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3 <br />Signs of Stress or Leakage: Yes – If Yes, Explain:_Elbow on pipeline – observed small amount of weaping / <br />corrosion failure under pipeline. _________________________________________________ <br />Severe Corrosion or Coating Failure: Yes – Good / Fair / Poor / N/A – If Yes, Explain:_Under pipeline near tank / <br />Rusted Bolted Connections: No – If Yes, ______________________________ <br />Primary Piping Material: Steel / Fiberglass / Other________ Diameter (in.) ___2”_______ / N/A <br />Secondary Piping Material: Steel / Fiberglass / Other________ Diameter (in.) ___4”_______ / N/A / None <br />Piping Connection Type: Threaded / Welded / Flanged / Other – Description / Comments:_____________________ <br />Primary Piping Condition: Good / Fair / Poor / N/A <br />Other Severe Coating Failure or Degradation: Yes – If Yes, Explain: Rubber Hoses at dock transition are degraded. <br /> <br />Venting: <br />Primary Tank Vent Working: Yes - Diameter:__2”_____ Adequate Size: Yes Vent Cap: Yes <br />Clear (verified by Bagley Enterprises). <br />Primary Emergency Tank Vent: Yes - Diameter:_8___in. Lifted properly: Ok / Not Ok x 2 vents <br />Secondary Tank Emergency Vent: Yes - Diameter:__8___in. Lifted Properly: Ok / Not Ok <br />Venting Sufficient for Tank: Yes / No _____________________________________________________________ <br /> <br />How is Tank Level Determined: Electronic Tank Gauge / Clock Gauge / Stick / Float / Sight-Glass / Other? <br />Primary Tank Level Gauge Operational and in working order? Yes No / Gauge Moves Freely? Yes No <br />Secondary Tank Level Gauge Operational and in working order? Yes No / Gauge Moves Freely? Yes No <br />Description/ Comments: ________________________________________ <br /> <br />Secondary Tank Interstitial Leak Detection: <br />Where possible, verify free movement of floats and attachments and external alarms? Yes <br />Method: Visual / Continuous / Interstitial Monitoring Equipment / Manual Method:__________________________ <br />Tested: Pass / Fail / N/A / Not Tested <br />*Notify tank owner prior to triggering alarm. <br /> <br />Overfill Prevention: <br />Overfill Prevention: Yes <br />Overfill prevention valve Installed: No / Operates Freely: Yes No <br />High Level Alarm Triggers Shutoff: N/A <br />Tested: Pass / Fail / N/A / Not Tested <br />Operating Procedures with max fill specified at tank? No (Describe): _Post at Tank. ______________________ <br />Adequate Protection From Overfill? Yes (if no, explain): __Recommend installing overfill prevention alarm. __ <br />Tank Filling Spill Prevention: Spill Bucket or Box on Tank Top? Yes - If yes, capacity:_____5 gallons__ <br />Remote Fill Spill Box? Yes No / If yes, capacity: _______. Local Containment: Yes No / Describe:_____________ <br />Adequate Protection From Overfill Spill? Yes (if no, explain) ______________________________________ <br />Other Equipment: Pump, Internal (type, size)____1.5 HP Submersible pump _____________________ <br />Fire Valve/ Shear Valve: Yes Operate Freely: Yes Anti-Siphon Valves: Yes (pump based) <br />Operate Properly: Yes Tested: No Adequate: Yes (if no, explain) <br />Solenoid Valves: Yes Operate Properly: Yes Adequate: Yes (explain): Heard activate while onsite._ <br /> <br />Dispenser: (type, size) / Other:______Gasboy Atlas__________________________________________ <br />Electronic Monitor (Mfg/ Model)__________________________________________________________________ <br />Last Calibration / Service Date:_2019 / Description / Comments: Weights and Measure Certified. ___________ <br /> <br />Evidence of Release: No / (if yes, describe). Spill Evidence: No Runoff Evidence: No Staining: No <br />Staining Outside of Containment: No Distressed Vegetation: No <br />Electrical: Any loose or unprotected wiring: Yes – See pictures of loose wires under dock dispenser. _______ <br />Conduits, junction boxes, and other protective equipment sealed as required? Yes