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APPENDIX F <br />CONTAINMENT DRAINAGE LOG <br />r�1y��n Dike Drainage or Storm Water Discharge <br />Location: `�/�/ q,►k- ASI Date & Time: <br />Inspector �� <br />Name: '�J -- --- <br />TIME TIME OIL EST VALVES <br />MONTH <br />OUTFALL <br />START <br />STOP <br />REMOVED RELEASED <br />OPENED <br />Mlkr <br />SCJ <br />9,10 <br />q'3i <br />N 506 <br />If Yes, explain what was done to clean it up. <br />� <br />Rrt--- C '"i*VE® <br />31Z-Vfre <br />I.-,go <br />VALVES <br />CLOSED <br />1:3) <br />INITIALS <br />�, U <br />VERIFY <br />Y N NIA <br />CORRECTIVE ACTION / REMARKS <br />1. Water checked for contamination? <br />✓r <br />Anyfound? <br />�- <br />Oil removed? <br />` <br />If Yes, explain what was done to clean it up. <br />� <br />Rrt--- C '"i*VE® <br />2. Water sample taken? <br />V <br />3. Results Received? <br />li II 1 8 2018 <br />4. Time Dike Valve Opened <br />5. Time Drain Checked <br />q . 3J <br />ENVIRONMENTAL <br />HEAI TH P17PARTMENT <br />6. Check #2 <br />7. Check #3 <br />8. Time Drain Closed <br />. 3� <br />9. Estimated amount released <br />S-0 <br />COMMENTS <br />Note: This document must be retained for five <br />� (5) years. <br />Inspector Signature: <br />VV �i i0%C*V4-- <br />Facility Manager Signature: W t 66Cde4A <br />