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Designated Underground Storage Tank(UST) Operator <br /> Monthly Visual Inspection Checklist <br /> acility Name:YRC 813 ate:3/20/2013 <br /> Facility Address: 1535 E PESCADERO AVE TRACY CA 95304 <br /> ity:TRACY ip Code:95304 <br /> Designated UST Operator Conducting the Inspection:Non Tech WO Randall Kirby <br /> Intemational Code Council Certification#:5250566UC Vpimtion Date:4/23/2014 <br /> Signature:" hone:(800)-800-4633 <br /> Y=Yes,N=No,NA=NotA Applicable <br /> Item MONITORING PANEL/ALARM HISTORY Y N NA <br /> 1 Monitoring system is powered on and in proper operating mode. X <br /> 2 Monitoring system is not currently showing my alarms or warnings, X <br /> 3 lams history report/log for the previous month is available,and has been reviewed by the X <br /> Designated UST Operator.(Attach a copy ofthe alarm history reportilog to this form ifr vailable.) <br /> 4 Each alarm for theprevious month has been responded to appropriately. X <br /> 5 Sensors located in tank-top,containment sumps have not alarmed in the past month. X <br /> 5a - List all tank-top sumps where alarms occurred in the past month: L2 Diesel Sump,L3 TI Sump <br /> Note:Sumps where an alarm has occurredin the past month must he inspected unless a qualified service technician responded to,andpropedyaddressed, <br /> the cause,fthe alarm.Anach dornmentation ver jying epp........service to this report/fsump inspection is required,record i esull.s in item 6,Mow, <br /> UST SYSTEM INSPECTION <br /> 6 Tank-top containment sumps are free of water,debris,and hazardous substance.Sensors are located properly. <br /> Note:Visual inspection ofsumps is only required in sumps where an alarm has occurred in the past month for which thereis no service record. <br /> Yr1ump <br /> Y N <br /> um Location: um Location: <br /> ump Location: um Location: <br /> um Location: Location: <br /> 7 S ill containment structures are free of water,debris,and hazardous substance. <br /> aste Oil Wash Solvent <br /> Motor Oil X ntifreeze X <br /> Waste Oil X Gear Oil X I # <br /> 8 Under-dispenser containment areas are free of water,debris,and hazardous substance.Sensors are located proper) . <br /> Y N NA Y N NA <br /> Dispenser X Dispenser X <br /> Dispenser X Dispenser X <br /> Dispenser X Dispenser X <br /> Dispenser X Dispenser X <br /> PAPERWORK INSPECTION Y N N,1 I DA I E DONE <br /> 9 Monitoring system certification has been completed within past 12 months. X 3/8/2013 <br /> 10 Secondary containment tests have been completed within the required timeframe. X 10/6/2010 <br /> 11 S ill containment structure(bucket)testing was completed within the past year. X 13/8/2012 <br /> 12 Tank tightness testing was completed within required timeframe. X <br /> 13 Line tightness testing was completed within required timeframe. X <br /> 14 Other required testing/maintenance was completed within required timeframe.(List tesi/maintenance items bet".) <br /> TestlMaintenance: <br /> Tesem nutenance: <br /> Test/Maintenance: <br /> FACILITY EMPLOYEE TRAINING Y N NA <br /> 15 1A11 facility employees have received the required on-the-job training within the past year. X <br /> 16 kil facility employees 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 follow-up action. <br /> Page 0 of 1 November 2004 <br /> WO:2309346 <br />