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Attachment 5 <br />TANK INSPECTION CHECKLIST <br />7ECEIVED <br />OCT 232017 <br />ENVIRONMENTAL HEALTH <br />nC0AQTAAFI\IT <br />Page 2of4_.-- <br />FACILITY NAME: <br />FACILITY LOCATION: d7144e- l 4 • ?525 <br />INSPECTION DATE: l% ' < 317 <br />4,0 <br />Signs of spills or leaks from tank or associated piping? ❑ Yes d No <br />❑ NA <br />4.1 <br />Has the facility had any major spills? ❑ Yes ❑'No <br />❑ NA <br />4.2 <br />Contaminant of concern in major spill? <br />4.3 <br />Is the soil contaminated? ❑ Yes ❑ No <br />Ed NA <br />4.4 <br />Contaminant of concern in soil? <br />4.5 <br />Is the ground water contaminated? ❑ Yes ❑ No <br />INA <br />4.6 <br />Contaminant of concern in ground water? <br />4.7 <br />Is there a ground water monitoring system? ❑ Yes 1� No <br />❑ NA <br />4.8 <br />Number of monitoring wells? <br />4.9 <br />Location of eac <br /> <br /> onitoring? ❑ Daily Weekly ❑ Monthly ❑ Other: <br />5.0 <br />Ongoing cleanup? C] Yes 13 No <br />NA <br />5.1 <br />Organization doing cleanup? Facility: ❑ Yes ❑ No <br />Outside Group: ❑ Yes ❑ No if yes, identify group: <br />5.2 <br />Ongoing investigation? ❑ Yes ❑ No <br />116 NA <br />5.3 <br />Which agency is acting as lead for cleanup? Facility: ❑ Yes ❑ No <br />Outside Group: ❑ Yes ❑ No If yes, identify group: <br />6.0 <br />Has the SWRCB ever inspected the site? ❑ Yes ❑ No If yes, date: <br />6.1 <br />Name of SWRCB contact person? . <br />6.2 <br />Has the -EPA ever inspected the site? ❑ Yes ❑ No If yes, date: <br />6.3 <br />Name of EPA contact person? <br />7.0 <br />Is the SPCC Plan available during working hours? [D Yes ❑ No <br />7.1 <br />Discuss any questions from your review of the SPCC Plan: <br />BA CC 1602.D B C -Z22 -TRACY <br />