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PACIFKZ]BELL- FUEL <br />OIL SPILL PREVENTION <br />LOADINGOPERATIONS FORM <br />DATE TECHNICIAN FUEL SUPPLIER <br />Name company Name <br />buck Ope+ahxs Name <br />PURPOW: To prevent oil spills during storage lank loading operations and to identify and control spills <br />as soon as possible if they occur. <br />001MCTION PE e, throughout and after lank loading operations. <br />*NOTE: Subtract a Safety margin of 1,000 gals per tank before reporting amount to <br />the tank truck operator. check o,, <br />I 1 <br />® Place sheets of synthetic membrane material over all storm drains ............. I.1 <br />Apply a low wall of absorbing material around fill pipe ....................... I 1 <br />5 Verity with tank truck operator that all hoses values and <br />connections have been inspected ...................................... I.—7 <br />FR f2 <br />ick <br />/-,% <br />Place warning devices (salty cones) in front t <br />and behind the tank truck ....................... ..............II <br />OInstruct tank truck operator not to exceed the stated amount in step 1 ........ ( <br />#nft* p«ow•d <br />I I O Enter the quantity of fuel of delivered to each tank: <br />... .. ..... ... .Check ore <br />1 T tan m present during tank filling ........ _ <br />Tank Not No 2 <br />kv hose Visually inspect valves to make sure no fuel oil is flowing before I I <br />is disconnected ................................................ I J I Quantity <br />4 Take precautionary measures to insure fuel oil in hose does not k <br />flow out onto the parking lot ........................................... <br />El ®Verify with tank track operator that the tank truck systems have <br />kV H MWOR spill should occur notify immediate Supervisor and been properly shut off and disconnected before departure ................. I <br />Emergency Control Center on (415) 5424601 ............................. <br />O M spill should occur contact the follow: 11.1% <br />Local fire department ...................................... (._J <br />O State of California Office of Emergency Service (800) 852-7550 ..... I7 <br />© National Response Center (800) 424-8802 ..................... (. J <br />Immediate Supervisor ..................................... l <br />Check at ChM k <br />1 I <br />Insure that storage tanks fill pipes are securely locked ....................... I I O All of containment and absorbent materials are stored away for future use . .. I <br />® File this form with the Spill Prevention Control and Countermeasure <br />Plan al site location and retain for a period of one year ..............:.. ... I I <br />