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515 W. Eleventh St#30, Tracy, CA 95376 Record ID PR0231400 <br /> 7/13/2016 PHOTO #3 <br /> A ril 2016 D.O re ort with incorrect secondar containment test date <br /> Underground Storage I <br /> onthly Visual Inspection(UST)Opera&or <br /> Checklist <br /> I7 street — mate:oats, <br /> �s>ts <br /> i Heti d tusk c7 stor€pnduct og the Inspection:K ren R Am de,95} 6 <br /> 5/05117 <br /> ration bate: <br /> 518-4836 <br /> trrir QtYt ORING PANELi - <br /> --•�---- AUARM NIST YYeciV_^..xiz <br /> - t l+lonnonnt,3t item is powered on and t� n nor o mtin,mod—�-QTY Y' t�F N 4 ",' <br /> y 11lanuru�sv stint is not cuntintt shown an alarms <br /> =' or wamm s. -" X <br /> 3 Alarm luseory report/log far the previous month is available, � <br /> and has beenb _ X� <br /> taesr ntted US 1 Operator. (dltach a co r o the alarm hisvvn-re vrU(o to this odea, <br /> 1X <br /> 4 Each alarm for the >trvtous month has been res onded to a to rrvaituhle.' <br /> K Sensors located in tank-to containment sum shave not al riatel . <br /> _ Ka List alltank-top sunaps where alarms occurred in the wed to the ast month-'- ---- X I ' <br /> past monrh: X <br /> praycrlur dJressed he rnusr/of the alarm.iMloc/da u ena 'Plcl p oles's <br /> anon on r u qualified sen7c aechnlc,tin re:pa�drd w.urrci .. <br /> ^ ll'stm rns claon s w„ane/•record results in,tem 6,helow [tying a POak servace ro Nus report. - <br /> _ UST SYSTEM INSPECTION <br /> 6 Ian-top containment sumps are free of water, <br /> N"Ire:f,.m.l ins anon otsvm is a„t n uaredin sr„nd„bris,and hazardous substance, Sensors are located properly. <br /> here an alarm lrat occurred an the past monrh ar r-7o there a„o srrv�. rroorti. <br /> — Y N <br /> Stint Location:87 STP X L- <br /> Sunr a Location:91 STP X Y N <br /> ,Yum Location Diesel STP X ---- <br /> 7 -Spilt coneainrnent structures are free of water,debris,and <br /> debris, S Subsi ince <br /> r <br /> Y N NA - --- ar-�`- <br /> Tank I-Contents:87 }{ ti I N ' N> <br /> Tank 2-Contents:91 Tank 3-Coarlerils:Die,tet _ <br /> X 1 ?ti _ <br /> r- is eraser containment areas are Ir <br /> ee of water,debris,and hazardous substance, Sensors are located 1 propeck, <br /> -- Y N NA <br /> _ _ __ N N A <br /> estx r /4 - <br /> �� - <br /> 10Y nrr.t'5 6 <br /> . tisperlscr - ' <br /> PAPERWORK INSPECTION <br /> 4- NA DATE DONE. <br /> ! lvlonuorino <br /> ......m certification has been con, within Past 12 months. <br /> 70 Seconda ,containment tests have been com feted within the re uired tintetrante. 1 0T 15 t <br /> I I S ill containment structure(bucket)testin was com feted within the past year. -I X j 0 I x.151 <br /> 12 . Tank--n—s testin was com leted within re uired timeframe. X 07r I s is <br /> 11 Line ti htress testin was completed within required timeframe. <br /> Id Other re ut`red testuiWmaintenance was completed within required timeframe Ct,i'tWWI”uintenunce itents h lutr.I <br /> TaIlMatntenance. <br /> 7'es1/A�airrtenance: — <br /> Test/Mainlenance: <br /> FACILITY EMPLOYEE TRAINING <br /> IS A(I faciiit em to ees have Y N NA <br /> received the re ired on-the-•ob trainin wih <br /> tin the asst car,t12/:2/lti <br /> u <br /> 16 All facility em to ees hired within the est 30 days have received the required out=lee=ob trainin r, <br /> Note. Any answer of"N"should be explained in the comment section X <br /> Fatinah Zareef, REHS Page 3 of 12 <br />