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REEF-Vt <br />0 7 <br />Monthly Inspection Checklist 2017 <br />This inspection record must be completed each month for each tank except the month in <br />which an annual inspection is performed. Provide further description and &14ents, if JALHEALTH <br />necessary, on a separate sheet of paper and attach to this sheet. *Any item that QAPTA.fiPK7 <br />receives "yes" as an answer must be described and addressed immediately. <br />INRNWMM• MMYOI WE, <br />Storage tanks <br />Tank surfaces show signs of leakage <br />Tanks are damaged, rusted or deteriorated <br />Bolts, rivets, or seams are damaged <br />Tank supports are deteriorated or buckled <br />Tank foundations h a ve eroded or settled <br />Level gauges or alarms are inoperative <br />Vents are obstructed <br />Secondary containment is damaged or stained <br />Waterlproduct in interstice of double -walled tank <br />Dike drainage valve is open or is not locked <br />Piping_ <br />Valve seals, gaskets, or other appurtenances are <br />leaking <br />Pipelines or supports are damaged or deteriorated <br />Joints, valves and other appurtenances are leaking <br />Buried piping is exposed <br />Loadinglunloading and transfer equipment <br />Loaq�inunloading rack is damaged or deteriorated <br />Connections are not capped or blank -flanged <br />Secondary containment is damaged or stained <br />Berm drainage valve is open or is not locked <br />Overfill Protection <br />Overfill devices Working <br />Evidence of overfill incident <br />Security <br />Cameras or lighting is non-functional <br />umps and valves are locked if not in use <br />Response Equipment <br />Response equipment inventory is complete <br />Date: 10 20 � -2-0 1-7 Signature: -T (A <br />