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VALLEY PACIFIC PETROLEUM SERVICES <br /> ESCALON FACILITY <br /> SECONDARY CONTAINMENT DRAINAGE RECORD <br /> Secondary containment shall be inspected following rain events and drained as needed. Complete this form for any <br /> drainage of secondary containment. This report must be kept on file by the designated person accountable for spill <br /> prevention for each tank and/or facility for at least three years. <br /> Description:Discharge associated with emptying the secondary containment of UNCONTAMINATED storm water. <br /> Location: Bulk Storage Area/Underground Piping Sump/Loading Rack <br /> (circle one) <br /> Inspection performed by: Title: <br /> Date: <br /> Drain valve initially in locked/closed position? YES / NO <br /> (circle your answer) <br /> Does the secondary containment have storm water build up? YES / NO <br /> (circle your answer) <br /> Does the storm water show signs of oil contamination (i.e. sheen, swirls, layer)? YES / NO <br /> (circle your answer) <br /> If YES, do not discharge the storm water. Contact a petroleum cleanup contractor(Appendix 5) to remove the liquid in <br /> containment. If NO then open the drain valve, monitor the release of fluid, note the times below, then lock the drain valve. <br /> Did you empty the containment? YES / NO <br /> (circle your answer) <br /> Time valve opened: Time valve closed: <br /> I certify under penalty of law that the contents of the containment have been inspected and have drained only water that contains <br /> no sheen of Petroleum, Oils,Lubricants (POL) or POL product. <br /> Signature: <br />