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AUG/17/2021/TUE 02,24 Phi Tracy Truck Stop FAX No,209832 2312 P,016 <br />Atlorda-Te$t <br />416 2nd Street <br />Galt, Ca 95632 <br />209444-0112 Fax 209-744-0116 <br />Site: C D& R- C J' S CT-TFVROV <br />7501 W. 11TH STREET <br />TRACY , C.A. 953b4 <br />❑ bane A. N><wAU0 <br />#8883064 <br />® David A. Win1der <br />#8883059 <br />Site ID: 1.010-6 <br />Designated Operator <br />IVYonthly Inspection Checklist <br />❑ k 10 x G. Rawirez <br />#8883072 <br />Date: 5 -22 -XS <br />❑ Edwaxd Stearns <br />#8883080 <br />x = cs tv <br />Received Time AugM No, 6863 <br />= no <br />rvH = IlOi <br />fl IiCHtllc <br />MONITORING PANSY, / ALARM HISTORY <br />x <br />TN <br />NA <br />Monitoring system is powered on and in pro er operating mode, <br />X <br />Mortitoriug system is not currently showing! any alarms or warnings. <br />Alarm history report/log for the previous m6ritb is available, and has been reviewed by the Designated UST <br />K <br />Op erator. Attach a copy of the alarm histo re ort/lo to this orm ff available.) <br />Eachalarm, for the previous month has been'responded to appropilately <br />--tX <br />Sensors located in tank -top contaixuuent sumps have :not alarmed in the past month. <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 qualified service technician responded to, and properly <br />addressed, the cause of the alarm. Attach documentatlon verifying appropriate service to this report. If sump inspection is required, record results <br />in item 6, below - <br />AST SYSTEM INSPECTION <br />Y NL X I N 1VA <br />Tank -top containment sumps are free of water, debris, and hazardous substance. Sensors are located properly. <br />Note: Visual inspectlon qfswnpy is only re .tired in stun 5 where att alarm has occurred in the east monthh Lor which there is no service record. <br />Sump Location. 87 OCTANT STP Sump Location: <br />Sump Location: 91 OCTANE STI' <br />X <br />Sump Location: <br />Sump Location: DIESEL S T P <br />X <br />Sump location; <br />$ <br />Sump Location: TRANSITION SUMP <br />X <br />Sump Location: <br />X <br />Sump Location: <br />X <br />Sump Location: <br />X <br />Spill containment structures are free of water:, debris & hazardous substance. <br />'tank 1 — 37 OCTANE <br />X <br />Tank 5 - <br />X <br />Tank 2 � 91 OCTANE <br />X <br />Tank 6- <br />X <br />Tank 3 — DIESEL <br />� <br />Tank 7- <br />xTazak <br />4 - X Tank 8- X <br />Under -dispenser containment flee of water, debris & hazardous substance. Sensors located propeKlyA <br />Dispenser 1/2 X Dispenser 19/20 X <br />Dispenser 3/4 <br />X <br />Dispenser 21 <br />X <br />Dispenser 5/6 <br />X <br />Dispenser 22/21 <br />X <br />Dispenser 7/8 <br />X <br />Dispenser 23/22 <br />Dispenser 9/10 <br />Dispenscr 24/23 <br />X <br />Dispenser 11/12 <br />X <br />Dispenser 25/24 <br />X <br />Dispenser 13/14 <br />X <br />Dispenser 26/25 <br />X <br />Dispenser 15/16 <br />X <br />Dispenser 27/26 Satellite <br />X <br />Dispenser 17/18 <br />X <br />Dispenser 27 <br />X <br />,17. 2021 3;19P <br />