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Monthly Inspection Checklist <br /> This inspection record must be completed each month for each tank except the month in which <br /> an annual inspection is performed. Provide further description and comments, if necessary, on a <br /> separate sheet of paper and attach to this sheet. *Any item that receives "yes" as an answer <br /> must be described and addressed immediately. <br /> Y* N IDescription & Comments <br /> Storage tanks AST#2-12,000 gals Unleaded Regula Gasoline <br /> Tank surfaces show signs of leakage <br /> Tanks are damaged, rusted or deteriorated <br /> Bolts, rivets, or seams are damaged <br /> Tank supports are deteriorated or buckled <br /> Tank foundations have eroded or settled <br /> Level gauges or alarms are inoperative <br /> Vents are obstructed <br /> Secondary containment is damaged or stained <br /> Water/product in interstice of double-walled tank <br /> Enclosure drainage valve is open or is not locked <br /> Piping <br /> Valve seals, gaskets, or other appurtenances are <br /> leaking <br /> Pipelines or supports are damaged or deteriorated <br /> Joints, valves and other appurtenances are leaking <br /> Raised piping is exposed <br /> Loading/unloadingLoading/unloading and transfer equipment <br /> Loading/unloadingLoaqViglunloading rack is damaged or deteriorated <br /> Connections are not capped or blank-flanged <br /> Secondary containment is damaged or stained <br /> Enclosure drainage valve is open or is not locked <br /> Overfill Protection <br /> Overfill devices Working <br /> Evidence of overfill incident <br /> Security <br /> Cameras or lighting is non-functional <br /> Pum s and valves are locked if not in use <br /> Response Equipment <br /> Response equipment inventory is complete <br /> Date: Signature: <br /> 60 <br />