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Inspection Date: <br /> SECURITY <br /> Fencing, gates, or lighting is non-functional Y* N <br /> Pumps and valves are locked if not in use Y N* <br /> RESPONSE EQUIPMENT <br /> Responses equipment inventory is complete Y N* <br /> CARD LOCK FUELING EQUIPMENT <br /> Dispensers, hoses, nozzles show signs of leakage or damage Y* N <br /> Fueling areas pavement show signs of leakage or damage Y* N <br /> Sub-surface piping sumps dry Y N* <br /> Inspector Signature: Date: <br />