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Site ID. 1010-1 <br /> Affolyda-Te$t Designated Operator <br /> 416 2nd Street <br /> Gait,Ca 95632 Monthly Inspection Checklist <br /> 209-744-011.2 Fax 209-744-0116 <br /> Site: CD&R-TRACY TRUCK STOP �, � Date: 7--21-17 <br /> ...: `� E 0 <br /> 3940 N TRACY BLVD OCT q <br /> TRACY, CA 95304 ENVIRONMEKAL HEALTH <br /> PERp,AiT/-;s-Rin^r= <br /> ® Zane A.N�immo ❑ David.A,.Winkler Felix G.Ramirez � Edward Stearns <br /> #5263322 #5263373 #5273934 #5250492 <br /> C�'l q7 <br /> X= es N=no,NA—nota pliefible <br /> MONITORING PANEL/ALARM MSTORY 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 /> Op <br /> erator. Attach a co of the alum histopy report/7oreportl7og to this Zlorm ' 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 technlciart responded to,and properly <br /> addressed,the cause of the alarm.Attach documentation verifying appropriate service to this report.Ifsump inspection is required record results <br /> in item 6, below. <br /> UST SYSTEM INSPECTION AST SYSTEM INSPECTION <br /> AUTO - <br /> Y N NA, TRUCK X N NA <br /> Tank-top containment sumps are free of water,debris,and hazardous substance.Sensors are located properly. <br /> Note:Yiwal'm4pectlan of sumps is only required in where an alarm has occawd to thepast mardhfor 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 East X Truck Sump Location: <br /> Auto Sump Location:Diesel West X Truck Sump Location: <br /> Spill containment structures are free of water debris &hazardous substance. <br /> Auto Tank l -Regular X 'truck Tank 1—Diesel East X <br /> Auto Tarek 2_premium X Truck Tank 2—Diesel West X <br /> Auto Tank 3—Diesel East X Truck Tank 3- <br /> X <br /> Auto Tank 4—Diesel West I Truck Tank 4- <br /> X <br /> Under-dispenser containment free of water,debris,&hazardous substance. Sensors Iocated properly. <br /> Auto Dispenser 1/2 X "Dispewer <br /> enser 9a X <br /> Auto Dispenser 3/4 X nser 9/10a X <br /> Auto Dispenser 5/6 X enser 10/1 la X <br /> AutoDispenser 7/8 X enser 11/12a X <br /> Auto Dispenser 9/10 Xenser 12/13aX <br /> Auto Dispenser 11/12 Xnser 13/14a X <br /> Auto Dispenser 13/14 X I Truck Dispenser 14/15a X <br /> Auto Dispenser 15116 X I Truck Dispenser 15/16 X <br />