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est nate Underground Storage Tank (UST)Pperator <br /> Monthly Visual Inspection Checklist <br /> Facility Name:CANEWS CAR WASH Date:JULY 20,2007 <br /> Facility Address:642,N HUNTER ST <br /> Ci!y:STOCKTON —1 State:CA. Dde:95204 <br /> Designated LIST Operator Conducting the lnspection:Ron Sanchez <br /> International CoVe Council Certification#:5248997-UC Expiration Date:December 161h,2006 <br /> f <br /> Signature Date: 7/ <br /> an <br /> Y=Yes N=No 4A=Not A>plicable <br /> Item Monitoring anel/Alarm History 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. <br /> Alarm histois available.and has been reviewed by X <br /> history report/log for the previous month form if <br /> the Designated LIST Operator?(Attach a copy of the alarm report/log to this <br /> available) <br /> — 4. Each alarm for the previous month has been responded to appropriately? X <br /> 5. Sensorslocatedin 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 /> ins ion is required,eut in item 6. UST Systern 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 /> senAce record. Y <br /> X SUPREME X <br /> !on UNLEADED X <br /> Sump 0� <br /> Sump Location UNLEADED Sum Location DEUSEK X <br /> �5= Sump Location <br /> Sum Location <br /> 7. Spill containment structures are free of water,debris,and hazardous substance? <br /> Y N NA <br /> NA <br /> !Y N - <br /> Tank 1.Content,-UNLEADED X Tank 3.Contents SUPREME I X I <br /> Tank .Contents UNLEADED Xt Tank 4.Contents DEISEL X pro rly <br /> Y N NA <br /> 8. Under-dispenser containment areas are free of water,debris,&hazardous substance?Sensors areY w <br /> rkin N NA <br /> Dispenser 1&2 X Dis enser 9&10 X <br /> Dispenser 3&4 X Dispenser 11&12 X <br /> Dispenser 5&6 X Dis nser 13&14 <br /> Dispenser 7&8 Paperwork Ins ion Dispenser 15&16 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 7/05 <br /> 11. Spill containment structure(bucket)testing was completed in the past year? X 7/06 <br /> 1/05 <br /> 12. Tank tightness testing was completed within required timeframe. 1/05 <br /> 13. Line tightness testing was completed within required timeframe? <br /> 14. Other required testing/maintenance 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. A!1 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 <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 />