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Afforda-Test Site ID: 1010-1 <br /> 416 211d street Designated Operator <br /> Galt,Ca 95632 Monthly Inspection Checklist <br /> 209-744-0112 Fax 209-744-0116 <br /> Site: CD&R-TRACY TRUCK STOP ECS Date: 08-21-17 <br /> 3940 N TRACY BLVD OCT I 2017 <br /> TRACY,C.A,95304 ENVIRONMEN SAL HEALTH <br /> PER�,'!r/SER%.!SES <br /> ❑Zane A.Nimmoio ❑David A.Winkler ® Felix G.Ramirez ❑ Edward Stearns <br /> ##5263322 #5263373 #5273934 #5250492 <br /> f =ymesN=GO,NA not a cable <br /> MONITORING PANEL/ALARM HISTORY X N NA <br /> Monitoring system is powered on and in proper operating mode. X <br /> Monitoring system is not currently showing any alarms or warnings. X <br /> Alarm history report/log for the previous month is available,and has been reviewed by the Designated UST X <br /> Operator. Attach a copy of the alarm h4tog reporillog to this orm 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. X <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 must be inspected unless a qualified service technician responded to,and properly <br /> addre L-4 the cause of the alarm.Attach documentation verging appropriate service to this report.If sump inspection is required record results in <br /> Item 6,below. <br /> UST SYSTEM INSPECTION AST SYSTEM INSPECTION <br /> AUTO I X I N I NA TRUCK X N NA <br /> Tank-top containment sumps are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Note:Visual IftWaOn ofmimps is ordy required in sum s where an alarm hay occurred in the past monthfor which there is no service 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 Fast X Truck Sump Location: <br /> Auto Sump Location:Diesel West X 'truck Sump Location: <br /> spill containment sttuchm are free of water,debris &hazardous substance. <br /> Auto Tank I -Regular X Truck Tank 1—Diesel East X <br /> Auto Tank 2—Premium X Truck Tank 2—Diesel West X <br /> Auto Tank 3 Diesel East X Truck Tank 3— X <br /> Auto Tank 4—Diesel WestX Truck Tank 4— X <br /> Under-dispenser containment free of water,debris,&hazardous substance.Sensors located property. <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 Dis eraser 10/11a X <br /> Auto Dispenser 7/8 X Truck Dispenser 11/12a X <br /> Auto Dispenser 9/10 X Truck Dispenser 12/13a X <br /> Auto Dispenser I I(12 X Truck Dispenser 13/14a X <br /> Auto Dispenser 13/14 X Truck Dispenser 14/15a X <br />