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Spill Prevention, Control and Countermeasure Plan <br />For Deuel Vocational Institution <br />APPENDIX H <br />MONTHLY ASSESSMENT FORM <br /> <br /> Date: <br />Ins ector Name; � j Si nature: , <br />Aboveground Storage Tanks <br />Yes/No l Comments <br />Signs of leakage? � <br />Tank condition ok? <br />5 44 <br />— =:: r?? f <br />Foundation ok? ! <br />Gauges/alarms <br />working ro per1 ? +111 } j <br />Dispensers working <br />properly? yr 5 <br />All signage ck?,� <br />I ye <br />f Cracks/leaks in 2018 <br />containment'?�i N <br />Spill clean upNVIRO�v1'�n <br />equipment ok? S NT L HZALTH <br />Security devices ok? I i �c <br />! Oil Drum Storage Areas <br />Yes/No ! Comments <br />Signs of Leakage? <br />Sheen on collected <br />water? <br />Drums labeled? <br />' �racKshears`ir'1 � <br />containment? <br />_ .. 1.Spill clean up <br />equipment off:? <br />Security devices ok? f <br />Emer ency Electrical Generators _ <br />Yes/No I Comments <br />Signs of leakage <br />li- 1WproccssL65341D%INFinat1SPCCPian2411-fnal.doc H-1 <br />