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Monthly Inspection Checklist <br /> This inspection record must be completed each month for each tank except the month in <br /> which an annual inspection is performed. Provide further description and comments, if <br /> necessary, on a separate sheet of paper and attach to this sheet. *Any item that <br /> receives "yes" as an answer must be described and addressed immediately. <br /> * IN IDescription & Comments <br /> Storage tanks <br /> Tank surfaces show signs of leakage <br /> Tanks are damaged, rusted or deteriorated Vol <br /> Bolts, rivets, or seams are damaged <br /> Tank supports are deteriorated or buckled <br /> Tank foundations have eroded or settled <br /> Level gauges or alarms are inoperative <br /> Vents are obstructed <br /> Secondaly containment is damaged or stained <br /> Water/product in interstice of double-walled tank <br /> Dike drainage valve iso en or is not locked ✓ <br /> Piping <br /> Valve seals, gaskets, or other appurtenances are <br /> leaking <br /> Pipelines or supports are damaged or deteriorated <br /> Joints, valves and other appurtenances are leaking v <br /> Buried piping is exposed <br /> Loading/unloading and transfer equipment <br /> Loading/unloadingLoadinglunloading rack is damaged or deteriorated <br /> Connections are not capped or blank-flanged <br /> Secondary containment is damaged or stained <br /> Berm drainage valve is open or is not locked <br /> Overfill Protection <br /> Overfill devices Working <br /> Evidence of overfill incident Cl-' <br /> Security <br /> Cameras or lighting is non-functional +� <br /> Pumps and valves are locked if not in use <br /> Response Equipment <br /> Response equipment inventory is complete <br /> Date: 16 Signature: <br />