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Annual Facility Inspection Checklist <br /> This inspection record must be completed each year. If any response requires further elaboration, provide comments <br /> in Description&Comments space provided. Further description and comments, if necessary, must be provided on a <br /> separate sheet of paper and attached to this sheet.*Any item that receives"yes"as an answer must be described <br /> and addressed immediately. <br /> Storage Tanks N/A Y** N Description &Comment <br /> Aboveground Fuel Tank No. 1 <br /> Diesel Fuel N <br /> Tank surfaces show signs of leakage <br /> Tank is damaged, rusted or deteriorated <br /> Bolts, rivets or seams are damaged 0 <br /> Tank supports are deteriorated or buckled <br /> Level gauges or alarms are inoperative <br /> Vents are obstructed <br /> "Berm"is clear of debris/obstructions <br /> "Berm" is clear of petroleum product +6v t`•r. CS s'UtiJ- ges 1 e- <br /> Tank shows deterioration of paint rx( <br /> Tank Signage is deteriorating K: <br /> Overfill Box is closed&secured <br /> Overfill Box has product present <br /> NFPA 704 Placard attached <br /> Fire Extinguisher Present& Current <br /> Drains free from evidence of product <br /> Tank Illumination Operational <br /> Emergency Vents Operational y <br /> Ground is clear of petroleum product <br /> Aboveground Fuel Tank No. 2 <br /> Diesel Fuel <br /> Tank surfaces show signs of leakage <br /> Tank is damaged, rusted or deteriorated <br /> Bolts, rivets or seams are damaged <br /> Tank supports are deteriorated or buckled <br /> Level gauges or alarms are inoperative <br /> Vents are obstructed <br /> "Berm" is clear of debris/obstructions <br /> "Berm" is clear of petroleum product <br /> Tank shows deterioration of paint <br /> Tank Signage is deteriorating <br /> Overfill Box is closed&secured <br /> Overfill Box has product present <br /> NFPA 704 Placard attached <br /> Fire Extinguisher Present& Current <br /> Drains free from evidence of product <br /> Tank Illumination Operational <br /> Emergency Vents Operational <br /> Ground is clear of petroleum product <br /> Aboveground Fuel Tank No. 3 <br /> Diesel Fuel <br /> Tank surfaces show signs of leakage <br /> Tank is damaged, rusted or deteriorated <br /> Bolts, rivets or seams are damaged <br /> Tank supports are deteriorated or buckled <br />