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AUG/17/2021/TUE 02:22 PM Tracy Truck Stop FAX No,209832 2312 Has each follow-up action of Section Ill from the previous inspection been completed P A(tach documentation verifying appropriate service to this report. Affaeh Is the moni Has each li Attach docs the alarm this i s tem owered on and in er o eratin moder detection alarm since the previous inspection been responded to appropriately? station verif in a roriate service to this re ort. P, 009 qualified UST Service Technician? Have all containdetection aarm since the previous inspection been responded to by a E3❑ 0 List below in Section IX all containment sumps that have had a leak detection alarm since the previous inspection and have not been responded to by a qualified USTServlce Technlclan, Containment sumps listed below require a visual inspection for damage, wafer, debris, hazardous substance and groper sensor location The results of the visual inspection must be recorder) in Section IX, Q subs T n �iN va�y9' nnwarRi+�� i �rrR��T� i ment sumps that have had a leak l IPn v,R am zardoun,.,,.,.,.,., rm nw•w Is the containment sum free of dame e, water d®brie and ha tants? Containment Sum Ip ' £ Containment Su ❑ El all sensors In containment sump¢ inspected located to detect a leak at the earliest opportunity? Is t"hes ill container free of damage, water, debris, and hazardous substance? Tank ID 87 D ❑ Tank ID DIESEL Tank ID 97 Is the fill ipe free of Tank ID 87 Tank ID 91 Is the fill cap securer TanklD 87 TanklD g� Is the under-disnensc Dispenser 1!2 QiIIiLIIIIr Are all sensors in under -di containment fres of d er Containm®nt ID D ElTanklD I��❑ � Tank ID � DIESEL ❑D ❑ Tank ID q ❑ Tank ID DIESEL ❑D ❑ TanklD E7 LEI water, debris, and hazardous substance? Under -Die enser Contalnmant ID Ira � r' bis#, El ❑Dis enser 0I p �j D El❑Dis enser 7/$ p ❑ ❑ ❑ El❑ L1❑ 11❑ El Elt®ct Q leak at tho earliest containment located to de Has the monitoring system certification been completed within the past 12 months? _, 1ju o1u,m.� Has the spill container testing been completed within the past 12 months? Has the overfill prevention equipment inspection been completed within the past 36 months? Has the secondary containment testing been completed within the past 36 months? Has the tank tightness testing been completed within required timeframes? Has the line tightness testing been completed within the required timeframes? Other required testing / maintenance was completed within required timeframe- (List t`est/mai nce: sten items ❑x u 0� Q� �n q ❑ Tank ID DIESEL ❑D ❑ TanklD E7 LEI water, debris, and hazardous substance? Under -Die enser Contalnmant ID Ira � r' bis#, El ❑Dis enser 0I p �j D El❑Dis enser 7/$ p ❑ ❑ ❑ El❑ L1❑ 11❑ El Elt®ct Q leak at tho earliest containment located to de Has the monitoring system certification been completed within the past 12 months? _, 1ju o1u,m.� Has the spill container testing been completed within the past 12 months? Has the overfill prevention equipment inspection been completed within the past 36 months? Has the secondary containment testing been completed within the past 36 months? Has the tank tightness testing been completed within required timeframes? Has the line tightness testing been completed within the required timeframes? Other required testing / maintenance was completed within required timeframe- (List t`est/mai nce: sten items ❑x u Have all � ividuals perto� Ing facility employee duties received the required fapcility emplo�v� in�g within to®past 12 months? 1 the f®till has more tom ogents than this fa►m accommodates additional co ios of this a ma be attached. Y =Yes, N = No, NA = NotAi4lcable, ID = iden9catlon Received Time Aug,17, 2021 3:19PM No,6863 �OJIM 17110 Have all � ividuals perto� Ing facility employee duties received the required fapcility emplo�v� in�g within to®past 12 months? 1 the f®till has more tom ogents than this fa►m accommodates additional co ios of this a ma be attached. Y =Yes, N = No, NA = NotAi4lcable, ID = iden9catlon Received Time Aug,17, 2021 3:19PM No,6863