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Attachment b <br />TANK INSPECTION CHECKLIST <br />Page 4of4 <br />OCT 2 3 2017 <br />ENVIRONMENTAL. HEALTH <br />DEPARTMENT <br />FACILITY NAME: <br />­7�V�,r�Gu��% <br />FACILITY LOCATION: S . �^ l ��. <br />f 7 <br />DATE OF INSPECTION: -14P 3 <br />Surrounding <br />Area <br />Evidence of Spillage in fill and/or dispersing areas <br />❑ Yes <br />,d No ❑ NA <br />Evidence of Spillage on or in soil <br />❑ Yes El No ❑ NA <br />Evidence of Spillage <br />❑. Yes , 3 No ❑ NA <br />Electrical <br />Equipment <br />Operating controls present and in good condition <br />p Yes <br />❑ No <br />❑ NA <br />Release detection and monitoring equipment present and <br />in good operating condition <br />Z 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 />/0 Yes •❑ No. <br />❑ NA <br />Spill control equipment present and adequate inventory <br />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: <br />Inspector's Signature: Date Signed: <br />Inspector's Name (print): <br />BACC 1602. D BC -Z22 -TRACY <br />