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w <br />Level gauges or al <br />s are in <br />RR ,C E D <br />Valve seals or gas <br />C,r T 1 . 2011 <br />MONTHLY FACT <br />ITY INSPE <br />c_Nl'1l 0N1.PL;'.iti Hi EN- H <br />TION CHECKLIST (Attachment B) - - <br />Instructions: This <br />nspection rec <br />Drd will be completed every month. Place an X in the appropriate box <br />for each item. If a <br />y response re <br />uires elaboration, do so 'in the Descriptions & Comments space <br />provided. Further <br />lescriptions or <br />comments should be attached on a separate sheet of paper if <br />necessary. <br />0 <br />ed or deteriorated <br />❑ <br />Yes No Descriptions & Comments <br />Tank surfaces sho <br />signs of le <br />age ❑ <br />Tanks are damage <br />, rusted or del <br />eriorated ❑ �C-1 <br />Bolts, rivets, or se2ms <br />are damaged <br />❑ XPI <br />Tank supports are i <br />leteriorated o <br />buckled ❑ cS ri t---- l <br />,L� <br />Tank foundations Aave <br />eroded oi <br />settled ❑ p c' <br />Level gauges or al <br />s are in <br />Vents are obstruct <br />Valve seals or gas <br />ets are lea <br />Pipelines or supppits <br />are darr <br />Buried pipelines am <br />exposed <br />Loading/unloadm' <br />area is da <br />Connections are n <br />Secondary contairu <br />Dike drainage val <br />Fencing, gates, or <br />Signature: . <br />-���- �- <br />capped or <br />ent is dam <br />are open <br />>_htine is n <br />Date: <br />❑ <br />QI <br />I or deteriorated <br />❑ <br />❑ <br />0 <br />ed or deteriorated <br />❑ <br />0 <br />ink -flanged <br />❑ <br />ed or stained <br />❑ <br />LSI <br />-functional <br />❑ <br />❑ <br />Date: <br />