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• • <br /> Designated Underground Storage Tank (UST) Operator <br /> Monthly Visual Inspection Checklist <br /> Facility Name:ConocoPhilli s Site#2705445 1 Date:10/30//06 <br /> Facility Address: 1206 E.March Lane <br /> Ci :Stockton Zi Code:95210 <br /> Designated UST Operator Conducting the Inspection:Julie Lee <br /> International Code Council Certification#:5248777-UC I Expiration Date: 12/14/2006 <br /> Signature: "4.. <br /> Phone:(510)245-5218 <br /> Y=Yes N=No A=NotAPD11cable <br /> Item MONITORING PANEL/ALARM HISTORY Y N NA <br /> 1 Monitoring system is powered on and in proper o erating 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 o the alarm history reportfiog to this form i available. <br /> 4 Each alarm for the previous 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: <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,the cause of the alarm.Attach documentation verifying appropriate service to this report. <br /> ! sum ins ction is aired,record resulb 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.:Visual inspection o sums is onlyrequired in sums where an alarm has occurred in the t month or which there is no service record. <br /> Y N Y N <br /> Sum Location: Sum Location: <br /> Sum Location: Sum Location: <br /> Sum Location: Sum Location: <br /> 7 Spill containment structures are free of water,debris,and hazardous substance. <br /> x <br /> Y N NA Y N NA <br /> Tank I —Contents:87 Tank 3—Contents:91 x <br /> Tank 2—Contents:Diesel x I Tank 4—Contents: <br /> 8 Under-dispenser containment areas are free of water,debris,and hazardous substance. Sensors are located 3roperly. <br /> Y N NA Y N NA <br /> Dispenser I/2 x Dispenser 7/8 x <br /> Dispenser 3/4 x Dispenser 9/10 x <br /> Dispenser 5 x Dispenser 13/14 <br /> Dis censer 6 x Dis eraser 15/16 MERE <br /> PAPERWORK INSPECTION Y N NA DATE DONE <br /> 9 Monitoring system certification has been completed within past 12 months. x 5/5/06 <br /> 10 Secondary containment tests have been completed within the required timeframe. x 12/29/04 <br /> 11 S ill containment structure bucket testing was completed within the past year. x 5/5106 <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 test/maintenance items below. <br /> Test/Maintenance: <br /> Test/Maintenance: <br /> Test/Maintenance. <br /> FACILITY EMPLOYEE TRAINING Y N NA <br /> 15 1 All facility employees have received the required on-the-job training within the past year. x <br /> 16 1 All facility employees hired within the past 30 days have received the required on-the-job 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 1 of 2 <br />