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Spill Prevention, Control and Countermeasure Plan <br />For Deuel Vocational Institution <br />APPENDIX H <br />MONTHLY ASSESSMENT FORM <br />Date: <br />Inspector Name: <br />!Signature; <br />Aboveground Storage Tanks <br />Yes/ No Comments <br />Signs of leakage? <br />Tank condition ok? <br />Foundation ok? r 17 <br />Gauges / alarms. <br />i working properly? <br />7 <br />�Dispensers working <br />properly <br />!All signage ok? Y/11 <br />Cracks s <br />�- <br />containment? i JA 10 2018 <br />Spill cleanup <br />:equipment ok? <br />—EWWRO 1,19va— <br />C 11 1113 <br />CLUI Ly R�VICCS 0 <br />Oil Drum,§t--&r—age Areas <br />Yes No Comments <br />Signs of leakage? <br />n <br />Iwater? <br />Op.. <br />ltr-i-c—ks /Teaks in <br />'Spill cleanup <br />1 equipment ok? <br />'Security devices ok? <br />-Emergency Electrical Generators <br />Yes/ No <br />,Signs of leakage? <br />Comments <br />H-\Wproce:,t\765$4',EIVI\Frn.i!"SPCCPlar,2Cjl3-f,n;jI doc H-1 <br />