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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–Goo Fair oor/N/A–If Yes,Explain: Under pipeline near tank/ <br /> Rusted Bolted Connections:No–If Yes, <br /> Primary Piping Material. tee Fibess/Other Diameter(in.) 2" /N/A <br /> Secondary Piping Material: Steel/ �beglas /Other Diameter(in.) 4" /N/A /None <br /> Piping Connection Type. ead ed/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 /> Venting: <br /> Primary Tank Vent Working Yes Diameter:-2" Adequate Size:Yes Vent Cap:Yes <br /> Clea verified by Bagley Enterprises). <br /> Primary Emergency Tank Vent:Yes -Diameter:_8 in. Lifted properl :&: 0 <br /> f Ok x 2 vents <br /> Secondary Tank Emergency Vent:Yes-Diameter:_8_in. Lifted ProperNot Ok <br /> Venting Sufficient for Tank:Yes/No <br /> How is Tank Level Determined: ctronic Tank Gau Clock Gauge/Stick/Float/Sight-Glass/Other? <br /> Primary Tank Level Gauge Operational and in working order. Yes No/Gauge Moves Freely. es o <br /> Secondary Tank Level Gauge Operational and in working order. es o/Gauge Moves Freely? es o <br /> Description/Comments: <br /> Secondary Tank Interstitial Leak Detection: <br /> Where possible,veri free movement of floats and attachments and external alarms?Yes <br /> Method:Visu Continuo / stitial Monitor in E ui Manual Method: <br /> Tested:Pass/Fail/ N/ of Teste <br /> *Notify tank owner prior to triggering alarm. <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 Equipme : um Internal(type,size) L5 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 /> Dispenser: (type,size)/Other: Gasboy Atlas <br /> Electronic Monitor(Mfg/Model) <br /> Last Calibration/Service Date:-2019/ Description/Comments: Weights and Measure Certified. <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 <br /> 3 <br />