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' Designat Underground Storage Tank (UST) !Rerator <br /> Monthly Visual Inspection Checklist <br /> Facility Name:CANEPA'S CAR WASH Date:MAY 23,2007 <br /> Facility Address:6230 PACIFIC AVE <br /> City:STOCKTON I State: CA ZIP Code:95207 <br /> Designated UST Operator Conducting the Inspection: Ron Sanchez <br /> International CAde Council Certifi n#:5448997-UC Expiration Date: December 161h, 2006 <br /> Signature: Date:MAY 23,2007 <br /> Y=Yes N= No NA= Not A licable <br /> Item Monitoring Panel/Alarm History Y N NA <br /> 1. Monitoring system is powered on and in proper operating mode? X <br /> 2. Monitoring system is NOT currently showing any alarms or warnings? X <br /> 3. Alarm history report/log for the previous month is available,and has been reviewed by X <br /> the Designated UST Operator?(Attach a copy of the alarm report/log to this form if <br /> available) <br /> 4. Each alarm for the previous month has been responded to appropriately? X <br /> 5. Sensors located in tank-top containment sumps have NOT alarmed in the past month? X <br /> 5a. List all tank-top sumps where alarms occurred in the past month. <br /> Note:Sumps where an alarm has occurred in the past month must be inspected unless a qualified service technician responded to, <br /> and properly addressed the cause of the alarm.Attach documentation verifying appropriate service to this report.If sump <br /> inspection is required,put in item 6. <br /> UST System Inspection <br /> 6. Tank-top containment sumps are free of water,debris,and hazardous substance.Sensors are located properly. <br /> Note:Visual inspection of sumps is only required in sumps where an alarm has occurred in the past month for which there is no <br /> service record. <br /> Y I N Y N <br /> Sump Location UNLEADED X Sump Location PLUS X <br /> Sump Location DEISEL X Sump Location SUPREME X <br /> Sump Location Sump Location <br /> 7. Spill containment structures are free of water,debris,and hazardous substance? <br /> Y N NA Y N NA <br /> Tank 1.Contents UNLEADED X Tank 3.Contents PLUS X <br /> Tank 2.Contents DEISEL X Tank 4.Contents SUPREME X <br /> 8. Under-dispenser containment areas are free of water,debris,&hazardous substance?Sensors are workin Y properly <br /> Y N NA Y I N NA <br /> Dispenser 1 &2 X Dispenser 9&10 X <br /> Dispenser 3&4 X Dispenser 11 &12 X <br /> Dispenser 5&6 X Dispenser 13&14 X <br /> Dispenser 7&8 X Dispenser 15&16 <br /> Paperwork Inspection Y N NA Date <br /> Done <br /> 9. Monitoring system certification has been completed within past 12 months? X 7/06 <br /> 10. Secondary containment tests have been completed within required timeframe? X 8/05 <br /> 11. Spill containment structure(bucket)testing was completed in the past year? X 7/06 <br /> 12. Tank tightness testing was completed within required timeframe? X 8/05 <br /> 13. Line tightness testing was completed within required timeframe? X 8/05 <br /> 14. Other required testing/maintenance was completed within required timeframe. (List test/maintenance items below.) <br /> Test Maintenance <br /> Test Maintenance <br /> Test Maintenance <br /> Facility Employee Training Y N NA Date <br /> Done <br /> 15. All employees have received the required on the job training within the past year? X 7/06 <br /> 16. All employees hired within 30 days have received the required on the job X 7/06 <br /> training? <br /> Note:Any answer of"N"should be explained in the comment section on the following page,and will require follow-up action. <br />