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Designat -, krground Storage Tank (UST,,,,,6.,ator <br /> Monthly Visual Inspection Checklist <br /> Facility Name: TRACY UNHWD SCHOOL DISTRICT Date: 0112812003 <br /> Facility Address: 1973 W.LOWELL AVENUE <br /> City: TRACY CA I Zip Code: 93376 <br /> Designated UST Operator Conducting the JOSEPH BAGLEY <br /> I ricmational Code Council Certification 11• $346988-UC E 'ration Date; 11 129 f2OO6 <br /> sigrrati= Phone: 209) 367-4800 <br /> 9 4Y—Yta,N=N NA—NOtA hle <br /> Item MONITORING PANEL!ALARM HISTORY Y N NA <br /> I Monitoringsystem is ercd on and in proper operating mode, X <br /> 2 Monitorin system is not currently'showin ani'alarms or w' X <br /> 3 Alarm historyreport/log for the previous month is m actable,and has been reviewed by time X <br /> Desi ted'UST Operator. (.drrach a nJ m of the cdarm histo re x,rr log to this,Tm)r y'rrvoilable./ <br /> 4 Each alarm for the previous month has been responded to a ro ialch% X <br /> 5 Sensors located in tanks containments h.'nvc not alarmed in the ist month. X <br /> Sa Dst all tank-top sumps where alarms occurred in the past month: MAINTENANCE AND MONITORING <br /> RECORDS NOT AVAILABLE-SEE COMMENTS SECTION OF THIS REPORT <br /> Nate:Sumps where an alarm has occurred in rhe pail month mast he Inspected unless a gaahfded.eemice technician responded to,and <br /> proper•h•addrvxx d.rha mase of Nie alorix.Attarh documsrrfaho..rm?rini,Q uppropnnle sen'rce to fins velnrrr. <br /> ! .uux %In error is n: a,rvd,rcvoe{rCLdiJ fir iMnr Q helmr. <br /> UST SYSTEM INSPECTION <br /> 6 Tank-top contahuneat sumps are free of water,debris.and hazardous substance, Sensors are located properly. <br /> Vnrt� f lxual rex ePdon of... it's'bene al .Vann hm'kemwd ,,the of ntontlr Io•xNrlr rheic is ao dmrrcv n•car'd. <br /> Y N Y N <br /> Sump LJxaOorl: Slinip r4woriofh• <br /> S�mi>Lnc<rdon: ti'un JLOCalfan: <br /> Sinop Location: I Sump Lacanian: <br /> 7 Spill containment structures are free of rater.debris,and livardous substance. <br /> Y N NA I Y I N I NA <br /> Tank l—C'mlrents•; I I Tank- 3—C'orrlentc: X <br /> Tank 2—C'ontwira; I I X I Tank 4—t'onrenn•: X- <br /> 8 Under-dispeaser contaimnetu areas are free of water,debris,and hazardous substance. Sensors are located proped.N. <br /> Y N NA Y I N I NA <br /> Dis enser I 87 OCTANE X Dispynsel. 9 10 X <br /> Dispenser 2 DIESEL X Dis raiser 11 12 X <br /> Dispenser 5 6 X Dispenser .4 14 X <br /> Disilenser 7 8 X Dispenser 15 16 X <br /> PAPERWORK INSPECTION Y N NA DATE DONE <br /> 9 <br /> Monitoring system certification Itns been completed within past 12 months. X <br /> 10 Secondan'containment tests have been completed within the reTured timeframe. X <br /> 11 Spill containment structure(bucket)testing was completed within the past year. X <br /> 12 Tank tightness testing was completed within required timeframe. X <br /> 13 Line tightness testing was completed within required thmefranic. X <br /> 14 Other required testmWmaintenance was completed within rerluired timrfmnw, iDst test maifllenauce hems lrahnr./ <br /> Tasf.1 hiintenance: <br /> Test a"atfiten.... . <br /> Test-2shttenance: <br /> FACILITY EMPLOYEE TRAINING Y N NA <br /> l3 All fiJcilin em loges have recen ed the aired on-the-ob traitor within the •st year. X <br /> 16 All lacdi, em lovees hired within the past 30 days have receim ed the Hired on-the-' b training. X <br /> Note: Any answer of"N^should he explained in the comment secdoa OR the following page,and mill require <br /> follow-up action. <br /> Page 1 of 2 November 2004 <br />