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UNDERGROUND STORAGE TANK SYSTEM DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT Facility Name: City of Lodi Inspection Date: December 24, 2007 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 I MONITORING PANEL/ALARM HISTORY Yes No I N/A 1. Is the monitoring system powered on and in proper operating mode? ® El 2. Is the monitoringsystem not currently showing any leak alarms? ® ❑ ❑ r43. Is the Alarm History Report/log for the previous month available,and has it been reviewed by the ® ❑ ElDesignated UST Operator? (Attach a copy of the alarm history reporUlog to this inspection form.) . Has each alarm for the previous month been responded to appropriately? ® ❑ 1 ❑ r UST SYSTEM INSPECTION 5. Are tank-top containment sumps free of water,debris,and hazardous substance? Note_If the answer to/tent 4 was"Yes,"skip { to Item f,_ Sumps it an alarm has occurred in the rust month nmst he inspected it-it qualified semce tectuncicnt/las not responded to,and property addressed,the cause o the alarm.Documentation vert,•in g garopr7ale service should be attached to this report. Yes No Yes No j, Sump Location: S/W Fuel Island E ❑ Sump Location: N/E Fuel Island ® ❑ Sunip Location: N/W Fuel Island ® ❑ 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 I ID— 10,000 Unleaded B-T El Tank 4]D—Waste Oil Li Tank 2 ID— 2,000 Unleaded ® ❑ ❑ Tank 5 ID— ❑ ❑ ❑ Tank 3 ID— 5,000 Diesel N I El ❑ Tank 6 ID— ❑ ❑ ❑ 7. Are under-dispenser containment areas free of water,debris,and hazardous substance? Yes No N/A I Yes No N/A Dispenser— 1/2 Multi-product ® ❑ [:J I Dispenser— ❑ ❑ El Dispenser— ❑ ❑ Dispenser— ❑ ❑ i Dispenser— ❑ ❑ ❑ Dispenser— ❑ ❑ ❑ Di enser— E] [JLlDispenser— ❑ El 1:1 8. Leak detection is properly located within under-dispenser containment. Yes No N/A Yes No N/A Dispenser— 1/2 Multi-product ® ❑ ❑ Dispenser— ❑ 11 ❑ Dispenser— ❑ ❑ Dispenser— ❑ ❑ Dispenser— ❑ ❑ ❑ Dispenser— ❑ ❑ I ❑ Dispenser— [T ❑ ❑ Dispenser— ❑ ❑ 1 ❑ PAPERWORK INSPECTION Yes No N/A Date Done 9. Monitoring System Certification was completed within the past 12 months? ® EJ ❑ 9/27/2007 10. Line Leak Detectors were tested/certified within the past 12 months? ® El9/27/2007 11. Spill bucket(containment structure)testing completed within the past 12 months? ® [:JE] 9/27/2007 12. Line tightness testingcompleted within the required time frame? ® ❑ ❑ 2/13/2007 13. an Secondary containment tests completed within the required time frame? i4 10405 ❑ 10/5/2007 14. Enhced Leak Detection completed within the required time frame? t 15. Other required testing/maintenance was completed within required time frame? (List lest/maintenance items below.) Describe Test/Maintenance: Drop Tube Integrity Test-every 3 yrs ®] ❑ ❑ 10/31/2005 Describe Test/Maintenance: Static Torque&Rotation Test-every 3 yrs ® ❑ ❑ 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? ® ❑ ❑ FIT Have all facility employees hired within the past 30 days received the required on-the-job training.? ® ❑ ❑ 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