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Designat•Underground Storage Tank (USIT�Operator <br /> Monthly Visual Inspection Checklist <br /> Facility Name:ConocoPhilli s Site#2705445 Date:5/18//06 <br /> Facility Address: 1206 E.March Lane <br /> City: Stockton Zi Code: 95210 <br /> Designated UST Operator Conducting the Inspection:Julie Lee <br /> International Code Council Certification#: 5248777-UC Expiration Date: 12/14/2006 <br /> Phone: (510)245-5218 <br /> Signature: �°` <br /> Y=Yes,N=Nq NA=Not Applicable <br /> Item NIONITORiNG PANEL /ALARM HISTORY Y N I NA <br /> 1 1 Monitoring system is powered on and in proper operating mode. x <br /> 2 Monitoring system is not currently showing any alarms or warnings. x <br /> 3 Alarm history report/log for the previous month is available, and has been reviewed by the x <br /> Designated UST Operator. Attach a copy of the alarm history report/logreportllog to thisform if available. <br /> 4 Each alarm for the previous month has been responded to appropriately. x <br /> 5 Sensors located in tank-top containment sums have not alarmed in the past month. x <br /> 5a List all tank-top sumps where alarms occurred in the past month: <br /> N/A <br /> Note:Sumps where an alarm has occurred in the past month must be inspected unless a qualified service technician responded to,and <br /> properly addressed thecause of the alarm.Attach documentation eerifjing appropriate service to this report. <br /> 11,1min,tp,ction is re uired,record results in item 6,belo:r. <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 ins ection of sums is only re uired in sumps where an alarm has occurred in the past month or which there is no service record. <br /> Y N Y N <br /> Sump Location: Sump Location: <br /> Sump Location: EM Sump Location: <br /> Sump Location: Sump Location: <br /> 7 1 Spill containment structures are free of water,debris,and hazardous substance. <br /> Y N NA Y N NA <br /> Tank 1—Contents:87 x Tank3—Contents: 91 x <br /> Tank 2—Contents:Diesel x Tank 4—Contents: <br /> aDispense <br /> enser containment areas are free of water, debris,and hazardous substance. Sensors are located ro erl Y. <br /> Y N NA Y N NA <br /> 112 x Dispenser 7/8 x <br /> 3/4 x Dis enser 9/10 x <br /> 5 x Dis enser 13/14 <br /> 6 .r Dispenser 15116 <br /> z .;.. _. <br /> PAPERWORK INSPECTION Y N INA DATE DONE <br /> 9 Monitoring system certification has been completed within past 12 months. x5/5/06 <br /> 10 Secondary containment tests have been completed within the required timeframe. x 12/29/04 <br /> 11 Spill containment structure(bucket)testing was completed within the past year. x 5/5/06 <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 testis maintenance was completed within required timeframe. List test/maintenance items below. <br /> Test/Maintenance. <br /> Test/Maintenance: <br /> Test/Maintenance: <br /> FACILITY EMPLOYEE TRAINING TYTN NA <br /> 15 All facility employees have received the required on-the-job training within the past year. x <br /> 16 All facility employees hired within the past 30 days have received the required on-, .. trainin . 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 /> Page I of 2 <br />