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I)esi ated Underground Storage TankOperator <br />Monthly Visual Inspection Checklist <br />Facility Name: City of Stockton CORP YARD <br />Date: 03/30/11 <br />Facility Address: 1465 S. Lincoln St <br />Y N <br />City: Stockton <br />Zip Code: 95203 <br />Designated US Operator Conducting the Inspection: Karen R Amaiz <br />Monitorin stem is wered on and in ro r o erating mode. <br />International ode Counco Cerofication #: 8032295 -UC <br />Expiration Date: 06/20/11 <br />Si a e: Alldd <br />Phone: ( 209 ) 518-4836 <br />% Y = Yes. N = No. NA = Not Annlicable <br />Ite <br />M ORING PANEL / ALARM HISTORY <br />Y N NA <br />Y N <br />Y N <br />1 <br />Monitorin stem is wered on and in ro r o erating mode. <br />X <br />2 <br />Monitoring stem is not currently showing any alarms or warnings. <br />X <br />Y N NA Y N NA <br />3 <br />Alarm history report/log for the previous month is available, and has been reviewed by the <br />Designated UST Operator. (Attach a copy of the alarm histog report/logreport1log to this orm if available.) <br />X <br />Tank 2 — Contents: 87 X <br />8 <br />4 <br />Each alarm for the previous month has been responded to appropriately. <br />X <br />Dispenser 1 / 2 X <br />5 <br />Sensors located in tank -top containment sumps have not alarmed in the past month. <br />X <br />Dispenser S / 6 X <br />5a <br />_ 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 quaked service technician responded to, and <br />properly addressed the cause of the alarm. Attach documentation verging appropriate service to this report. <br />If sum ins coon is required, record results in item 6, below. <br />UST SYSTEM INSPECTION <br />6 <br />Tank -top containment sumps are free of water, debris, and hazardous substance. Sensors are located properly. <br />Note: Visual ins ction o sums is only re uired in sumps where an alarm has occurred in the past month or which there is no service record <br />Y N <br />Y N <br />Sump Location: Diesel X <br />Sump Location: 87 X <br />7 <br />Spill containment structures are free of water, debris, and hazardous substance. <br />Y N NA Y N NA <br />Tank 1 — Contents: Diesel X <br />Tank 2 — Contents: 87 X <br />8 <br />Under -dispenser containment areas are fi-ee of water, debris, and hazardous substance. Sensors are located properl . <br />Y N NA Y I N INA <br />Dispenser 1 / 2 X <br />Dispenser 3 / 4 X <br />Dispenser S / 6 X <br />Dispenser 7 / 8 X <br />Note: Any answer of "N" should be explained in the comment section on the following page, and will require <br />follow-up action. <br />Page I of 2 November 2004 <br />