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MONTHLY IN-SERVICE, VERTICAL, ABOVEGROUND, <br />BUCKEYE PAgTNEFiB,L.R ATMOSPHERIC TANK INSPECTION FORM <br />INSPECTION DATE: <br />TANK NUMBER <br />LOCATION NAME: <br />LOCAL LEVEL GAUGE READING: <br />LOCATION CODE 2 OR 5 LETTERS): <br />HAND GAUGE READING' <br />PRODUCT STORED: <br />REMOTE LEVEL READING IF APPLICABLE); <br />' See following Danes for addllional auldance <br />Items to be Inspected " I No Yes N/A Comments / WO # <br />DIKED AREA AROUND TANK <br />1. Is the dike wall damaged likely causing reduced capacity or does a dike liner <br />have holes? <br />2. Is the dike drain valve inoperable, leaking or incorrect) left open? <br />3. Is there product on the ground, or floating on water inside the dike? <br />4. Are materials stored in the dike that present a Fre hazard? <br />5. Is there product leaking from the tank, piping or valves within the dike? <br />TANK FOUNDATION AND BOTTOM <br />6. On tanks with leak detection ports, is vapor present (LEL > 0) at any of the <br />leak detectionports? check all <br />7. is the concrete foundation broken or are voids/soil loss present under the <br />tank bottom to the extent that immediate re air is required? <br />8. Is the bottom angle/chime covered with soil, vegetation or water? <br />9. Does the bottom angle/chime have significant corrosion? <br />10. If grounding is present, is it disconnected? <br />TANK SHELL <br />11, Are there any major deformations (buckling) in the shell? <br />12. Is there evidence of leaks around the tank shell (rivet heads, connections, <br />lu s)? <br />13. Are the stairway, platforms or any hand rails in need of repair (broken <br />welds, missing bolts significant corrosion)? <br />14. Are there areas of paint degradation allowing for corrosion resulting in <br />visible metal loss? <br />APPURTENANCES <br />15. Does the local level gauge mismatch (>1/4") the hand gauge? Enter <br />comment if tank does not have accessible gauge hatch. <br />16. Is the alarm system disconnected or inoperable? (visual Inspection) <br />17. Is the fixed roof vent impacted by corrosion or bird/bees nests that would <br />prevent proper venting? <br />INSULATION If applicable) <br />18. Does insulation have damaged areas, or is it not sealed to prevent water <br />Intrusion? <br />TANK FIXED CONE ROOF <br />19. Does the fixed roof have significant distortion, buckling, corrosion or holes? <br />FLOATING ROOF, IF APPLICABLE (ONLY VIEW THROUGH ONE <br />INSPECTION HATCH IF ACCESSIBLE WITHIN HANDRAIL AREA <br />20. Is any product or significant water present on the floating roof? <br />OTHER <br />21. Are there any other unusual Items not covered above that need further <br />Investigation or attention add comments)? <br />IF ANY YES BOXES ARE CHECKED, NOTIFICATION SENT TO (PRINT NAME(S)): <br />INSPECTOR NAME (PRINT): <br />INSPECTOR SIGNATURE: <br />OPERATIONS MANAGER OR LEAD NAME (PRINT): <br />OPERATIONS MANAGER OR LEAD SIGNATURE <br />NOTES: <br />-FLOATING ROOF EMISSIONS ISSUES NECESSITATE IMMEDIATE CONTACT OF LOCAL HSSE REP AND D'STRICT PROJECT MANAGER TO DISCUSS RESPONSE <br />-EMISSIONS ISSUES REQUIRE REPAIR OR TAKING TANK COS WITHIN 45 DAYS OF DISCOVERY. <br />DISTRIBUTION: <br />UPLOAD FILE TO BEST DATABASE. (LOG -IN REQUIRED, GO TO TANKS, TANK MANAGEMENT, DOCUMENTS TAB, ADD DOCUMENT, SELECT MONTHLY INSPECTIONS) <br />195 OM F-37 MA D-04 Form A - Monthly In -Service Aboveground Vertical Atmospheric Tank Inspections 11/14 <br />