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BULK CHEMICAL STORAGE AND EQUIPMENT INSPECTIONS eName of Inspector: � f�:� L Date: f�//� Description Yes or Date Initials p _ No Description of Repairs Needed Completed Completed By: 1. Are all tanks labeled with contents,E.P.A.establishment numbers and net contents? Y.j 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 equipment?(i.e. pipe supports,guardrails,etc.) Lr/N 4. Are all valves leak free? No drips or leaks. 5 Are all pumps leak free? No leaks or drips (Y/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 8. Are tank locks used on valves or security provided against vandalism? Example fenced or indoors. C_Y'/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#9 for 24 hour rule) �Y%N 11. Are the cracks in the chemical containment and load out pad repaired and properly sealed? (Y/N 12. If drip pans or pails are used are they empty and cleaned on a regular schedule? Y/N 13. Are all chemical tanks in a leak free condition and free from wet spots or seepage? "Y/.)N 14. Are all stationary tanks adequately anchored(or elevated)to prevent flotation,and are anchors in good condition? y 15 Are all electrical circuit boxes labeled,cover(s)in place and all knockouts plugged? `1'./N 7 �� 16. Are electrical outlets covered and grounded? N Z7 17. Are all elevated work platforms provided with necessary railings,toe boards,ladders,and :- Pi stairways? &j/N 18. is electrical conduit and wiring in good repair?No breaks or strain relief broken or pulled apart. - �/N /` tet: 19. Are tanks marked as"Confined Space Permit Required?" Uv/N Retail Facility Inspections V