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0 UNDERGROUND STORAGE TANK SYSTEM k\1 DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT Pacil ill Na F FE,F. KLUDI'rY.SONS.INC'. .Q o Inspection Date: April,01,2013 Fncility Address: 1126E PINE STREET City: LODI — --- -.._J Name of Designated USTOperator Conducting Inspection: STEPHEN KLUDT O LO International Code Co ,Cenifiention No.: 5245774-UC Expiration Date: October,25,2014 I M \ Phone Number. (209)368-0634 O QO (rem MONITORING PANF,L/ALARM HISTORY - i � UIs the monitoring system powered on and in proper operating mod Yes No N/A 2 Is tine monitoring system not currently showing any leak alamIL. x +. Is d[c Alarm History Report-log for the previous monthavnilaLl. d has it been reviewed by the x Dcsienaied UST Oper wi i2, ol"thealparnihistw. ry log to this In.1]ieeriot,faml/ 4 1)as uuh akimt for the pr 1-11 n responded to tppi 1�7 J —I - [-1 �1till \I I\�I I r Iln\ El Arc lank-top containment sumps free .: „ , I , — lance. \' t . lfth...... lrtnr luas )11 skip -nkrp 4J m/bra 6.Sunr/xr if here an alarm!uu ocarn I n.;, I i ui n 1.,t t i gyp„p,l,J u rfi rl f rat seni r<Imr r m has rear rrrpondtJ ln.and T ro ell,addressed.rhe cause o tite uhtrnl. DoCbaltrlt(+Onn+ nfi mg appmprraie aanicr Jmuld he altar hnl m Nru n purl. U) 1x No Yes No �v�J Sump Location: I -DFC x Sump Location: 4-KERO x �1 Sump Location: 2-DFR-MIDDLii x r: W ❑ ❑ Sump Location: 5 -RACE 110Z El Sump Location: 3-DFR-EAST ❑x ❑ Sump Location: 0 ❑ �_ 6. Are spill buckets(conlaimnent structures) free of water,debris,and hazardous substance? n Yes No NAS Yes No N/A LL Tank I ID- DFC ❑x ❑ -Tank41D- FERO x --- Iank 2 ID- DFR-MIDDLE x ❑ "rank 5 ID- RACE 110 x ❑ W Tank 3ID- UFR-EAST x Tank6ID- 0 ❑ ❑ 7. Are under-dispenser containment areas free of water,debris,and hazardous substance? Yes No N/A _Yes No NLA N Dispenser- lit 0 Li ; ❑ Dispenser-9/10 Dispenser-3/4 0 ❑ [] Dispenser- 10111 SAT 0 ❑ I ❑ Dispenser-516 x '+ r Dispenser-7!8 0 ❑ ❑ Dispenser- IUl_ 0 ❑ ❑ ❑ Dispenser- 13114 x Dispenser-9 SAT Q ❑ I Dispenser- ❑ ❑ 1 ❑ 8. Leak detection is properly—located within under-dispenser containment. Yes No N/A Ycs No NLA O Dispenser- 1/2 XDispenser-9/10 x _ f^ Dispenser-3/4 ❑x �_ Dispenser- 10/I I SAT x El ❑_ V J Dispenser-516 ❑x � ❑ Dispenser- I I%12 X ❑ ❑ �x Dispenser-718 x Dis enser- 13114 0 El El W Dispenser-9 SAT x Dispenser-TR:\NSII'ION SUMP AG x P:APERAN'ORK INSPECTION Ycs No N/A Date Done 9 Alonitorinc System Certification was completed within the past 12 months? x Apr 25,2012 - 10 I Lme I cak Detectors were tested/ccnified wit hin the past 13 months? x aptzs,20tz Y Spill Fueket(containment struaw ) t i om Ieted within the oat 12 months? x ❑ Apr 25.2012 I_'. L w_ li_htness testin,comp)cicd ,4 i thin required time fr,mlc? x onzi,zan 13_ 9e aim Jury contninm ant test, com plct cd +%II hin the required time frame? x I 1 14, I Lnhanced Leak Detection completed ++illim the required time frame? x L.L 15, 1 OTher required icsnm! maintenance was completed within required time frame? (Lis-1 rest'»minfenance ilcros holtnr) De5erihe \Q QHS- x a�tt L W .—L— DCsQribe xl I LJ 1 !J 7,23 2012 FA( IIIll EMPIOYEE'I RAIN ISG "I.=, L�" O 16 Have all f re.ihly emplayus recciud the required un-Iltujoh Ir wane ++411'11 Ih p:wt tear x El M 17. Have all facility empluyces hired within the p'ut 30 dnys reecn J II,,,r"Inu d oll- :.job tr_wung.: 0 [] ❑ a) ._ rete' ,xp am arty" oansweyrsi�ic �nnmcrii -secuun on I to o iowiny Pti�Tiw.c issues regmre correc[ne aatan from .. it,,,IIS f o++ner/uncra[or t1