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Designated Underground Storage Tank (U e o�, _ <br /> Monthly Visual Inspection Cl <br /> Facility Name:953 TRACY FED EX GROUND I Date:AUGUST 24 2017 <br /> Facility Address:5655 HOODWAY OCT 0 3 20V <br /> City:TRACY CA. TZig Code:95377 <br /> Designated UST Operator Conducting the Inspection:DAVID L.TURNER <br /> International Co ouncil Certification#:8788650-UC E iration °Y <br /> Si lure: Phone:559-688-2971 r_ <br /> VE ` -'N to-NotA aeahle <br /> Item MONITORING PANEL/ALARM HISTORY Y N NA <br /> r1 Monitoringsystem is powered on and in proper operating mode. X 4-1 <br /> 2 Monitoring system is not currentlyshow' an alarms or warnings. X <br /> 3 Alarm history reporulog for the previous month is available,and has been reviewed by the X <br /> Designated UST Operator. (Attach a co o the alarm histo re ort/lo to this orm i available.) <br /> 4 Each alarm for the previous month has been responded toappropriately. X <br /> 5 Sensors located in tank-to containment sumps have not alarmed in the past month. X <br /> 5a List all tank-top sumps where alarms occurred in the past month: SEE COMMENT <br /> SHEET <br /> Note:Sumps where an alarm has occurred in the past month must be inspected unless a qwfifiedwrdtv rechnichm responded to,and <br /> properly addressed the muse of the alarm.Attach documentation ven&n%appropriate service to this report <br /> Ifsump inspection is re 'red record results in Item 6,below. <br /> UST SYSTEM INSPECTION <br /> 6 Tank-top containment sumps are free of water,debris,and hazardous substance. Sensors are located properly. <br /> Note:Vaval ins Gaon of sums is only iredin sum where an alarm has occurred m the ast month or which them is no service record - <br /> Y N1 Y N <br /> Sump Location:DSL SUMP#1Sum Location:B-99 SUMP x <br /> Sum Location.DSL SUMP#2 Sum Location:BIO BLEND SUMP x <br /> SUMP Location:DEF 5 1 SumD Location: VFrvTSUMP <br /> 7 -Spill containment structures are free of water,debris,and hazardous substance. <br /> Y I N NA 1 1 Y IN NA <br /> Tank 1 —Contents.DSL SUMP 91 Ix I i Tank 3—Contents:DEF SUMP I X <br /> Tank 2—Contents:DSL SUMP#2 ix I I I Tank 4—Contents:BR SUMP I X <br /> 8 Under-dispenser containment areas are free of water,debris,and hazardous substance. Sensors are located roerl . <br /> Y N NA I Y N NA <br /> Dis enser 1 MASTER X Dispenser 4 SAT X <br /> Dispenser I SAT/2MASTER X Dispenser 5MASTER/6MASTER X <br /> Dispenser 2SAT/3 MASTER X Dis eraser 7MMSTER/8 MASTER X <br /> Dispenser 3 SAT/4 MASTER X I I I Dis enser 15 116 <br /> PAPERWORK INSPECTION Y N I NA DATE DONE <br /> 9 Monitoring system certification has been completed within pot 12 months. X 8/17/2016 <br /> 10 Secondary containment tests have been completed within therequired timeframe. <br /> 11 Spill containment structure(bucket)testing was completed within the past year. X 8/17/2016 <br /> 12 Tank tightness testing was completed within required timeframe. <br /> 13 Line tightness testis was completed within required timeframe. <br /> 14 Other required testis maintenance was completed within required timeframe. aistylpirtenance items below. <br /> Test/Maintenance: <br /> Tesi/Maintenance: <br /> Test/Maintenance: <br /> FACILITY EMPLOYEE TRAINING Y N FNA <br /> 15 1 All facility employees bave received therequired on-the-job training within the past year. X <br /> 16 1 All Facili em to ees hired within the past 30 days have received the required on-the-job training. X <br /> Note: Any answer of"N"should be explained in the comment section on the following page,and will require <br /> follow-up action. <br /> Pans / nf9 nr.....,...U..-9nnA <br />