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Designated Underground Storage Tank (UST) Operator <br />Monthly Visual Inspection Checklist <br />Facility Name: Ryder Stockton <br />Date: 12127/12 <br />Facility Address: 3633 Duck Creek Drive <br />City: Stockton <br />Zip Code: 95215 <br />Desi ted UST Operator Conducting the Inspection: Rolando Urbina <br />2 <br />International Code Council Certification #: 8009631 -UC <br />Expiration Date: 10/24/2014 <br />Signature: <br />Phone: 408-942-8686 <br />Y - Yes. *4 - No. NA - Not <br />Item I <br />NfONUMRlNt; PANEL. / ;ll,:tiRt1 111STORY Y N N k <br />F <br />Momtonnu Nr,tcm is p4nNercdon ittut in mt'x:r operawig m0dc, <br />X <br />2 <br />Morviorin s 'stern is not cutmttl • shov.-mg any alarms or warnings- <br />X <br />3 <br />Alarm history report�log tier the previous trnxtth is available, and has been revtc%kcd by the <br />Designated UST ator, (. mx-h a con rif the alarm history n• wrIhs to this fi)rm if awl& hle.,e <br />X <br />4 <br />Fsch alarm for the previous nkynth has beech responded to appropnattly. <br />X <br />5 <br />Sensori located in tank -top etynntinment sunt s have not alarmed in the past month.. <br />X. <br />53 Liss till itmk-top ..motpz where alarms rwc r[rrcc/ in the p isi monde _L l y <br />f Molr Svovs q'Arrr Wt trA j'm tistt .N .Yrn•,l to eke 11.{it M Mfk Woo he Itathm W intlesi a ywei2/[eat wmcr tet k yr, tw* rt,ipotfiW M ,Inti ._- <br />_— iiii�-._.� "'r�' .� �S r.,<<}. ri. . ,. cx, .,.�.,rre fir- n ,., +e ,ewu:>..�rat-neL WrF'mtnsu.• .� rist h, tha. r�-t+; ,rf <br />LST S1STEM INI SPECft0s, <br />Tank -top omtainment sump.% are free orf water, debris, and hazardous substarwe. Senstxs are located prolwl} <br />! w. 6lxrat[ in.�rat hon.':/ fiendn o "'th.h.. r uirtiiot +>a+r. ,.teem• un.tl," fru. � ceored to the 1%nl ,w.snth -� wiln h rkrn• a (mr vk^i, a -� <br />Y-� N Y <br />Satre_P LoXwfiew: Diesel titain t X Used Oil !C <br />Sun Ltx•ation: Diesel Reserve X ° Sump Lo[ glue: i <br />Stimp L[4 arion. New (ail X Sump Lrm,rtinn; <br />Spill containment structures are free of water, dobrls, and hazardous substant.'e. <br />' Y 1 N I NA Y <br />�`-- <br />N NA <br />_ <br />Tank (' C'ontenn: Diext I !viain X Tank 3 - tiwwntt NcWtail - - X <br />1 Tank 2 - (i,ntentt: Dit-set Reserve X rank 4 • Contents. l'.wd Oil X <br />Urkkt-4.6periser containment area are free of water. debris, and hazardous Substance. Sensors are kowe ted properly. <br />Du nnsir 1 2 X I)i.t rrttser4 X <br />1)iK le7LV'E'r ?�� r JFF .h:'r1.Yc'r X <br />l)izph'nsrr ( X L1,'ltit'r X <br />11i.c r. eerie Z \ 13txt. rtstr X <br />PAPERWORK INSPECTICIN Y N NA DATE: DONE <br />— <br />t) <br />Monitoring system c�ertific ttiun has born rom pitted within past 12 muntlrv. X 12 <br />it) <br />Srcondary containrimnit ic%ts have hien coo lewd within the required timeframe. X <br />S ilI containment •tnwture_ (btwkct; to ttng was cttnwelrted «rthin the psw year. X t 1 912 <br />_Ll <br />12 <br />• i-ank tt t ties+ testing teas con lewd within rtqutred ttnWftatrto_ i i X <br />- <br />13 <br />l.lm ti ttie7i testing was ctinil,lztrd within rtllutred timelramc. �- <br />14 <br />ocher r uiriad �%as com leted within requircd tirmthame: iLtst t['.}t rrtuitttt'n[NJi't� lti�trit !r['!r)ti`f -- <br />---T <br />)— <br />!'esll.3luitffrtrttrn'e.' <br />r'ert'.t1u111rt1FUnt_e..' ---- T <br />r'i'ot, lhtrnhv;,rn['e i <br />FACILITY FNIPLOYEE TRAINING N <br />N.A <br />15 <br />_ <br />All facitity ctnploec% hast recened the required on—the—job training within the past scar. _ 1 <br />I(� <br />fill lactlity eiri loyees hired within ilio past 10 [favi plate reecked the required ilei -the -job traintIng, <br />X <br />Note: Any answer of "N" should be explained in the comment section on the following page, and will require <br />follow-up action. <br />Page I of 2 September 2004 <br />