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Apr.08.2016 09:40 AM Af" rda Test - Galt Offic 20974^"116 <br />Afforda-Te$t <br />416 2nd Street <br />Galt, Ca 95632 <br />mo -744-(1112 Fax 209-744-0116 <br />Site: CD&R - TRACY TRUCK STOP <br />PAGE. 8/ 11 <br />Site ID: 1010-1 <br />Designated Operator <br />Monthly Inspection Checklist <br />E D"DATE• 2-18-16 <br />3940 N TRACY 13LVD C` k 1 2017 <br />RMRONI'.F' jl;_u,L HEALTH <br />TRACY, CA 95304 <br />Zane A. Nimmo David A. Winkler ❑ Felix G. Ramirez ❑ Edward Stearns <br />#5263322 #5263373 45273934 #5250492 <br />Y=ves N=no, NA=not <br />MONITORING PANEL / ALARM HISTORY l 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 />t+iarrn history report/log for the previous month is available, and has been reviewed by the Designated UST X <br />pperator. (4ttach of the alarm history report/log to this Lorm if available.) _ X <br />Each alarm for the previous month has been rosponded to appropriately <br />Sensors located in tank -top containment sumps have not alarmed in the past montX X <br />,Gist all tanto --top sumps where alarms occurred In the past month; <br />Note: Sumps where ars alarm has occurred to the past mont must be inspects unless a qualified service tee nician responds to, and properly <br />addressed, the cause of the alarm. Attach documentailon ver0ing appropriate service to this report, !f sump inspection is rsquiret record results <br />in item 6, below, <br />AUTO I Y I N <br />Tank -top containment sumps are free of water, debs <br />Note: Utsuat in etton o sum s !s On utred in sum s where a, <br />Auto Sump Location: 87 X <br />Auto Sump Location: 91 X <br />Auto Sump Location: Diesel East X <br />Auto Sump Location: Diesel West X <br />Auto Tank 1 - Regular <br />Auto Tank 2 - Premium <br />Auto Tank 3 - Diesel East <br />Tank 4 - Diesel West <br />Auto Dispenser 1/2 <br />Auto Dispenser 3/4 <br />Auto Dispenser 516 <br />Auto Dispenser 7/8 <br />containment structures are <br />X <br />X <br />E�i XX <br />77X <br />-1 AST SYSTEM INSPEC`T'ION <br />NA TRUCK =N <br />and hazardous substance. Sensors are located properly. <br />vm has occurred in the ast moruh for which there Is no service retort <br />Truck Sump Location: Diesel East X <br />Truck Sump Location: Diesel West X <br />Truck Sump Location: <br />water debris, & hazardous substance. <br />Truck Tank 1 - Diesel East X <br />Truck Tank 1 - Diesel West X <br />& <br />hazardous substance 5enso►s iocarea <br />rvpcny. <br />spenser 9-10 <br />Out of Service <br />k Dispenser 11-12 <br />X <br />ck Dispenser 13-1�4 <br />Xck <br />Dispenser 15-16 <br />Xck <br />Dispenser 17-18 <br />X <br />