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BULK PETROLEUM ABOVEGROUND TANK INSPECTION C}° EC'KL-I_STO 2 2013 <br />M)4), -C), ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />Inspectoi•�),ui'r [:rte r,4.,, r�' Hato ��:. <br />Date: <br />Year; —013 <br />1. is the tank system free of visual sj' Nem <br />of daniage <br />(cracks, dents, corrosion ar leakage): <br />a. Tank exterior -including small <br />cracks in <br />conamrc exterior or rusting on <br />stein <br />components? <br />1�. Piping, hoses, valves, fitting or <br />connections? <br />2, Is the secondary containmcilt frcc of <br />visual signs <br />of damage (cracks, dents, corrosion or <br />lrakagc) <br />3. is equipment functioning properly <br />a.. Pumps, valves, oonncctiottS <br />4, is tank area clean and free of (rash <br />and debris? <br />5. Is tank clearly and legibly <br />betcd: <br />6. Is the tank secured from <br />vandah m/building locked? <br />7. Are the Spill control Supplies nresCnt <br />and well stricken? <br />S a6ad <br />J <br />F <br />M <br />A <br />M <br />.I <br />.1 <br />A <br />S <br />C) <br />IN <br />U <br />a <br />e <br />a <br />p <br />a <br />u <br />u <br />u <br />c <br />C <br />o <br />e <br />n <br />b <br />r <br />r <br />y <br />u <br />1 <br />g <br />p <br />t <br />v <br />C <br />U <br />r <br />C <br />i <br />C <br />Y <br />a <br />1 <br />U <br />C <br />C <br />a <br />u <br />It <br />1 <br />s <br />e <br />b <br />rn <br />m <br />r <br />a <br />t <br />to <br />t <br />b <br />b <br />Y <br />r <br />b <br />r <br />e <br />C <br />Y <br />e <br />r <br />r <br />I I I I ISI I I I I I <br />L'� I Lid <br />I L` <br />Vico 61":01 Eb/+;0/80 <br />