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Apr. 08 .2016 09 : 41 AM Af"7-rda Test - Galt Offic 20974/1n116 PAGE. 10/ 11 <br /> Site ID, 1010-1 <br /> Afforda-Te$t Designated Operator <br /> 416 2nd Street <br /> Galt, Ca 95632 Monthly Inspection Checklist <br /> 209-744-0112 Fax 209-744-0116 <br /> Site: CD&R-TRACY TRUCK STOP EOFz YLi.14' DATE: 3-7-16 <br /> 3940 N TRACY BLVD OCT ` 2097 <br /> EKIVIRON '':i,;_i'L HEALTH <br /> TRACY, CA 95304 PER!"'7/SERVICES <br /> ❑ Zane A.Nimmo David A.Winkler C]Felix G.Ramirez ❑ Edward Stearns <br /> #5263322 #5263373 #5273934 #5250492 <br /> Y y Yes N=no,NA—qOt aPD11cablO <br /> MONITORING PANEL/ALARM HISTORY X N NA <br /> Monitoring system is powered on and in proper operating mode. X <br /> iviordioring 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 co o the alarm histo re ort/lo to thisform i 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 wont mint be inspected un ess a qualtfled service technician responded to,and properly <br /> addressed the cause of the alarm.Attach documentation verifying appropriate service to this report, If sump inspection is required, record results <br /> In item 6,below. <br /> UST SYSTEM INSPECTION AST SYSTEM INSPECTION <br /> AUTO I FT—N-1FT—N-1 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: orial inspection of ffn2s is onl re aired in su s where an alarm has occurred in the past 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 /> Auto Sump Location: Diesel East X Truck Sump Location: <br /> Auto Sump Location:Diesel West X <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 1 -Diesel West X <br /> ".::t^Tank 3 -Diesel East X <br /> Auto Tank 4-Diesel West X <br /> Under-dispenser containment free of water debris &hazardous substance.Sensors located properly. <br /> Auto Dispenser 1/2 !!!MPTruckD <br /> nser 9-10 Out of Service <br /> Auto Dispenser 3/4 nser 11-12 X <br /> Auto Dispenser 5/6 Dispenser 13-14 Y <br /> Auto Dispenser 7/8 nser 15-16 X <br /> nser 17-18 X <br />