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OCT-27-2008 1:01:2,7 CIT`( OF LODI 209 333 6710 P. 11 <br /> UNDERGROUND STORAGE TANK SYSTEM <br /> DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT <br /> Facility Name: City of Lodi Inspection Date: Febrwry 22, 2008 <br /> Facility Address: 1331 S. Ham Imine City: Lodi <br /> Name of Designated UST Operator Conducting Inspection: Dennis Callahan <br /> International Code Council Certification No.: 1004853-UC Expiration Date: 12/2012008 <br /> Signature: Phone: (209)333-MOO ext.2690 <br /> N/A=Not ble <br /> Item k MONMR1NG PANEL/ALARM HISTORY Yes No I N/A <br /> 1. Is the monitoring system powered on and in operating mode? <br /> 2 Is the monitorin s stem not current! showingan leak_ alarms? <br /> 3, Is the Alarm History Report/log for the previous month available,and has it been reviewed by the <br /> Designated UST O Attach a c?&of the alarm history reporwog to this ins ction orm. <br /> 4. Has each alarm for the previous month been r9p2nded to appropiiatel ? MpLARIA <br /> UST SYSTEM INSPECTION <br /> 57 Are tank-top containment sumps free of water,debris,and hazardous substance? Noce_flhe mrsner to hen 4 was"Yes,"sap <br /> to Item 6. Sumps uheir an alarm has ocoirred in the poar morns must be mspecred ty,a grraliJied aemce redrrncian has nor respoirdcd to,and <br /> property adt*mmd.tW cause afAr alone!_DoGwlRrra. vers amim s/ioYtd be a"wimd b f/li7 <br /> Yes No Yes No <br /> Sump Logtion SJW Fuel Islacd Su Location:N/E Fuel Leland DNA <br /> Sump Location_N/W Fuei IslandSump Location. S/E Sho <br /> 6. Are spill buckets containment structures free of water,debris,and hazardous substance? <br /> Yes No N/A I es No N/A <br /> Tank l ID- 10,000 Unleaded Dg I Lj I U j Tank 41D-Waste Oil Li <br /> .. Tank 2 ID- 2,000 Unleaded Tank 5 ID- <br /> Tank 3 iD- 5,000 Diesel Tank 6 iD- <br /> 7. Are under-dispenser containment areas free of water,debris,and hazardous substance? <br /> Yes No I N/A Yes NoNIA <br /> Dispenser-In Multi- oduct Dispenser- Li Li <br /> Dispenser- I Lj Di user- <br /> Dis 01 El <br /> nser- Dispenser-- <br /> Dispenser- Dispenser <br /> Leak detection is located within und 4swser containment <br /> Yes No N/A 'Yol N/A <br /> 1:11 Li <br /> Dispenser- 1/2 Multi- oduct Dispenser- <br /> Dispenser- D_ ser Ty <br /> - <br /> Dispenser- Dispenser- <br /> Dis nser- Dis str- <br /> Yes No N/A Date <br /> 9. Monitoring System Certlficahwa was co <br /> INSPECTION Done <br /> - completed within the 12 months? 9/27/2007 <br /> 10. Line Leak Detectors were tested/certified within the 12 months? 9/27/2007 <br /> IL Spill bucket containment structure testis completed within the 12 months? 9/27/2007 <br /> 12. Line ti hmess testing cam toted within the required time 6ameT 2!1312007 <br /> 13. Secondary containment tests completed within the required time framc? M 1 11 10-Vtl� <br /> 01512007: ;eW( <br /> 14. Enhanced Leak Detection coin leted within tate uired time frame? e& o <br /> 15. Other required testis maintenance was completed within required time frame? (List tesdmrdntenance items low.) <br /> Describe Test/Maintenance: Tube In Test-every 3 10/3112005 <br /> Describe Test/Maintenauce:Static Torque&Rotation Test-ever 3 s 110/3112005 <br /> FACILI'T'Y EMPLOYEE TRAINING Yes No N/A <br /> .-, <br /> bELHve allfaeili em to received the r aired on-the b trainin within theve all facility em to ees hired within the past 30 days received the required on-the-job training_? <br /> Ll <br /> Note: Explain any"No"answers in the"Comments" section on the following page.Those issues require corrective action from <br /> the UST owner/operator- <br /> UN-057-1/t www'.unidoesorg 9R6/OS <br />