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1400 E. Victor Rd, Lodi, CA 95240 PR0529108 10/14/2021 Program: APSA PHOTO 5: The 01/07/202.1 monthly ins ection checklist was incom lete (page 2 of 2) Is the primary tank free of water or has another preventative measure been taken? / 4 NOTE: Refer to paragraphs 6.10 and 6.11 of the standard for alternatives for Category 1 r1Yes ❑No ❑N/A tanks.N/A is only appropriate for these alternatives. 5 For double-wall or double bottom tanks or CE-ASTs, is interstitial monitoring equipment (where applicable)in good working condition? ❑Yes ❑No ❑N/A 6 For double-wall tanks or double bottom tanks or CE-ASTs,is interstice free of liquid? Remove the liquid if it is found.If tank product is found,investigate possible leak. ❑Yes ❑No ❑N/A Equipment on tank 7 If overfill equipment has a"test'button,does it activate the audible horn or light to confirm operation?If battery operated,replace battery if needed. As ❑NO A/A 8 Is overfill prevention equipment in good working condition?If it is equipped with a ( .4Amechanical test mechanism,actuate the mechanism to confirm operation. Q'Yes ❑ NO 9 Is the spill container(spill bucket)empty,free of visible leaks and in good working condition? ❑Yes ❑No ❑ N/A 10 Are piping connections to the tank(valves,fittings,pumps,etc.)free of visible leaks? Note:if"No",identify location and describe leak. ❑YesENO 11 Do the ladders/platforms/walkways appear to be secure with no sign of severe corrosion or damage? ❑Yes4N/A Containment(Diking/Impounding) 12 Is the containment free of excess liquid,debris,cracks,corrosion,erosion,fire hazards and other integrity issues? ❑Yes ❑No ❑N/A 13 Are dike drain valves closed and in good working condition? ❑Yes ❑No ❑ N/A 14 Are containment egress pathways clear and any gates/doors operable? ❑Yes ❑No ❑ N/A Concrete Exterior AST(CE-AST) 15 Inspect all sides for cracks in concrete. Are there any cracks in the concrete exterior larger than 1/16"? ❑Yes ❑ No TN/A 16 Inspect concrete exterior body of the tank for cleanliness,need of coating,or rusting whereapplicable. Tank exterior in acceptable condition? ❑Yes ❑ No Visual inspect all tank top openings including nipples,manways,tank top overfill containers, and leak detection tubes. Is the sealant between all tank top openings and concrete intact ❑Yes ❑ No and in good condition? Other Conditions 18 Is the system free of any other conditions that need to be addressed for continued safe operation? ❑Yes ❑ No Monthly Checklist D.,,,,,-) „F, VICKY VANG-LEE, EHS Page 5 of 5