Laserfiche WebLink
3ECEIVED <br />Attachment E OCT 2 3 2017 <br />TANK INSPECTION CHECKLIST <br />• ENVIRONMENTAL HEALTH <br />Page 4 of 4 <br />FACIUTY NAME: %�CcOlc'Gv TTL r�JO✓� <br />FACILITY LOCATION: S7 y I f <br />Z <br />D'A'TE OF INSPECTION: <br />Surrounding <br />Area <br />Evidence of Spillage in fill and/or dispersing areas <br />❑ Yes <br />[2' No ❑ NA <br />Evidence of Spillage 'on or in soil <br />❑ Yes IX No ❑ NA <br />,Evidence of Spillage <br />❑. Yes CfJ No ❑ NA <br />Electrical <br />Equipment <br />Operating controls present and in good condition <br />Yes <br />❑ No <br />❑ NA <br />Release detection and monitoring equipment present and <br />in good operating condition <br />E Yes ❑ No <br />❑ NA <br />Emergency <br />Equipment <br />Overfill prevention equipment & alarms in good condition <br />0 Yes <br />❑ No <br />❑ NA <br />Fire control equipment present and in good condition <br />JZ Yes •❑ No <br />❑ NA <br />Spill control equipment present and adequate inventory <br />)Z Yes ❑ No <br />❑ NA <br />Other <br />Proper signage present <br />,('Yes <br />❑ No <br />❑ NA <br />Written operating instructions available <br />❑ Yes ❑ No <br />❑ NA <br />Comments or Corrective Action to be Taken: <br />Date Corrective Action Taken: it <br />inspector's Signature: r Date Signed: <br />Inspector's Name (print):P%1 O L� <br />BACC1602.DBC-Z22-TRACY <br />