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Ross Robert Truck Repair Waste Antifreeze Tank <br /> Interim Assessment and Conditional Certification <br /> September 18,2021 <br /> Integrity Assessment Inspection Checklist (cont'd.) <br /> Leak Detection Testing <br /> Primary Tank ®Visual ❑Continuous Interstitial Monitor ❑Manual Monitor ❑None ❑Pass ❑Fail ®Not Tested <br /> Secondary Tank ®Visual ❑Continuous Interstitial Monitor ❑Manual Monitor ❑N/A ❑Pass ❑Fail ®Not Tested <br /> Piping❑Visual ❑Continuous Interstitial Monitor ❑Manual Monitor ®NA,no piping ❑Pass ❑Fail ®Not Tested <br /> Spill Prevention Adequate? (if no,explain) <br /> Spill Bucket ❑Yes®No If yes,Capacity <br /> ®Yes [—]No <br /> Overfill Prevention ❑Present ®Absent Antifreeze filled by hand Testing <br /> —attendant present ❑Pass ❑Fail ®Not Tested <br /> Overfill Valve Installed: ❑Yes ®No <br /> High Level Alarm Triggers Shutoff? ❑Yes ®No <br /> Corrosion Protection Adequate? (if no,explain) <br /> ❑Coating ❑Cathodic Protection ❑Other ®None: Plastic Tank ®Yes ❑No <br /> System Condition Adequate? (if no,explain) <br /> ® Yes ❑ No <br /> Tank: ❑ Good ❑x Fair El Poor <br /> Stairs/Handrails/Platforms: <br /> ❑ Good ❑ Fair ❑ Poor ® None Adequate? (if no,explain) <br /> ❑ Yes ❑ No ® NA <br /> ...................................................................................................................................................................................................................................................................................................................................................................... ............................................................................................................................. <br /> Adequate. (if no,explain) <br /> Piping: ❑ Good ❑ Fair ❑ Poor N None ❑ Yes ❑ No ® NA <br /> ............... .......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... <br /> Bollards: ❑ Good ❑ Fair ❑ Poor ® None Adequate?(if no,explain) <br /> Bollard Spacing: ❑ Yes ❑ No ® NA <br /> ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... <br /> Housekeeping: ❑ Good ❑x Fair ❑X Poor _Area needs to be cleared of debris. Adequate?(if no,explain) <br /> [--] Yes ® No <br /> ..................................................................................................... .............................................................. <br /> Construction Quality/Installation: ❑ Good ® Fair ❑ Poor Adequate. (if no,explain) <br /> ❑X Yes ❑ No <br /> Evidence of Release (if yes,describe) <br /> Staining: ❑Yes ®No Spills: ❑Yes ®No <br /> Distressed Vegetation: ❑Yes ®No Runoff: ❑Yes ®No <br /> Comments/Other: <br /> • No tank anchoring <br /> • No NFPA sticker <br /> • Area needs to be cleared of debris and general housekeeping improved <br /> Data Collected at Site <br /> ❑UT Readings E]Tank Monitor Printout ®Tank Sketch ❑Tank Drawings ❑Borescope Survey <br /> ❑Previous Inspection Reports ❑Tank Test Results ❑Other <br /> Tank Suitable for Continued Use? <br /> ®Yes ❑No Next Inspection Due by: <br /> 7/20/2026 <br /> 6 <br /> H:TROP-PRl\21-061-00 Ross Robert Truck Repair Title 22\Deliverable\Antifreeze report\Ross Roberts Antifreeze Assessment 2021 0720.docx <br />