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MONTHLY AST SYSTEM INSPECTION CHECKLIST <br /> DIESEL, MOTOR OIL AND USED OIL DRUMS,AND OILIWATER SEPARATOR <br /> CDCR California Health Care Facility 7707 South Austin Road, Stockton,CA 95215 Date: <br /> Qualified Person Signature verifying that this Inspection has been performed in Signature: <br /> accordance with 40 CFR 112.7(e) Print Name: <br /> 1 2 3 4 5 6 7 <br /> CATEGORY DESCRIPTION—(Answer all questions with: Y,N,or N/A) 10,000-gal 10,000-gal 10,000-gal 10,000-gal 2,000-gal 500 gal 132 gal <br /> Diesel Diesel Diesel Diesel Diesel Diesel Diesel <br /> A TANK CO409NENTS PUMPING AND COLLECT16N AREAS <br /> 1 Condition of Tanks Are all tank surfaces(and paint)in good condition and free from <br /> corrosion? - <br /> 2 Tank Gauges Is the tank gauge accurate and working properly? Are there any <br /> overfill alarms? <br /> Secondary Is the tank secondary clean with no evidence of any leaks or spills? If <br /> 3 there is evidence of product or a spill,arrange for cleanup. Are there <br /> Containment Areas any alarms on the interstitial monitor? If yes,investigate. <br /> 4 Vents Are the primary and emergency vents unrestricted and working <br /> properly? <br /> . <br /> Does the tank have all proper signage(i.e.Tank#,Product,Design <br /> 5 Signage and Working Capacity and Hazard Diamond)on the tank and in good <br /> condition? <br /> Is the fill identified by the proper color code? N/A N/A N/A - <br /> 6 Fill and Spill Is the fill cap in good condifion and seals tightly with no obstructions <br /> Containment inside? Must be maintained closed and locked when not in use. <br /> Is the spill containment clean and free of all liquids?If not,clean <br /> 7 Piping Is the piping and all reels properly supported and in good condition? <br /> Is there any visual evidence of leaks at fittings,joints or along piping? <br /> 8 Delive Instructions Are the instructions posted in the fill area and clear? <br /> 9 Sill Kits Are all of the required spill kits in place and properly stocked <br /> 10 Tank Area Is the area clean,free of spills with no open buckets of oil? <br /> Clean as necessa <br /> B_DRUM STORAGE MECHANIC SHOP <br /> 1 Drums Are the drums in good condition with proper labels? <br /> 2 Secondary Are the drums located on spill pallets? <br /> Containment <br /> 3 Drum Areas Is the drum area clean with no evidence of spills? <br /> 4 Spill Kits Are all of therequired spill kits in place and properly stocked? <br /> C OILNVATERSEPARATOR <br /> 1 If it can be observed,is the discharge from the separator free of oil? <br /> 2 Is there an accumulation of oil in the separator requiring removal? If yes,arrange for removal <br /> 3 When was the last time that oil was removed from the separator? Attach the manifest if within the <br /> last month. <br /> D DESCRIBE ANY DEFICIENCIES HERE <br /> InNmfiow:M reach question elNera M(Yes),'N'(No)or WX(Not A,henble).If.defeetis foal d.M,a tbe,NMem In the DEFICIENCIES sMbn win a refereneeto the seenon end question numbv and ratify the appmpnate pecan form lve eNf h. <br />