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Site ID: 1010-1 <br /> Afforda-Te$t <br /> 416 2nd Street Designated Operator <br /> Galt,Ca 95632 Monthly Inspection Checklist <br /> 209-744-0112 Fax 209-744-0116 <br /> Site: CD&R-TRACY TRUCK STOP ,EUIV ® Date: 10-04-16 <br /> 3940 N TRACY BLVD 0CT tl , 2017 <br /> TRACY,CA 95304 ENVIRONMENTAL HEALTH <br /> PERF.".T./SERV CES <br /> ❑Zane A.Nimmo ❑David A.Winkler ®Felix G.Ramirez ❑ Edward Stearns <br /> #5263322 #5263373 #5273934 #5250492 <br /> �)j <br /> Y= es N=no, A=notapplicablc <br /> MONITORING PANEL/ALARM HISTORY Y N NA <br /> Monitoring system is powered on and in proper operating mode. X <br /> Monitoring system is not currently showing any alarms or warnings. X <br /> Alarm history report/log for the previous month is available,and has been reviewed by the Designated UST X <br /> Operator. (Attach a copy of the alarm history report/logreporillog to thisform if available.) <br /> Each alarm for the previous month has been responded to appropriately X <br /> Sensors located in tank-top containment sumps have not alarmed in the past month. X <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 documentation verging appropriate service to this report.If sump inspection is required record results in <br /> item 6,below. <br /> UST SYSTEM INSPECTION AST SYSTEM INSPECTION <br /> AUTO I Y I N NA TRUCK I Y I N NA <br /> Tank-top containment sumps are free of water,debris,and hazardous substance.Sensors are located properly. <br /> Note: Visual ins ction o sum s is only required in su s where an alarm has occurred in the t month or which there is no service record. <br /> Auto Sump Location:87 X Truck Sump Location:Diesel East X <br /> Auto Sump Location:91 X Truck Sump Location:Diesel West X <br /> r_ <br /> Auto Sump Location:Diesel East X Truck Sump Location: X'> <br /> Auto Sump Location: Diesel West X Truck Sump Location: <br /> Spill containment structures are free of water,debris,&hazardous substance. <br /> Auto Tank 1 -Regular X Truck Tank 1—Diesel East X <br /> Auto Tank 2—Premium X Truck Tank 2—Diesel West X <br /> Auto Tank 3—Diesel East X Truck Tank 3— X <br /> Auto Tank 4—Diesel West X Truck Tank 4— X <br /> Under-dispenser containment free of water,debris,&hazardous substance.Sensors located properly. <br /> Auto Dispenser 1/2 X Truck Dispenser 9a X <br /> Auto Dispenser 3/4 X Truck Dispenser 9/10a X <br /> Auto Dispenser 5/6 X Truck Dispenser 10/11a X <br /> Auto Dispenser 7/8 X Truck Dispenser 11/12a X <br /> Auto Dispenser 9/10 X Truck Dispenser 12/13a X <br /> Auto Dispenser 11/12 X Truck Dispenser 13/14a X <br /> Auto Dispenser 13/14 X Truck Dispenser 14/15a X <br />