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Designated Underground Storage Tank (UST) Operator <br /> Monthly 'Visual Inspection Checklist <br /> Facility Name: S rint Stockton Switch 36954 Date: 7-18-07 <br /> Facility Address: 3807 Coronado Avenue <br /> -City: Stockton Zip Code: 95204 <br /> Designated UST Operator Conducting the Ins ection: Darren Rieck <br /> International Code Council Certification#: 5311-006-UC Expiration Date: 05/03/09 <br /> Signature: Phone: 310 69_8-2486 <br /> V�Yes,N=No,NA=Not Applicable <br /> Item MONITORING PANEL/ALARM HISTORY Y I N NA <br /> 1 Monitoring system is powered on and in properoperating mode. X <br /> 2 Monitoring system is not currently showing any alarms or warnings. X <br /> 3 Alarm history report/log for the previous month is available,and has been reviewed by the X <br /> Designated UST Operator. Attach a copy of the alarm history report/logreport1log to thisform if available. <br /> 4 Each alarm for the previous month has been responded to appropriately. X <br /> 5 Sensors located in tank-top containment sumps have not alarmed in the past month. X <br /> 5a _ 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 <br /> properly addressed,the cause of the alarm.Attach documentation verifying appropriate service to this report. <br /> "sump"rsump inspection is required,record results in item 6,below, <br /> UST SYSTEM INSPECTION <br /> 6 Tank-top containment sumps are free of water,debris,and hazardous substance. Sensors are located pmi <br /> Note: Visual inspection o sums is onlyrequi in sumps where an alarm has occurred in the past month or which there is <br /> Y N <br /> Sum Location: Tank 1 Piping X Sum Location: <br /> Sum Location: Sum Location: <br /> Sum Location: Sum Lacation: <br /> 7 Spill containment structures are free of water,debris,and hazardous substance. <br /> Y N NA Y N NA <br /> Tank I —Contents: Diesel X Tank 3—Contents: <br /> Tank 2—Contents: Tank 4—Contents: <br /> 8 Under-dispenser containment areas are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Y N NA Y I N NA <br /> Dispenser 112 X Dispenser 9110 <br /> Dispenser 3/4 Dispenser 11/12 <br /> Dispenser 5✓6 Dispenser 13/14 <br /> Dispenser 7/8 Dispenser 15/16 <br /> PAPERWORK INSPECTION Y N NA DATE BONE <br /> 9 Monitoring system certification has been completed within past 12 months. X 9-12-06 <br /> 10 Secondary containment tests have been completed within the required timeframe. X 10-28-05 <br /> 11 Spill containment structure bucket testing was completed within the past year. X 9-12-06 <br /> 12 Tank ti tness testing was completed within required timeframe. X Continuous <br /> 13 Line tightness testing was completed within required timeframe. X Unknown <br /> 14 Other required testing/maintenance was com leted within required timcframe. List test/maintenance items below. <br /> Test/Maintenance: X <br /> Test/Maintenance: X <br /> Test/Maintenance: X <br /> FACILITY EMPLOYEE TRAINING Y N NA <br /> 15 All facility employees have received the required on-the-job training within the 2ast year. X <br /> 16 All facilit em to ccs hired within the past 30 days have received the required on-the-job training. <br /> X <br /> Note: Any answer of"N"should be explained in the comment section on the following page,and will require <br /> follow-up action. <br /> Page I of 2 November 2004 <br />