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OCT-27-2008 18:22 CIT`( OF LODI 209 333 6710 P. 10 UNDERGROUND STORAGE TANK PYSTEM DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT Facility Name: City of Lodi Inspection Date: Marsh 25, 2008 Facility Address: 1331 S. Ham Lane City: Lodi Name of Designated UST Operator Conducting Inspection: Dennis Callahan International Code Council Certification No.: 1004853-UC Expiration Date: 12120/2 8 Signature: Phone: (209)333-6800 ext_2590 NIA m Not Av oficattic Item MONITOR NG PANEL/ALARM HISTORY Yes No N/A 1. Is the manitotin s stem veered on and in r operating mode? 2. Is the monitoring system not currently showing any leak alarms? 3. Is the Alarm History Report/log for the previous month available,and has it been reviewed by the Designated UST O Attach a copy of the alarm histojy reporO to this ins ction orm.) 4. Has each alarm for the previous month been res nded to a ro riatel ? 0 USI'SYSTEM INSPECTION 5_ Are tank-top containment sumps free of water,debris,and hazardous substance? Nara:if the aralwCr to ftem 4 teas"Yes,"strip to Item 6. sumps n'here an otam has occurred in the past mach mast be rmped iJ a grtahfted service rechnroarr has trot responded lo, and ro er! addressed.nc�cause o rhe a1m'�t.Da'+u�+altapon nsrl a nctr ate scrrlcc sho■Id be anwhed io the report Yes No Yes No Sum Location: S/W Fuel Island Location.: N/E Fuel Island —LU-14P Location:N/W Fuel Island Location: S/E S hoo 6. Are spill buckets(containment structurts)free of water,debris,and ha2mdous substance? Yes No NIA Yes No N/A Tank 1 ID- 10,000 Unleaded Tank 4 ID-Waste Oil .� 1[ 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 No NIA El Yes No N/A Dispenser-1/2 Multi-product pis nser- Dis rase-- Dispenser — 7T-=R� Dis enser- Dtsmser Dispenser- -Dispenser 8. Leak detection is proP5( located within and ;dis ser containment YesNo N/A Ya No N/A Dis eraser- 1/2 Mutti- uct Dispenser- Dis i nser- Dis nser- D" user- 11 Dispenser- Dispenser- Dispenser- Dispenser- APERWORK INSPECTION Yes No N/A Bate Done 9. MonitoringS Certification was completed within the 12 months2 9/27/1007 10. Line Leak Detectors were tested/certified within the 12 months? 9x17/2007 11. Spill bucket containment structure)testin completed within the 12 maaths7 9/1712007 12. Line ti tness testing completed within the required tette frame? 2113/1007 13. Sewn containment tests co leted within the uired time frame? 10/5/2007= h 14. Enhanced Leak Detection completed within the required time frame? l 1 0<' 15. Other required testin maintenance was completed within required time fi•arne? est lest/neoirrterrmice ice 1/1005 Describe Test/Maintenance:Drop Tube integrity Test-every 3 yrs I I 1 0 10/31/2005 Describe Test/Maintenance:Static Tor ue ac Rotation Test-evcr 3 s FACILITY EMPLOYEE TRAINING Yes No I N/A 16. Have all facility employees received the required on-the= b trahiing within the past eat? 17. Have all facil!Ly employees hired within the past 30 days received the required on-the-job Humin ? 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 www.unldocs.orR 9/2605