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girt , BULK CHEMICAL STORAGE AND EQUIPMENT INSPECTIONS c-A.R_IE Name of Inspector: User r�tL Date: ll.jc. r� Description Yes or Description of Repairs Needed Date Initials No Completed Completed By: 1. Are all tanks labeled with contents,E.P.A.establishment numbers and net contents? N 2. Are all secondary and operational area containments free of debris and foreign material? N 3. Are appurtenances and containers protected against damage from personnel and moving &/N equipment?(i.e.pipe supports,guardrails,etc.) 4. Are all valves leak free? No drips cr leaks. y d„a p 6q$ 4w'b"" 5. Are all pumps leak free? No leaks or drips ®/N 6. Are all pipes leak free? No leaks or drips. N 7. Are all pumps and hoses in good condition with hoses racked off the ground? N Are tank locks used on valves or security provided against vandalism? Example fenced or indoors. ®/N 9. Is the chemical containment and sump dry? (Rain within 24 hours or current rain will require draining at next reasonable time) ®/N 10. Are the load out pad and sump dry and free of rain water? (See t19 for 24 hour rule) N 11. Are the cracks in the chemical containment and load out pad repaired and properly sealed? 60/N 12. If drip pans or pails are used are they empty and cleaned on a regular schedule? 0/N 13. Are all chemical tanks in a leak free condition and free from wet spots or seepage? N 14. Are all stationary tanks adequately anchored(or elevated)to prevent flotation,and are anchors in good condition? f0/N 3 15 Are all electrical circuit boxes labeled,cover(s)in place and all knockouts plugged? A)/Nrn 16. Are electrical outlets covered and grounded? N71 —� 17. Are all elevated work platforms provided with necessary railings,toe boards,ladders,and (it r o stairways? ��N �o 18. Is electrical conduit and wiring in good repair?No breaks or strain relief broken or pulled N `D apart. r 19. Are tanks marked as"Confined Space Permit Required?" N = Retail Facility Inspections Vet.1