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Annual Facility Inspection Checklist <br /> This inspection record must be completed each year. If any response requires further <br /> elaboration,provide comments in Description&Comments space provided. Further description <br /> and comments, if necessary,must be provided on a separate sheet of paper and attached to this <br /> sheet. *Any item that receives"yes"as an answer must be described and addressed immediately. <br /> VALLEY PACIFIC PETROLEUM SERVICES INC. <br /> Y* N Description&Comments <br /> Storage tanks <br /> Gasoline Tank#I <br /> Tank surfaces show signs of leakage 1 . <br /> Tank is damaged,rusted or deteriorated — — <br /> Bolts,rivets or seams at,damaged <br /> Tank supports are deteriorated or buckled <br /> Tank foundations have eroded or settled <br /> Level gauges or alarms are inoperative . <br /> Vents are obstructed — <br /> _Diesel Tank#2 <br /> Tank surfaces show signs of leakage <br /> Tank is damaged,rusted,or deteriorated ! <br /> L' <br /> Bolts,rivets,or seams are damaged --- <br /> Tank supports are deteriorated or buckled _ <br /> Tank foundations have eroded or settled- <br /> Level <br /> ettled Level gauges or alarms are inoperative i 4� <br /> Vents are obstructed <br /> Gasoline Tank#3 —-- <br /> Tank surfaces show signs of leakage <br /> Tank is damaged,rusted,or deteriorated <br /> Bolts,rivets,or seams are damaged <br /> Tank supports are deteriorated or buckled I —' <br /> Tank foundations have eroded or settled E— <br /> Level gauges or alarms are inoperative <br /> Vents are obstructed <br /> _ Gasoline Tank#4 t <br /> Tank surfaces show signs of leakage <br /> Tank is damaged,rusted or deteriorated <br /> Bolts,rivets or seams are damaged _ <br /> Tank supports are deteriorated or buckled <br /> Tank foundations have eroded or settled _ <br /> Level gauges or alarms are inoperative Vi <br /> SMC 109/30/131 LEE&PIERCE INC.JOB 1IM"I <br />