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Site ID: 1010-1 <br /> Affords-T'e$t <br /> 416 211d Street g Deni rated Operator <br /> Galt, ca 9x632 Monthly Inspection Checklist <br /> 209-744-Ox 2 Faz 209-744-0116 <br /> Site: CD&R-TRACY TRUCK STOP RECEIED Date: 9/14/17 <br /> 3940 N TRACY BLVD OCT It ;' 2017 <br /> TRACY, CA,95304 ENVIRONMENTAL HEALTH <br /> PERMIT/S ERV OFS <br /> ®Zane A.Niznmo David A.Winkler ❑Felix G.Ramirez ❑ Edward Stearns <br /> #5263322 #5263373 #5273934 #5250492 <br /> Y= N=ao,N.A.=aot a Hcahle <br /> MON1' IUNG PANEL/ALARM HISTORY X N NA <br /> Monitoring system is powered on and in proper operating mode. K <br /> Monitoring system is not currently showing any alarms or warnings. x - <br /> Alarrn history report/log for the previous month is available,and has been reviewed by the Designated LUST x <br /> OPerator. Attach a conv o the alarm history re or0o to thisform if available.) <br /> Each alarm for the previous month has been responded to appropriately X <br /> Sensors located in tank-top containment sumps have not alarmed in the past month. <br /> List all tank-top sumps where alarms occurred in the past month: <br /> Note:Sumps where an alarm has occurred in the past month trust be inspected unless a qualifus service technician responded to,and properly <br /> addressed,the cause of the alarm Attach documentation verifying appropriate service to this report Ifsump inspection is requires;record rasuita in <br /> item 6,below. <br /> UST SYSTEM INSPECTION AST SYSTEM INSPECTION <br /> AUTO YJ N I NA 'TRUCK y I N I NA <br /> Tank-top containment sumps are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Nate: Visual Zn4waton rfswn'W is*Y re 'red in where an alarm hay in ON Past monthfor which there is no sw vtce record <br /> Auto Sump Location: 87 X Truck Sump Location:Diesel East X <br /> Auto Sump Location: 91 X Truck Sump Location:Diesel West x <br /> Auto Sump Location:Diesel East X Truck Sump Location: <br /> Auto Sump Location_Diesel 'West � Truck Sump Location: <br /> Spill containment structures are free of water,debris &hazardous substance. <br /> Auto Tank l -Regular Truck Tank 1—Diesel East x <br /> Auto Tank 2—Premium X Truck Tank 2—Diesel West K <br /> Auto Tank 3—Diesel East X 'Nuck Tank 3— Y <br /> Auto Tank 4—D esel West X Truck Tank 4 <br /> Under-di ser containment free of water debris &hazardous substance.Sensors located ro er1y. <br /> Auto Dispenser 1/2 x Truck Dispenser 9a X <br /> Auto Dispenser 3/4 x Truck Dispenser 9/10a X <br /> Auto Dispenser 5/6 X Truck Dispenser 10/11a X <br /> Auto Dispenser 7/8 g Truck Dispenser 11/12a X <br /> Auto Dispenser 9/10 X Truck Dispenser 12/13a X <br /> Auto Dispenser 11/12 K Truck Dispenser 13/14a X <br /> Auto Dispenser 13/14 X Truck Dispenser 14/15a X <br />