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UNDAGROUND STORAGE TAR SYSTEM DESIGNATED UST OPERATOR MONTHLY INSPECTION REPORT Facility Name: City of Lodi Inspection Date: August 22, 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 NIA=Not A plicable Item MONITORING PANEL/ALARM HISTORY Yes 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 M ❑ ❑ 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? tY- J✓ M ❑ ❑ UST SYSTEM INSPECTION 5. Are tank-top containment sumps free of water,debris,and hazardous substance? Note:If the answer to Item 4 was"Yes,"skip to Item 0. Sumps where till alarm has occrtrrul in the post month mast he inspected it a qualified service technician has not responded to, and property addressed,the cause of the alarm.Documentation vert ing appropriate service should be attached to this report. Yes I No Yes No Sump Location: SAV Fuel Island ® 10 Sump Location: N/E Fuel Island M ❑ Sump Location:N/W Fuel Island ® ❑ Sump Location: S/E Shop M ❑ 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 ® ❑ ❑ Tank 4 ID—Waste Oil ❑ ❑ M Tank 2 ID— 2,000 Unleaded M ❑ ❑ Tank 5 ID— ❑ ❑ = Tank 3 ID— 5,000 Diesel M I ❑ 1 ❑ 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 ❑ Dispenser— ❑ Dispenser— ❑ ❑ ❑ Dispenser— ❑ ❑ ❑ Dispenser— ❑ ❑ ❑ I Dispenser— ❑ ❑ ❑ Dispenser— ❑ ❑ I ❑ I Dispenser— ❑ ❑ 8. Leak detection is properly located within under-dispenser containment. YesjNoN/A Yes No N/A Dispenser— 1/2 Multi-product Dispenser— ❑ ❑ ❑Dispenser— ❑ Dispenser— ❑ ❑ ❑ Dispenser— ❑ Dispenser— ❑ ❑Dispenser— Dispenser— ❑ ❑ PAPERWORK INSPECTION Yes No N/A Date Done 9. Monitoring System Certification was completed within the past 12 months? M ❑ 1 El 9/27/2007 10. Line Leak Detectors were tested/certified within the past 12 months? M ❑ ❑ 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? V 10/5/2007 c :eye 14. Enhanced Leak Detection completed within the required time frame? ❑ ❑ ® tt os.- 15. 5"15. Other re uired testing/maintenance was completed within required time frame? (List tesi/maintenance items below.) Describe Test/Maintenance: Drop Tube Integrity Test-every 3 yrs ® ❑ 11 10/31/2005 Describe Test/Maintenance: Static Torque& Rotation Test-every 3 yrs ® I ❑ 10 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.? Ell ❑ I ❑ Note: Explain any"No"answers in the"Comments"section on the following page.Those issues require corrective action from the UST owner/operator. LIN-057-1/2 www.unidoes.org 9/26/05