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I;' <br />RECEIVED <br />C4-fV�J (7_Df t CBCT 19 2017 <br />MONTHLY FACILITY INSPECTION CHECKLIST (Attachment B) =NVIRONMENTALNEALTy <br />PERMIUSEWCES <br />Instructions: This inspection record will be completed every month. Place an X in the appropriate box <br />for each item. If any response requires elaboration, 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 & Comments <br />Tank surfaces show signs of leakage ❑ �' <br />Tanks are damaged, rusted or deteriorated <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 />Valve seals or gaskets are leaking <br />Pipelines or supports are damaged or deteriorated <br />Buried pipelines are exposed <br />Loading/unloading area is damaged or deteriorated <br />Connections are not capped or blank -flanged <br />Secondary containment is damaged or stained <br />Dike drainage valves are open <br />Fencing, gates, or lighting is non-functional <br />Signature: <br />❑ to <br />❑ 21 <br />❑ JA <br />❑ <br />❑ jd <br />El <br />❑ <br />❑ /I <br />❑ A <br />Date: %I 02q-1 -- <br />'rracy Truck and Auto Stop <br />