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Site Number < �� Date Service/l..ub0 Buys Ntanberot_Bsye Type of bays Bey Dom r 6dnntat Varttllation Nurffiera L(Rs Type Of LIfbi—' f-oil Water S.P afar Catch Baalm Write in the number Are pis yr hoists is there proper exhaust fs present? Do bay doors all open, Write in the number Write in the ntm>4ec of ori Are all drains,catch basins and of bays P=Pits dose and locko ventilation when doors are E-E—Uwlc drywalls clear d debris& Pr PadY? dosed? of Ills water separators(OWS) H=Hoist Yes or No H=Hydrogc appear to ftmction properly? NA-No Bays NA=No Bays NA=No Bays Yes or No NA=No LiftsNA=No fft NA= No OWS Yes or No NA=No Bays NA=Norm present b T ;carwuh ,i 3!p714EleeLteel .(exi.lain any ddkiendesonthe botlontof ) Car Wadi Type 11111 factarrur %r Reclabn Tanks Jundfon 8ohoas " FJtpnasd tabes ¢t3enetal Bectrkd Is there a ter wash R=Rollover _ Does the car wash have Are there any open junction boxes at ere any exposedAre there any gerreral electrical onsite C=Conveyer P-PDQ wires tents at the site or on the conat the site or on the H=HYes annah reclaim rants the site or on the property? S=Sate Servo Wend Other please specify Yes or No property? Property/ Yes or No NA=No Car Wash NA=No Car Wash NA=No Car Wash Yes(explain)or No �'/' �` Yes ex lain or No Yes(explain)or No Ve C ff(c <t E g Carbon Yono:tls,E]abefaa Canopy Bacf�uM Preverdlon fMvfeer Telt FW 0--WeI me in the number Type of CO detectors S=Saler Panels s canopy ' w ie nu o Are wails property identified and of CO dethsdors H=Hard Wired A=Attached Provide the date(s) B=Batteryoperated F=NonSolar F= prevention devices of the most recent observation wells secured? NA=None present N=No NA=No Canopy Freestandrrg present? testing Yes or No NA=No CanopyYes or No NA=No Wells NA-No Wells � ( /1//10 1 All + � v BrdkCo2 g� (ianaroLorTrormfor m, PttblkAlrfWal "r FrearaylfggltRtee SugroardEsu. FireExtingWshers. CaroaroR. qwftch Millinbing Are security Is them a bulk a Is them a a r a water availa le Is the 101 'ce sign FORECOURT Ara the present,charged and cameras &where is it located? safe Is thelia oneresent? and free? over 30 feet high? Is there a Billboard on P g merchandising have an inspection tag within resent? I=Inside ProPa+'tY? P P�� A=Available and Free (Vending,ATM,PIC) the last yt:aft O=Outride Yes or No F=Available but not Free Yes or No Yes or No NA=No Cot Yes or No NA=Not available NA=No IDn Yes or No �9 Yes(explain)or Na Yes or No 1Vd 1 o S Almrnathm F'ttding Bessmerrt L.ot/parusnent Exchangeable Propim Tanks Any other fueling General Pavement Impact Protection YfaarSuppty YVasts yys�--� system(re bulk Does the sae have a Condition B_BollardsProPane,e6dnc car basement crawl space. below ground service bays? G=Good A=40'from curb chargers.etc) =20'from dispensers Water is supplied by. Waste water is handled by. Yes(explain) C=Cracng W=10'from doorways Wel or City7Municiple? City Sewer or Septic? Spots)or No Yes or No L ri Laoww SSpots T=Tapping Hazards NA=No propane exchange A/ d Circle ALL that apply /v v /v G e A D W s r.F n, cy Shutoff AnrS -ff.CUPI}I waset7rtmreI &CRUM Decal Numberof gbh =Inside BuildingfiGosk Does the ESO have the Please identify any waste(and drums)orsae,comment on quantity,type(liquid,solid,waste ori,tims,batteries,lamps).etc.and ESO *. ISP=Dispenser Area appropaaie identifying if waste containers are labeled.Please be sure to check behind/sides of the building,in/near the hash enclosure,etc,It there are Switches ANK=Tank Area signage? none,please state that Also fist any type of containment the drums may have. onsite UItD=On the building ul LD e s 1 Gv�.� ,-V 2 Alf A,�� ae s' 3 4 Comments an any V v1 ,d/amaged/defectrvs�erquipment �J�t /,f �{ //'/ ///f /�`n ` y` sr(7C C 4% 1*1 0 '5'5 /'v ' (_,�'`�,fo ' 'q e IVC:k , 1115111-lee tle JUL 13 2V' ENVIRONMENTAL Hl=A)T14 ()FPA,9TMENT Issued 12/27/2017 Page 8 of 10