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March Lane Shell , 1206 E . March Ln , Stockton , CA 95210 IL It Dcsq,nmcd Undei-imind Stora-c'Tank(UST)Operator Monthly Visual Inspection Checklist y,7tu�Manx Date: a'dnc Adar:..cs:' - 'a� hs;cnns�d PST c�+c�aan c'r,nducunc the Ins.cuon:-. Mrmanonal c\�dc C ountd Ccr iltriiuon K• - Won Date: name: Phone:" � Y=Yes,N=No;NA'=NMA QcaWe sum 11IONITORING PANEL/ALARM HISTORY Y N NA 1 TURTLE MonitonnC sNstem is a.wcred on and to proper operating mode. , , 2 MomtonncsysIcmistn't:urrcntivshowin aiivalamisorwariiin s. 3 Alum histon rclvm9og for the previous month is available,and has been reviewed by the Dc.rinslc,J UST O •ranlr. Anach a ro y o the alarm histo re ort/lo to this form i available. j�%.. • 4 Guch alarm for the rcvtous month has been responded to appropriately. 5 Sensor !xatcd in tank4o containment sumps have notala toed in the past month. s it Ltst ail rank-4op sumps where alarms occurred in the past month: MIRTLE l,'ote:57.mpc when rm abs has occurred in the past month must be'respected unless a qual*d service whnid=responded m,and _ I—peri)addreacd,the cause of rhe alarm.Attach doaaneruatron verifying appropriate service to[his report. Ifsmna—7—u re -ed record—Us in aem 6.below. iiL UST SYSTEM INSPECTION ank-top containment sumps ate free of water,debris,and hazardous substance. Sensors are located properly. a[e:Visual coon a u orgy r ed m s where an alarm has occusred m the t month or which there is no servi--d. Y -N 0 N Sttm Location: ""• Sum Location: S Location: Stun Location: Ston Locution: ,/ Sure Location: - 5 ill containment structures are free of water,debris,and hazardous substance. Y./N NA Y N NA Tan};I-Contents _ / Tank 3-Contents: /2 a Tank 2–Contents: Tank 4–Contents: Under-<Uspenser containment areas are free of water,debris,and hazardous substance.sensors are located pronerlY. r. Y N NA I Y N'l NA LLL Dis eraser 9/10raser 11/12 13/14 Dis eraser I S/16 �:�- PAPERWORK INSPECTION Y N NA I DATE DONE 29 system certiticauon has been completed within past 12 months. Secondaar containment tests have been completed within the required timerrame. S ill—aamment structure(bucket)testin was completed within the past year. ankh mess testin was cora leted within required umeframe. Line ti htness testingm was completed within required tieframe. Other r uired testin maintenance was completed within required timeframe. list Jest/maintenance Lena below.) Test/Maintenance: Test/Maintenance: ,.. Test/Maintenurrce: FACILITY EMPLOYEE TRAINING Y N NA - All factit em In ees have received the r uired on-the-ob trwnin within the t ear. I facility em glollees hired within the i 3o da s have received the sec uired on-the-ob train'- My answer of"N'should be explained in the comment sectlort on the following page,and will require follow-up"ti n. P—i..r9 February 2015 D.O report without the February 20, 2015 Overfill Alarm documented Page 5 of 8 Photo taken on May 6, 2015