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Tracy Truck and AWO Stout <br />i <br />RECEIVED <br />t_ ^0 <br />C J) <br />OCT 19 217 <br />MONTHLY FACILITY <br />INSPE <br />TION CHECKLIST (Attachment B <br />NVIRONMENTALHEALTH <br />Instructions: This <br />nspection record <br />P ,�c pe <br />will be completed every month. Place arf-SrnT'tPie� 6apr �ropriate box <br />for each item. If aiLy <br />response requires <br />elaboration, do so in <br />the Descriptions & Comments space <br />provided. Further, <br />escriptions or <br />comments should be attached on a separate sheet of paper if <br />necessary. <br />Yes <br />No Descriptions & Comments <br />Tank surfaces show <br />signs of leakage <br />❑ <br />Tanks are darnage <br />, rusted or dei <br />eriorated <br />❑ <br />to <br />Bolts, rivets, or se <br />ms are dama <br />ed <br />❑ <br />Tank supports are <br />deteriorated or <br />buckled <br />❑ <br />�t7 <br />Tank foundations I <br />ave eroded oi <br />settled <br />❑ <br />Level gauges or al <br />nns are inop <br />rative <br />❑ <br />JZ1 <br />Vents are obstructc <br />d <br />❑ <br />Valve seals or gasb <br />ets are leaking <br />❑ <br />Pipelines or suppo <br />is are damagE <br />d or deteriorated <br />❑ <br />0 <br />Buried pipelines am <br />exposed <br />❑ <br />Loading/unloading <br />area is damaged <br />or deteriorated <br />❑ <br />Connections are ric <br />t capped orb <br />ank-flanged <br />❑ <br />Secondary containinent <br />is dama <br />ed or stained <br />❑ <br />Dike drainage val <br />s are open <br />❑ <br />Fencing, gates, or <br />lighting is non-functional <br />❑ <br />❑ /� l `� <br />Signature: <br />/ � � <br />�� <br />Date: <br />_n <br />Tracy Truck and AWO Stout <br />