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515 W. Eleventh St#30, Tracy, CA 95376 Record ID PR0231400 <br /> 7/13/2016 PHOTO # 10 <br /> Se tember 2015 D.O re ort with incorrect secondary containment test date <br /> Underground Storage T <br /> ank(UST)onthlq Vie ti n Ch cklisOpe <br /> Pacilit Name:SB Gas sualInsp = - <br /> FacilihAddress:515 W. 11 Street - Date:09!22!15 _. <br /> Ci :Tracv <br /> Designated l7S'f O etgtorConductin the tuts cation:Karen R Arttaiz ZiP Code:45376 —1 <br /> Intentatioual Code Council t etYilicahon 0:8356759 --1 <br /> Si„nature: ------- Expiration Date: 05!05,17 <br /> Phone: 2091 518-0836 owe <br /> !lain ot,i NA <br /> MO TORINC PANEL/ALARM HISTORV Y i � <br /> 1Ll�onttoi it) system is powered on and in or_oer operating mode <br /> 2 1 N4omtorin s stainis not current) howin <br /> 3 Aiann history report/log an alarms or warnm s. -- <br /> for the previous Mouth is available,and has been reviewed bythe ` <br /> K , I <br /> I <br /> Designated UST Operator. Attach it ov ,o the Worm histo re or"o to thisarm <br /> 4 Each alann for the previous month has been res onded to a ppropriat ly, ! 7�atla6l�) <br /> ,_. <br /> 5 Sensors located intank—rop containment sumps have not alarmed in the past month. - <br /> 5a Lai till tank-top sumps where alarms occurred in file past iironih: <br /> Aac Sumps wPtc t an aldrin Inu upcurred rn rhe past manrh Hurst b spccted u/ ---y !Ied�.n i r h,uuua rspwsd-t a+,+�rs�: <br /> `• properin address d the ceiusc ojl/fe altirm.Alfach Jpcumefrta!!on ver�mg npproyriah ion,cr to tiler rrpurr <br /> ^-''* -•rr t mun ln.52LE11211 tc leg-1,d,reccrJ results u+rtetr,G,bdmc <br /> 1 UST SYSTEM INSPECTION _ <br /> b Tank-top containment sumps are free of water,debris,and hazardous substance. Scnsois ar located properl\ <br /> Nota fi uuat ms. coon u Sutdrps rs and•re urred m sunr s trherr on alarm.has oca,n Id m the ias!mnnrh fo,'huh 'ss+m sen,av.`'Velr <br /> Y N Y <br /> Sum Location:87STP }t' —"—" <br /> .Sum Location:9/STP X I l <br /> Sum Lo atioti'Diesel STP X <br /> 7 S ill containment structures are free of water,debris,and hazardous substance. <br /> Y N NA <br /> j Tank i-Contents:87 " X '. Tank 3-C'onteats:Diesel <br /> Tank 2--Contents:91 <br /> 8 Under-dis enser containment areas are free of water,debris,and hazardous substance. Sensors are located To'tls. <br /> y N I NA I 1 N N.a <br /> Gra enser l/2 X J <br /> Dis etrser 3/4 X w <br /> Dispenser S/6 X <br /> - <br /> Dis enser 718 X 7. <br /> Y-� r <br /> PAPERWORK INSPECTIONY N NAI DATE DONE' <br /> 9 Monitoring s stem certification has been coin IePt d within ast 12'months. X 07 15.15 <br /> 10 Second containment tests have bean coin Ietedx4fthin the re uired timeframe. \ 197 15.'35 ; <br /> I I S ill containment structure(bucket)testingwas completed within the ast near. X O7tlKu <br /> l <br /> 12 Tank ti htness testin=was coin leted within required timeframe, _ <br /> 13 tine tightness testing was completed within required timeframe.: <br /> 14 Other required testing/maintenance was completed within required timeframe. fList testimaittle)ant1wt items below.) <br /> Test/Maintenance: _ <br /> Tesr/htaintenance: <br /> 7'est/Maintenance: _ <br /> FACILITY EMPLOYEE TRAINING Y fit NA <br /> 15 All facili ems to es have received the required on-the job training within the nsp 't year,�1n 115 <br /> 16 All facilit em'lo ces hirci!within the ast 3flda s have receive there uieta+i-at-the`oto trainin t. <br /> U1 <br /> Fatinah Zareef, REHS Page 10 of 12 <br />