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Siris t BULK CHEMICAL STORAGE AND EQUIPMENT INSPECTIONS <br /> Name of Inspector: Os c./, 1-4e_4, Date: /0-3f-f 7 <br /> Description Yes or Date Initials <br /> P No Description of Repairs Needed Completed Completed By: <br /> 1. Are all tanks labeled with contents,E.P.A.establishment numbers and net contents? ®/N <br /> 2. Are all secondary and operational area containments free of debris and foreign material? qo)/N <br /> 3. Are appurtenances and containers protected against damage from personnel and moving N <br /> equipment?(i.e.pipe supports,guardrails,etc.) <br /> 4. Are all valves leak free? No drips or leaks. m/N }�4� -,IL i5ot' <br /> C-rn <br /> 5. Are all pumps leak free? No leaks or drips �/N <br /> 6. Are all pipes leak free? No leaks or drips. r N <br /> 7. Are all pumps and hoses in good condition with hoses racked off the ground? N <br /> 8. Are tank locks used on valves or security provided against vandalism? Example fenced or <br /> indoors. N <br /> 9 Is the chemical containment and sump dry? (Rain within 24 hours or current rain will <br /> require draining at next reasonable time) �/N <br /> 10. Are the load out pad and sump dry and free of rain water? (see ii9 for 24 hour rule) N <br /> 11. Are the cracks in the chemical containment and load out pad repaired and properly sealed? N _ <br /> 12. If drip pans or pails are used are they empty and cleaned on a regular schedule? N 7 :_ <br /> 13. Are all chemical tanks in a leak free condition and free from wet spots or seepage? e/N —.0 <br /> 14. Are all stationary tanks adequately anchored(or elevated)to prevent flotation,and are �7py <br /> anchors in good condition? lJ N ril Z <br /> 15. Are all electrical circuit boxes labeled,cover(s)in place and all knockouts plugged? /N M <br /> 16. Are electrical outlets covered and grounded? V N <br /> 17. Are all elevated work platforms provided with necessary railings,toe boards,ladders,and v 00 <br /> stairways? ®/N '� <br /> 18. Is electrical conduit and wiring in good repair?No breaks or strain relief broken or pulled <br /> apart. Nom{ <br /> 19. Are tanks marked as"Confined space Permit Required?" a/7N <br /> a. <br /> Retail Facility Inspections Ver.l <br />