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Spill Prevention Control and <br /> Countermeasure Plan <br /> Monthly Tank and Containment Inspection Checklist per STI SP-001 <br /> Double walled tank—Periodic Inspection by Owner/Operator; 1 tank per sheet <br /> Facility/Tank: Q i l=S CL 1 A N IL <br /> Date: Inspector: /� _ Aw► U G1.4nN) <br /> 1`l'� <br /> Comments <br /> (jden(z&nature of observation corrective actions taken) <br /> Yes No <br /> p 0 Prior Month Inspection Data Reviewed Prior Inspection Date: <br /> G3' D* Containment drain valves operable& <br /> closed? <br /> ❑* ❑/ Signs of oil leaks around tank,pad, <br /> containment,ground? <br /> ©* �/ Signs of leaks from hoses,piping, <br /> dispenser,fittings? <br /> Er/ D* Ladder&platform secure with no damage <br /> or rust? <br /> ❑* Cracking,scuffing or wear in rubber <br /> hoses? <br /> ❑ D* Level gauge operational and readable? lv/A <br /> ❑ PP* Secondary containment free of water? <br /> ❑ L( Secondary containment free of oil/fuel? <br /> ❑ 0* High level alarm operational? j J/A <br /> 1' ❑* Tank openings properly sealed? <br /> i/ d Load/unload warning signs in good, <br /> condition? <br /> 0�/ ❑* Sorbent materials on hand? <br /> p 21r Fill ports locked? L.oCics tSSt ti <br /> ❑* Ladder&platform secure with no damage <br /> or rust? <br /> E3"' D* Access pathways clear? <br /> ❑* Perimeter fencing/security systems <br /> operational? <br /> Other conditions to be addressed for <br /> O ongoing safe operation and spill <br /> prevts.Alt w OG <br /> Additional CoTrT�mnen . <br /> Note: Discrepancies (*items) need action. Report them immediately to the Facility Manager. <br /> Facility Manager Review: Datej' G' ' <br /> This insp?qgZa'1 <br /> to be retained for three years <br /> Copy or use during inspections. <br /> Revision Date 07125111 <br />