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515 W. Eleventh St#30, Tracy, CA 95376 Record ID PR0231400 <br /> 7/13/2016 PHOTO#12 <br /> Jul 2015 D.O re ort with incorrect secondar containment test date <br /> ndergr©und Storage Tank.(UST <br /> °nthly Visual Inspection Checkli` <br /> , .r trees <br /> Date:070-7,115 `• <br /> City:Tracy a` <br /> Desi 1•mated UST �OPDeMdtor Conduct'in g the Ins ection:Karen R q—rnaiz--—� ode 95376 <br /> International qde Council Cervi rcazion N:8356759 <br /> Sienaturer Ex iration Date: OSfOSttZ <br /> Phone:(209) 518.4836 ---j i� <br /> tiA_Not♦ icrt#. ,. <br /> MO TOR G PANEL/ALARM HISTORY Y N i NA <br /> 1 Monitarin System is powered on and in ro er o ratio mode. <br /> 2 Monitorings stem ds not c€naentl showin ae' alarms or warnings. I X <br /> 3 Alarm history report/log for the previous month is available,and has been reviewed by the <br /> Designated UST O crator. (Attach a co o lire alarm"histo re ort/!o [p.this torn+i zuar/a61e l X <br /> Each alarm for the previous month has been responded to aporenriatel ____._L7- X <br /> 5 Sensors located an tank top containment sumps have not alarmed n the pa,t month! E <br /> Sa Lisj all tank-ton sumps where at occurred sur file past month:47,'/3 due to resting, <br /> 'e Sirmrps 111$ore an alarea has occurred r0-the - .T— <br /> past"narrth roust be u"specred unless a 4ual.1W service mchn .m responr&d hx,saint <br /> prnpv ly addressed Ute muse off;,`c"fgrrn,il(tach documentation v t4,mguppra <br /> rprtare service to thrs report. <br /> i lfsum 0-,, �ctlon+s retared record r""Uhs 0-r dem h;below: <br /> UST S <br /> INSPECTION <br /> 6 Tank-top cae free of water„d <br /> ntaintuent sumps arebrEM and hazardous substance. Sansors are located properly. <br /> ore: <br /> rl' Vinyard"ru xenon a sum s is only re-oared+n sunt s where un aFarm iron oce-trrred m rhe+ost month or,eitich"tum s nu sent" <br /> �e <br /> Y N Y N <br /> Sump Location:87 STP x <br /> Sum Location:91 STI' X I — <br /> Sum Location:Diesel STP }t t <br /> 7 S ill containment structures are free of water,debris,and hazardous substance, <br /> �.� Y N NA` Y N 4 N_,, <br /> ��. <br /> Tank 1-Content" 87I X Tank 3-Contents;Diesel x _ =' <br /> Tank 7—Content"91 X - <br /> 8 Under-dis enser containment areas are free of water,debris,and hazardous substance. Sensors are located ro rk. � <br /> Y N NA Y I NA <br /> is enser I/? }( <br /> Dis enser 3/4 — x <br /> Dispenser S J h <br /> Dis enser 7 F 8 <br /> PAPERWORK INSPECTIONI <br /> Y N jNA I DATE DOCi€F <br /> 4 Monitorin s stemcertification has been roti leted within ustl2 months. X7%15-15 <br /> P4?' Secan containment lents have been roti leted within the re aired timefrnme. X 07!i 5,l5 <br /> t l Sill canrainment Structure(bucket)testin was roti leted within the past year. X t97r l5:l:a <br /> 12' Tank ti Ines'testin was ctim leted within re"tiired timefratiia. _ <br /> l3 Line ti tness testin was caul leled within re uired timeframe. <br /> 14 Odier required leskin r maintenance was completed within required timeframe. (List first%trttrllt#knttnce/ ms below-) <br /> Test/Mainfenance: <br /> Test/Maintenance: <br /> TestJMaintenaace. <br /> FACILITY EMPLOYEE TRAINING <br /> IS. Alf facilit�employees have received the required on-the-job trainin within the ant fur.tl?'?5:I <br /> L6 m e wl ast 3 _ <br /> _ —� <br /> Fatinah Zareef, REHS Page 12 of 12 <br />