Laserfiche WebLink
_1 <br />Signature: <br />Date: <br />Tracy Truck and Aulu Jloi) <br />/RECENED <br />OCT 1 ',: 2017 <br />MONTHLY FACILITY INSPECTION CHECKLIST (Attachment Bd <br />(VVIROhMEN.AL HEALTH <br />Instructions: This inspection record will be completed every month. Place anT!TAM' opriate box <br />for each item. If any response requires elaboration, <br />do so in the Descriptions & Comments space <br />provided. Further descriptions or comments should be attached on a separate sheet of paper if <br />necessary. <br />Yes No Descriptions & Conlnlents <br />Tani< surfaces show signs of leakage <br />❑ 1Z1 <br />Tanks are damaged, rusted or deteriorated <br />❑ JL1 <br />Bolts, rivets, or seams are damaged <br />❑ J�7 <br />"hank supports are deteriorated or buckled <br />❑ ;a <br />Tank foundations have eroded or settled <br />❑ IPJ <br />t.,evel gauges or alarms are inoperative <br />❑ ,JtJ <br />Vents are obstructed <br />❑ �1 <br />Valve seals or gaskets are leaking <br />❑ �l <br />Pipelines or supports are damaged or deteriorated <br />❑ <br />Buried pipelines are exposed <br />❑ ,Z <br />Loading/unloading area is damaged or deteriorated <br />❑ <br />Connections are not capped or blank -flanged <br />❑ �( <br />Secondary containment is damaged or stained <br />❑ �1 <br />Dike drainage valves are open <br />❑ fZl <br />Fencing, gates, or lighting is non-functional <br />El /J/ao <br />Signature: <br />Date: <br />Tracy Truck and Aulu Jloi) <br />