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09-05-07 11:14am From-TAIT AMENTAL <br />Taft Environmental 5yftrns <br />UW N" Navlae street • orange. CA 92SSS <br />734.960.8222 phone - 71A.68S.00OG fox <br />714-560-8237 10 T-574 ? 02/03 F-594 <br />Designated Operator Monthly Inspection <br />Checklist <br />Facility Name: ATT Legacy Lodi: CAK482 LODICA02 <br />Date: 08/24/2007 <br />Facili Address: J110 W. TumerRd._ <br />2 <br />__ <br />C' : Lodi <br />Zip Code: 9 <br />Designated UST Op@rator Conducting the Inspection: Koffel Georqe <br />Alarm history reportllog for the previous month is available, and has been reviewed by the <br />Designated UST Operator Attach a copy of the alarm histo report/loreportflon to this_form if available <br />International Code Council Certification #: 5247982 -UC <br />Si nature <br />Expiration Date: 12/19/2008 <br />Phone: 714-920-5387 <br />Item <br />1 <br />MONITORING PANEL_ I ALARM HISTORY — -. <br />Monitoring system is powered on and in operating mode <br />Yes <br />2 <br />— <br />Monitoring system is not currently showing any alarms or warnings _ <br />Yes <br />3 <br />Alarm history reportllog for the previous month is available, and has been reviewed by the <br />Designated UST Operator Attach a copy of the alarm histo report/loreportflon to this_form if available <br />Yes <br />4 <br />Each alarm for the previous month has been responded to appropriately. <br />Yes <br />5 <br />_ <br />Sensors located in tank -top containment sumps have not alarmed in the past month. <br />No <br />5a <br />List all tank -top sumps where alarms occurred in the past month: t.3 North sump <br />Note: Sumps where an atann has occurred in tho PREYmonth must he Inspected unress a quahbw re(Anician mspondod to, and property <br />addressed, the causa or rho alarm. Aftadr documentation ve&yIng approprob someo to this report. !f sump /hspocdon is required record <br />resuus In Itgrn 6 Below. <br />UST SYSTEM INSPECTION <br />_ <br />6 <br />Tank -top containment sumps are free of water, debris, and hazardous substance, Sensors are located property. <br />Note: Visual in tmn of s s rs 4,rl tluired in sumas wne a an alarm has occwmed in tha oaasr owth for which 9wre is no servroe rocord <br />Y/N Oob <br />Y_A OBD Li <br />Sump Location: Sump Location: <br />_ <br />Surny Location: Sump Location: <br />_ <br />Sump Location: Sum Location: <br />7 <br />— -- <br />Spill containment structures are free of water, debris and hazardous substance. <br />Tank 1 - Contents: Diesel <br />Yes <br />Tank 3 - Contents: <br />N/A <br />Tank 2 - Contents: <br />N/A <br />Tank 4 - Contents: - <br />N/A <br />8 <br />Under -dispenser containment areas are free of water, debris, and hazardous substance. Sensors are located <br />prop Y. <br />Dispenser 1/2 <br />N/A <br />—_- <br />Dispenser 9/10 <br />N/A <br />Dispenser 3/4 <br />N/A <br />Dispenser 11/12 — <br />N/A _ <br />_ <br />Dispenser 5/6 <br />N/A <br />Dispenser 13/14 <br />NIA <br />Dispenser 718 _ <br />N/A <br />Dispenser 15116 — <br />N/A <br />PAPERWORK INSPECTION <br />DATE DONE <br />9 <br />Monitorinq system certification has been completed within ast 12 months. Yes <br />07/13/2007 <br />10 <br />_ <br />Seconds containment tests have been completed within the r uired timeframe. Yes <br />09/09/9999 <br />11 <br />SII containment structure bucket testing was completed within the past yenr. Yes <br />07/13/2007 <br />12 <br />Tank thtness testi was completed within required timeframe_ — _ _ NIA <br />13 IlLine <br />t' htness testing was completed within required timeframe. N/A <br />14 1 <br />_ <br />father required testi maintenanoe was completed within required timeframe. (List tesUmaintenance items below. <br />Tesmaintenance. _ _ N/A <br />- <br />Test/Maintenance: N/A <br />_ _ <br />Test/Maintenance: N/A <br />SEP -05-2007 11: 7-6 714 568 8217 98Z <br />P.02 <br />