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OCT-27-2003 18:22 CITY OF LODI 209 333 6710 P.a6 UNDEAROUND STORAGE TAN SYSTEM DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT Facility Name: City of Lodi Inspection Date: July 25,20M Facility Address: 1331 S_ Ham Lane City: Lodi Name of Designated UST Operator Conducting Inspection: Dennis Callahan [nternadonal Code Council Certification No.: 1004653-UC Expiration Date: 12/20/2008 Signature: Phone: (209)333-6800 ext_2690 NIA=Not AMHcabk Item I MONITORING PANEL/ALARM HISTORY Yes No I N/A 1. Is the monitoring system powered on and in proper operafing mode? 2. Is the monitoringstem not current! showingan1-1 Li leak alarms? 3. Is the Alarm History Rep xVlog for the previous month available,and has it been reviewed by the Designated UST Operator? (Attach a copy o the alarm history reporqeg to this ins Ilion orm. 4. Has each slarm for the previous month been r nded to appropriatet UST SYSTEM INSPECTION 5. Are tank-top containment sumps free of water,debri%and hazardous substance? Nate_Iftheanswer to Item 4 wus "Yes,"skip to/rem 6. Sumps nrlw v air Woo"!wa occurred in dw past mpnh mast be rnspeered+f o qualtyied u-n#ce recbrucran has not responded ro, and properlya vldm sed the meas afyie akwop-twcurmniatton ve it service dwald be auadxod w this report Yes No Yes No S Location: S/W mel Island S Location:WE Foel Island Sump Location:N/W Fuel Island 010 S=D Location: SIE Shop ;. 6. Ares ill buckets containment structures)free of water,debris,and hazardous substance? Yes No N/A fres No N/A Tank 1 ID— 10,000 Unleaded Tank 4 ID—Waste Oil I El Tank 2 ID— 2,000 Unleaded Tank 5 ID— Tank 3 ID— 5,000 Diesel Tank 6 ID— 7. Are under-dispenser containment areas free of water,debris,and hazardous substance? Yes I Na I N/A I Yes No N/A Di ser-1/2 Matti-product Dispenser- Dispenser- U L Dispenser- Dispenser- DispLnser- I Cl Di #1 Ej Dispenser- M1 El S. Leak detection is prRperiy located within and ser containment. Yesl No I N/A I Yes I No N/A Dispenser-12 Multi-product Dispenser Dispenser- U Dispenser- Dispenser- 0 0 1 Dispenser- El I El I Li Dispenser- Di ser- PAPERWORK INSPECTION Yes No N/A Date Done 9_ Mouitorin S Certification was Coro leted within the past 12 months? 9/27/2007 10. Line Leak Detectors were tested/certified within the pan 12 months? JZ 10 10 9/27/2007 1 l. Spill bucket containment structure testing completed within the past 12 months? 8/2712007 12. Line tightness testing completed within the Tguired time flame? 2/13/2007 13. Second containment tests completed within the required time frame? 0/5/2007 iese1 l4. Enhanced Leak Detection eom leted within the uired time frame? [�l t OS' 15. Other r uired testis ma intenanoe was completed within reVired time frame? t testImairal mance ite Slow. Describe TesbMaintenance: Drop Tube lIntegrity'fest-eywy 3 yrs 10/31/2005 Describe Test/Maintenance: Static Ter ue dt:Rotation Test-every 3 vrs I D9 I Lj I U 1 10/31/2005 FACILI'T`Y EMPLOYEE TRAINING Yes I No I N/A 16. Have all faWity employees received the requirod on4he- b training within the past year? IMIE11 El I -- 17. 1 Have all facility emp[21=hired within the past 30 days received the r uired on-the—job b-ainin ? Note: Explain any"No"answers in the"Comments" section on the following page.Those issues require corrective action from the UST owner/operator. UN-057-1/2 w ww.naldomarg 9/716/15