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Designated Underground Storage Tank (UST) Operator <br /> Monthly Visual Inspection Checklist <br /> Facility Name: Sprint Stockton Switch#37870 Date: 9-26-07 <br /> -Facility Address: 3807 Coronado Avenue <br /> -City: Stockton Zi Code: 95204 <br /> Desi ated 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, A=NotApplicable <br /> Item MONITORING PANEL 1 ALARM HISTORY Y N NA <br /> 1 Monitoring system is powered on and in proper operating mode. X <br /> 2 Monitorings stem is not currently showinE 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/logreportllog to this form i 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 qual fed service technician responded to,and <br /> properly addressed,the cause of the alarm.Attach documentation verifying appropriate service to this report. <br /> I suinspection irequired,record results in item 6,below. <br /> L— 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 a sum s is only required in sumps where an alarm has occurred in thepast month forwhich there is no service record. <br /> Y N Y N <br /> Sum Location: Tank I Piping X Sum Location: <br /> Sum Location: Sum Location: <br /> Sum Location: Sump Location: <br /> 7 Spill containment structures are free of water,debris,and hazardous substance. <br /> Y N NA Y N NA <br /> Tank 1 —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 INA <br /> Dispenser 1/2 X Dispenser 9110 <br /> Dis enser 3/4 Dispenser 11/12 <br /> Dispenser 5/6 Dis enser 13114 <br /> Dis enser 7/8 Dispenser 15 116 <br /> PAPERWORK INSPECTION Y N NA DATE DONE <br /> 9 Monitorin 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 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 helow. <br /> Test/Maintenance: X <br /> Test/Maintenance: X <br /> Test/Maintenance: IX <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 facility em to ees hired within the past 30(lays have received there uired ole-the job training. 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 />