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Designated Underground Storage Tank (UST) Operator <br /> Monthly Visual Inspection Checklist <br /> -Facility Name: Sprint Stockton Switch#37429 Date: 8-28-07 <br /> Facility Address: 3807 Coronado Avenue <br /> Ci Stockton Zip Code: 95204 <br /> -Designated UST Operator Conducting the Inspection: Darren Rieck <br /> International Code Council Certification#: 5311-006-UC Expiration Date: 05/03/09 <br /> Signature: Phone:(310)698-2486 <br /> Y=Yes,N=No,NA=Not A i Aicable <br /> Item MONITORING PANEL/ALARM HISTORY Y N NA <br /> 1 Monitoring system is powered on and in proper operating mode. X <br /> 2 Monitoring system is not currently showing any alarms or wamin s. 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 o the alarm history reporillog 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 thepast month must be inspected unless a qualified service technician responded to,and <br /> properly addressed,the cause of the alarm.Attach documentation vertoing appropriate service to this report. <br /> I sum 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 properly. <br /> Note: Visual inspection o sums is only re uired in sums where an alarm has occurred in the past month for which there is no service record. <br /> TaSump <br /> Y N <br /> Sum Location: Tank 1 Pi in Sum Location: <br /> Sum Location: Sum Location: <br /> Sum Location: Location: <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 INA Y I N INA <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 DA'Z'E DONE <br /> 4 Monitoring system certification has been completed within past 12 months. X 9-12-06 <br /> 10 Second 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 tightness testing was completed within required timeframe, _ X Continuous <br /> 13 Line tightness testing was completed within required timeframe. X No Records* <br /> 14 Other required testing/maintenance was completed within required timeframe. List test/maintenance items below. <br /> Test/Maintenance: X <br /> TesllMaintenance: X <br /> TestlMaintenance: X <br /> FACILITY EMPLOYEE TRAINING Y N NA <br /> 15 All facility employees have received the required on-the-job training within the past year. X <br /> 16 All facili em to ces hired within the past 30 days have received the required on-the-job train in . 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 1 of 2 November 2004 <br />