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UNDERGROUND STORAGE TAA SYSTEM DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT Facility Name: City of Lodi Inspection Date: July 25, 2008 Facility Address: 1331 S_ Ham Lane City: Lodi Name of Designated UST Operator Conducting Inspection: Dennis Callahan International Code Council Certification No.: 1004653-UC Expiration Date: 12/20/2008 Signature: Phone: (209) 333-6800 ext. 2690 N/A=Not Applicable Item MONITORING PANEL/ALARM HISTORY Yesl No N/A 1. Is the monitoring system powered on and in proper operating mode? M ❑ ❑ 2. Is the monitoring system not currently showing any leak alarms? M ❑ ❑ 3. Is the Alarm History Report/log for the previous month available,and has it been reviewed by the ® ❑ Designated UST Operator? (Attach a copy of the alarm history report/log to this inspection form.) 4. Has each alarm for the previous month been responded to appropriately? ❑ ❑ M UST SYSTEM INSPECTION 5. Are tank-top containment sumps free of water,debris,and hazardous substance? Note:Ijthe answer to Item 4 was"Yes,"skip to Item 6. Sumps inhere an alarm hos occurred in the past rnondr must be inspected rJ a qualified service technician has not responded to, and prqWrly addressed,the cause of the alarm.Documentation vert ing appropriate service should be attached to this report Yes No Yes No Sump Location: S/W Fuel Island M ❑ Sump Location: N/E Fuel Island ® ❑ Sump Location:N/W Fuel Island M ❑ Sump Location: S/E Shop 6. Are spill buckets(containment structures)free of water,debris,and hazardous substance? Yes No N/A Yes No N/A Tank 1 ID— 10,000 Unleaded M ❑ ❑ Tank 4 ID—Waste Oil ❑ ❑ M Tank 2 ID— 2,000 Unleaded M ❑ Tank 5 ID— ❑ ❑ ❑ Tank 3 ID— 5,000 Diesel M ❑ I El Tank 6 ID— ❑ ❑ 7. Are under-dispenser containment areas free of water,debris,and hazardous substance? Yes I No I N/A Yes No N/A Dispenser— 1/2 Multi-product I ❑ ❑ Dispenser— ❑ ❑ Dispenser— ❑ ❑ ❑ Dispenser— ❑ ❑ Dis enser— ❑ ❑ ❑ Dispenser— ❑ ❑ ❑ Dispenser— [:11 ❑ Dispenser— ❑ ❑ 8. Leak detection is properly located within under-dispenser containment. Yes I No I N/A Yes No N/A Dispenser— 1/2 Multi-product Dispenser— ❑ ❑ I ❑ Dispenser— ❑ ❑ [_1 Dispenser— ❑ ❑-_El Dispenser— El E] [-IDispenser— E] EJ El Dispenser— ❑ 01 El Dispenser— ❑ ❑ PAPERWORK INSPECTION Yes No N/A Date Done 9. Monitoring System Certification was completed within the past 12 months? M ❑ ❑ 9/27/2007 10. Line Leak Detectors were tested/certified within the past 12 months? 0 ❑ 9/27/2007 11. Spill bucket(containment structure)testing completed within the past 12 months? ® ❑ ❑ 9/27/2007 12. Line tightness testing completed within the required time frame? ® ❑ ❑ 2/13/2007 13. Secondary containment tests completed within the required time frame? M ❑ ❑ 10/5/2007t- 14. 0/5/2007 14. Enhanced Leak Detection completed within the required time frame? ❑ I ❑ I EIt OS" 15. Other required testing/maintenance was completed within required time frame? (List test/maintenance items e1ow.) Describe Test/Maintenance: Drop Tube Integrity Test-every 3 yrs I M I ❑ I ❑ 1 10/31/2005 Describe Test/Maintenance: Static Torque&Rotation Test-every 3 yrs N I ❑ I ❑ 1 10/31/2005 FACILITY EMPLOYEE TRAINING Yes No N/A 16. Have all facility employees received the required on-the-job training within the past year? ® I El I ❑ 17. Have all facility employees hired within the past 30 days received the required on-the-job training.? EIJEJ ❑ Note: Explain any"No"answers in the"Comments"section on the following page. Those issues require corrective action from the UST owner/operator. IIN-057-1/2 www.unidoes.org 9126/0.5