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Ross Robert Truck Repair Waste Antifreeze Tank Interim Assessment and Conditional Certification September 18,2021 F- AST Integrity Assessment Inspection Checklist (cont.) Leak Detection Testing Primary Tank ❑X Visual ❑ Continuous Interstitial Monitor ❑ Manual Monitor ❑ None ❑ Pass ❑ Fail ❑ Not Tested Secondary Tank ❑X Visual ❑ Continuous Interstitial Monitor ❑ Manual Monitor ❑ None ❑ Pass ❑ Fail ❑ Not Tested Piping ❑ Visual ❑ Continuous Interstitial Monitor ❑ Manual Monitor E None ❑ Pass ❑ Fail ❑ Not Tested Spill Prevention Adequate?(if no,explain) Spill Bucket ❑ Yes ® No If yes,Capacity E Yes ❑ No Venting Operable? Primary Tank Working Vent E Yes ❑ No Diam: open top port E Yes ❑ No ❑ NA Primary Tank Emergency Vent ® Yes ❑ No Diam: open top port © Yes ElNo ElNA Secondary Tank Working Vent ❑ Yes ❑ No Diam: ❑ Yes ❑ No ❑ NA Secondary Tank Emergency Vent ❑ Yes N No Diam: ❑ Yes [--] No ® NA Piping No system Piping Primary Piping Material: ❑Steel ❑Fiberglass ❑Other Diameter(in.) Piping Connection Type: ❑Threaded ❑Welded ❑Flanged ❑ Other Secondary Containment Piping: ❑Integral DW Piping ❑Containment berm ❑Controlled Drain/Sump ❑ None ❑ Other(description) Piping Secondary Containment Material ❑ Steel ❑ Fiberglass ❑ Other Diameter(in.) ❑ None Grounding/Bonding Adequate?(if no,explain) ❑Present ®Absent Secure? ❑Yes ❑No ®Yes ❑No Foundation Type: ®Concrete Slab ❑Housekeeping Pad ❑Ringwall ❑Asphalt ❑Saddle ❑Other Anchor Bolt Size: in. No.of Bolts: Condition ❑ Secure ❑ Not Secure ❑X Not Adequate?(if no,explain) Bolted ❑ Yes ® No tank needs Anchor Bolt Spacing: in. Anchor bolt to slab edge: in. to be anchored Foundation Condition ®Good ❑Fair ❑Poor ❑N/A Adequate?(if no,explain) Spalling? ❑Yes ®No Can Water Drain Away? ®Yes [:]No ®Yes [—]No Any Settlement? ❑Yes ®No Cracked? ❑Yes ®No Exposed Rebar? ❑Yes ®No Washouts/Voids? ❑Yes ®No Electrical Any loose or unprotected wiring? ❑ Yes ® No No electrical to tank Conduits,junction boxes,and other protective equipment sealed as required? [--] Yes ❑ No Emergency Shutoff Switch ❑ Yes ❑X No Tested? ❑ Yes ❑ No ❑ Not permitted to test Corrosion Protection Adequate?(if no,explain) ❑ Coating ❑ Cathodic Protection ® Other_HDPE tank ❑ None ® Yes ❑ No Coating Condition: Chalking Rating: (8-0,8=no chalking) Other Equipment ❑Pump,Internal(type,size) ❑Pump,External(type,size) ❑Day Tank ❑Drain Table ❑Filter Crush ❑Other ❑Electronic Monitor(Mfg/Model) Description/Comments: No other equipment attached to the tank. Placard Labeling ❑Present ❑No Smoking ❑Product Description: Waste Antifreeze ❑Hazardous Waste ®Absent ®HW Accum Start Date ❑UL Std No. ®Other: Hazardous Waste Handle with Care 5 H:TROP-PRl\21-061-00 Ross Robert Track Repair Title 22\Deliverable\Antifreeze report\Ross Roberts Antifreeze Assessment 2021 0720.docx