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E LJ Designated Underground Storage Tank (UST) Operator Monthly Visual Inspection Checklist Facility Name: ConocoPhillips Site #2705447 Date: I0/30fl06 Facility Address: 1469 E. Hammer Ln. Monitoring system is powered on and in proper operating mode. X City: Stockton Zip Code: 95210 Designated UST Operator Conducting the Inspection: Julie Lee Alarm history report/log for the previous month is available, and has been reviewed by the X Designated UST Operator. (Attach a copy of the alarm history reporillog to thisform if available.) International Code Council Certification #: 5248777 -UC Expiration Date: 12/14/2006 Signature: Phone: (510) 245-5218 V = Yes, N = No, NA = Not Applicable Item MONITORING PANEL / ALARM HISTORY Y N NA I Monitoring system is powered on and in proper operating mode. X 2 Monitoring system is not currently showing any alarms or warnings. X 3 Alarm history report/log for the previous month is available, and has been reviewed by the X Designated UST Operator. (Attach a copy of the alarm history reporillog to thisform if available.) — 4 Each alarm for the previous month has been responded to appropriately. X 5 Sensors located in tank -top containment sumps have not alarmed in the past month. X 5a List all tank -top sumps where alarms occurred in the past month: N/A Note: Sumps where an alarm has occurred in the past month must be inspected unless a qualified service technician responded to, and properly addressed, the cause of the alarm. Attach documentation verifying appropriate service to this report. Ifsum ins eclion is rvuire�,, record results in item 6, below. UST SYSTEM INSPECTION 6 Tank -top containment sumps are free of water, debris, and hazardous substance. Sensors are located properly. —10o. Note: Visual inspection ofsumps is only required in sumps where an alarm has occurred in the past month or which there is no service record. Y N Sump Location: Sump Location: Sump Location: t" RM 3A I Y Sump Location: Sump Location: Sum v Location: 7 Spill containment structures are e of water, debris, and hazardous substance. Y N NA Y N NA Tank I — Contents: 91 X Tank 3 — Contents: 87 X Tank 2 — Contents: 89 X Tank 4 — Contents: Diesel X 8 Under -dispenser containment areas are free of water, debris, and hazardous substance. Sensors are located properly. Y N NA Y N NA Dispenser 1/ 2 X Dispenser 9110 X Dispenser 3 4 X Dispenser 11 12 Dispenser 5 6 X Dispenser 13 14 Dispenser 7 8 X 2-P 15116 -- PAPERWORK INSPECTION Y N NA DATE DONE_ 9 Monitoring system certification has been completed within past 12 months. X 10 Secondary containment tests have been completed within the required timeframe. X 11 Spill containment structure (bucket) testing was completed within the past year. X 12 Tank ti htness testing was completed within required timeframe. X 13 Line tightness testing was completed within required timeframe. I I X 14 Other required testing/maintenance was completed within required timeframe. (List test/maintenance items below.) Test/Maintenance: Test/Maintenance: Test/Maintenance: 777 -77 75777 77,,�,,T77777 FACILITY EMPLOYEE TRAINING Y N NA 15 All facility employees have received the required on-the-job training within the past year. X 16 All facili!X employees hired within the past 30 days have received the required on-the-job training. x Note: Any answer of "N" should be explained in the comment section on the following page, and will require follow-up action. Page 1 of 2