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UNDERGROUND STORAGE TANK SYSTEM DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT FacilityName: Cityof Lodi Inspection Date: March 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: 12120/2008 Signature: Phone: (209) 333-6800 ext.2690 N/A=Not Applwable Item I MONITORING PANEL/ALARM HISTORY JYesJ No I N/A 1. Is the monitoring system powered on and in proper operating mode? INI ❑ I U _ 2. Is the monitoring system not currently showing any leak alarms? ® 0 ❑ 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? p S ❑ ❑ UST SYSTEM INSPECTION 57 Are tank-top containment sumps free of water,debris,and hazardous substance? Note:Ifthe answer to Item 4 was "Yes,"skip to Item 6. ships where un alarm has occurred 111 rhe past 111011th musr he inspected q a qualIied sen•rce techmcum hos not responded to, mid P properly addressed,the cause o the alarm.Documentationyeti a r trate service should be attached io this report. Yes I No No No Sump Location: S/W Fuel IsImid M ❑ Sump Location: N/E Fuel Island ElSump Location: N/W Fuel Island ❑ Sump Location: S/E Shop M El 6. Are spill buckets(containment structures)free of water,debris,and hazardous substance? Yes No N/A Yes No N/A r Tank I ID- 10,000 Unleaded M ❑ ❑ Tank 4 ID-Waste Oil ❑ E] ® t Tank 2 ID- 2,000 Unleaded ® ❑ [-ITank5 ID- ❑ ❑ ❑ Tank 3 ID- 5,000 Diesel M ❑ ❑ Tank 6 ID- ❑ ❑ ❑ 7. Are under-dispenser containment areas free of water,debris,and hazardous substance? Yes No N/A Yes No N/A Dispenser- 1/2 Multi-product M ❑ ❑ Dispenser- ❑ ❑ El a Dispenser- ❑ ❑ ❑ Dispenser- ❑ El j� Dispenser- ❑ ❑ ❑ Dispenser- ❑ ❑ Dispenser- ❑ 1 ❑ 1 ❑ 1 Dispenser- ❑ F1 ❑ 8. Leak detection is properly located within under-dispenser containment. j Yes No I N/A Yes No N/A Dispenser- 1/2 Multi-product ® ❑ ❑ Dispenser- ❑ ❑ Dispenser- ❑ ❑ ❑ Dispenser- Dispenser ispenser-Dispenser- a-0=1 Dispenser- ET ❑ ❑ Dispenser- ❑ ❑ ❑ Dispenser- F=1 ❑ _ ❑ PAPERWORK INSPECTION Yes No N/A Date Done 9. Monitorin System Certification was completed within the past 12 months? ❑ ❑ 9/27/2007 10. Line Leak Detectors were tested/certified within the past 12 months? ® ❑ 9/27/2007 11. Spill bucket(containment structure)testing completed within the past 12 months? ® ❑ ❑ 9/2712007 12. Line tightness testing completed within the required time frame? ® ❑ ❑ 2/13/2007 13. Secondary containment tests completed within the required time frame? ® ❑ ❑ 10/5/2007= i eseA 14. Enhanced Leak Detection completed within the required time frame? I ❑ I ❑ I ® t t g os- 15. Other required testing/maintenance was completed within required time frame? (List test/maintenance items below.) !• Describe Test/Maintenance: Drop Tube Integrity Test-every 3 yrs ® LJE] 10/31/2005 Describe Test/Maintenance: Static Torque&Rotation Test-every 3 yrs J ® 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? M ❑ ❑ 17. Have all facility employees hired within the past 30 days received the required on-the-job training.? M ❑ ❑ Note: Explain any"No" answers in the"Comments" section on the following page. Those issues require corrective action from the UST owner/operator. UN-057-1/2 www.unidocs.org 9/26/05