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CCtT 207 <br />�.=RVIRONl .ENZU HEALTH <br />*ve.�� eA -- PERMIT/SERVICES <br />MONTHLY FACILITY INSPECTION CHECKLIST (Attachment B) <br />Instructions: This nspection rec Drd will be completed every month. Place an X in the appropriate box <br />for each item. If ai Ly response requires elaboration, do so 'in the Descriptions & Comments space <br />provided. Further lescriptions or comments should be attached on a separate sheet of paper if <br />necessary. <br />Yes No Descriptions & Comments <br />Tank surfaces shoy <br />i signs of lea <br />age <br />❑ <br />❑ <br />Tanks are damage <br />, rusted or del <br />eriorated <br />❑ <br />0 <br />Bolts, rivets, or sesms <br />are dams <br />ed <br />❑ <br />0 <br />Tank supports are i <br />leteriorated o <br />buckled <br />❑ <br />pn <br />Tank foundations I <br />Lave eroded 01 <br />settled <br />❑ <br />jz <br />Level gauges or al <br />s are inopc <br />rative <br />❑ <br />r] - <br />Vents are obstruct <br />❑ <br />Valve seals or gaslets; <br />are leakin <br />❑ <br />7 <br />Pipelines or suppo <br />ts are damag <br />d or deteriorated <br />❑ <br />lam` <br />Buried pipelines am <br />exposed <br />❑ <br />'(3 <br />Loading/unloading <br />area is dama <br />ed or deteriorated <br />❑ <br />fd <br />Connections are nc <br />t capped orb <br />I ank-flanged <br />❑ <br />Secondary contairu <br />nent is damaE <br />ed or stained <br />❑ <br />,❑ <br />Dike drainage valv <br />as are open <br />❑ <br />Fencing, gates, or <br />lighting is no <br />functional <br />❑ <br />❑ <br />Signature: ��, Date: <br />