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824 E Yosemite Ave, Manteca Record ID PR0231459 <br /> 6/26/2017 <br /> PHOTO#1 <br /> A ictured of the incorrectlylabeled 3/29/2017 designated o rator month) ins ection report. <br /> _ Phone: (925) 389-1262 <br /> NIA-Na Avollubit <br /> Item MONITORING PANEL/ALARM HISTORY lYn No N/A <br /> 1. Is the monitorin s stem owered on and in ro err operating mode? <br /> 2. Is the monitorin s stem not current) showin an leak alarms? 001 Li I L <br /> 3. Is the Alarm History Report/log for the previous month available,and has it been reviewed by the <br /> Desillpated UST Operator? Attach a c2a o the alarm hislory report/La to this ins ection Lorm.2 <br /> 4. Has each alarm for the previous month been res ondeci to appropriately <br /> ? <br /> UST SYSTEM INSPECTION <br /> 5. Are tank-top containment sumps free of water,debris,and hazardous substance? Now:If the answer to Item 4 was'Yea."or <br /> "NA"Alp to firm 6.Sumps where an alarm her occurred in the pass month mum he mspected if a qualVIled service techniciat has not respom4d <br /> to,andpmwrty addressed the cause o the alarm.(kxvmenmlion veri appropriate service should he mlahed to this rc !. <br /> L6:UDC 12 sensore out alarm Yes No LB:UDC 5/6 sensore out alarm Yes No <br /> Sum Location: Sum Location: <br /> Sump Location: I Li I Sump Location: <br /> 6. Ares ill buckets containment structures free of water,debris,and hazardous substance? <br /> Yes No N/A I Yea No N/A <br /> Tank 1 ID-Regular 1 DQ I Ll I Lj I Tank 3 ID-Premium <br /> Tank 2 ID-Plus S U I Lj I Tank 4 ID I U LI D9 <br /> - <br /> 7. Are under-dispenser containment areas free of water,debris,and hazardous substance? <br /> Yes No N/A Yea No N/A <br /> Dispenser-1/2 D' eraser-9/10 <br /> Dis enser-3/4 Dispenser-11/12 Li Li 1 0 <br /> Dispenser-516 Dispenser-13/14 <br /> Dispenser-7/8 Dis enser-15/16 <br /> 8. Leak detection is properly located within under-dis ser containment. <br /> j Yes I o N/A Yes I No I N/A <br /> Dispenser-1/2 z I Dispenser-9/10 <br /> Dispenser-3/4 D9 Li Li Dis ser-11/12 <br /> Dispenser—5/6 Dis ser—13/14Li <br /> - - <br /> It <br /> Dispenser—7/8 Dis ser—15/16 <br /> PAPERWORK INSPECTION Yes No N/A Date Done <br /> 9. Monitoring System Certification was completed within the past 12 months? 0 U 7/27/2016 t- <br /> 10. Secondary containment tests completed within the required time frame? 10/17/2013 <br /> 11. Spill bucket(containment structure)testing completed within the past 12 months? 09 1 Li LJ 1 7/27/2016 1r" <br /> 12. Tank tightness testing completed within the required time frame? <br /> 13. Line tightness testing completed within the required time frame? <br /> 15. Other required testing/maintenance was completed within required time frame? List test/maintenance items below. <br /> Describe TesUMaintenance:TP 201.3&TP201.6 10/11/2015 <br /> 1 Describe Test/Maintenance: Li I Ll Li I <br /> FACILITY EMPLOYEE TRAINING Yes No N/A <br /> } 16. Have all facilityem to ees received the required on-the-job training within the est ear? <br /> 17. Have all facili em to ees hired within[he est 30 da s received the required on-the-'ob trainin .? <br /> _ Note: <br /> _ Explain any"No"answers in the"Comments"section on the following page.Those issues require corrective action from <br /> the UST owner/operator. <br /> John Alaniz, EHS Trainee Page 1 of 2 <br />