 AVGAS <br />2.5 <br />Content of tank compartments? Primary: AVGAS Secondary: <br />JET A <br />AVGAS <br />2.6 <br />Is all associated piping aboveground? <br />❑ Yes <br />® No ❑ NIA <br />2.7 <br />Bottom of the tank visible for Inspection? <br />® Yes <br />❑ No <br />2.8 <br />How is small leak in tank bottom detected? VISUAL <br />3.0 <br />Is there secondary containment? <br />® Yes <br />❑ No ❑ N/A <br />3.1 <br />Type of secondary containment? ❑ Earth berm ❑ Concrete Curb ❑ Steel Pan <br />❑ Concrete Vault (ConVault) ® Double Wall ❑ Other: <br />3.2 <br />Secondary containment area paved? CEMENT <br />® Yes <br />❑ No ❑ NIA <br />3.3 <br />Secondary containment drainage pipe capped? <br />® Yes <br />❑ No ❑ NIA <br />3.3 <br />Secondary containment drainage valve(s)? <br />If yes, are the valve(s): Closed? ❑ Yes ❑ No Locked? ❑ Yes ❑ No <br />❑ Yes <br />❑ No ® NIA <br />3.4 <br />Secondary containment for the associated piping? BELOW GROUND <br />® Yes <br />❑ No ❑ N/A <br />3.6 <br />Load ing/offioading areas paved and designed to contain splits? <br />❑ Yes <br />® No ❑ N/A <br />3.6 <br />Interstitial monitor for leakage in double wall tank? <br />0 Yes <br />❑ No ❑ N/A <br />