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515 W. Eleventh St#30, Tracy, CA 95376 Record ID PR0231400 <br /> 7/13/2016 PHOTO#6 <br /> Janua 2016 D.O re ort with incorrect secondary containment test date <br /> Storage Ta <br /> ` sual Inspection Checklist <br /> t, Date:01/25116 <br /> ' ... �......-�, Zi Code•:95376 .. ...._. <br /> � ntird tJS'O orator Conducttn the Ins eeticrn:Karen R Atnaia <br /> We n ode Council C ification#:3356759 Ex iration 17ate: OS! lt7 <br /> . Phone:(209) 518-4$3 <br /> t[en MON RING PANEL/ALARM HISTORY `:�_ <br /> L_ Monitoring system is powered on and in proper operatin mode. - <br /> 2 Monitorm•system is not cutrentl•sMing any alarms or warnin <br /> J Alarnt history r-P011,og for the previous month is available,and has been reviewed by the x <br /> 1k ionated UST Operator. (Attach a cepy ojtlre alurm histog report foQ to thio form t available <br /> 4 Each Warn,for the revious month has boon responded to appropriately, "" - <br /> Sensors fncated in tvzk-lo. containment surnps have alarmed to the past month. <br /> 5a List all rank-top sh"tos where alarms-occurred In the Past month. <br /> "I Ole-'Sumps inhere mr alarm 1.occurred in dre past month must be ins <br /> property adrhessat�'themuse o1 dre alarin..t�rach dacuntdlfon srrr uQad Inde-mare oroified e ry tJ+l f repotechrucian <br /> mereS d lo,. <br /> J sun S fns et}an is mr ulrerl,record tz wits irr item 6,l el 8 PP p <br /> UST sYSTL+'M 1NSPECHON <br /> 6 Tank-top containment sumps are free of water,debris,and hazardous substance. Sensors are loco <br /> Vnte:V's'ual ms enon olmin s is ort>re ufred it;sawn s where on alarm has,vccarred m the ast mood, or+rhich rhr <br /> Y N. <br /> t.far, rap Location.-87 STP X s <br /> Sump Location,,91'STP _ x <br /> Sum Localtort ,7?sel.STP X <br /> 7 S ill containment structures are free of water,debris,and hazardous substance: <br /> Y N NA <br /> 87 - <br /> Tank I- <br /> Contents: <br /> X 'rank 3-Contents.,diesel <br /> Tank 2-Contents,-91 x <br /> 8 tinder-dis enser containment areas are free ofwater,debris,and hazardous substance. Sensors are locat <br /> Y N A r1�' <br /> N <br /> Dis enser 112 X Y N <br /> Dis enser 3/4 x <br /> Dis enser 5!b X <br /> Ibis enser 718 X <br /> PAPERWORK INSPECTION Y N NA DATE <br /> 9Mvnitorin s stem certification has been completed within ast 12 months. <br /> 10 Secondary CanCainment tests have been cot feted within the re aired timeframe. � �� i�£ <br /> 11 Sill containment structure(trUckel)testin was co feted within the ast ear. X x 07 i <br /> 12 Tank tightness testing was completed within required timefrn, <br /> 13 Line tl Atness testitill I was cam feted within reaired timeframe. <br /> i - --r - <br /> 14 Other re sfred testn i — — <br /> maintenance was com feted within re ared timefiunre. (List{astjnult -- <br /> Tesfi'r�afnt�nancc: —._ <br /> Tesfifbfiablfenancc: • <br /> FACILITY GMPLOYhE TRAINING <br /> 15 - All facili em to ees(rave received the re aired On-the 'ob train n r within tha ast s,ear.t12 5f�a " <br /> 1L All faci(i''em to ees hired wilhirl ttze as13Q da shave raceive�,the re aired on-the-'ob trt�nin� � _. <br /> (YOW Any Lnswer of"N"sfidul .e Ilted in the CUlrtillkl <br /> Fatinah Zareef, REHS Page 6 of 12 <br />