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Monthly SPCC Inspection Checklist <br />WĂŐĞϮŽĨϮ <br />Item <br />No. <br />Inspection <br />Item TaskN/AYesNoComments <br />ϯ͘ϰKǀĞƌĨŝůů <br />ƋƵŝƉŵĞŶƚ <br />/ĨŽǀĞƌĨŝůůǀĂůǀĞŝƐ <br />ĞƋƵŝƉƉĞĚǁŝƚŚĂ <br />ŵĞĐŚĂŶŝĐĂůƚĞƐƚ <br />ŵĞĐŚĂŶŝƐŵ͕ĂĐƚƵĂƚĞ <br />ƚŚĞŵĞĐŚĂŶŝƐŵƚŽ <br />ĐŽŶĨŝƌŵŽƉĞƌĂƚŝŽŶ͘ <br />ϯ͘ϱWŝƉŝŶŐ <br />ŽŶŶĞĐƚŝŽŶƐ <br />ŚĞĐŬĨŽƌůĞĂŬƐ͕ <br />ĐŽƌƌŽƐŝŽŶĂŶĚĚĂŵĂŐĞ <br />4.0 Tank Attachments and Appurtenances <br />ϰ͘ϭ>ĂĚĚĞƌĂŶĚ <br />WůĂƚĨŽƌŵ <br />^ƚƌƵĐƚƵƌĞ <br />^ĞĐƵƌĞǁŝƚŚŶŽƐŝŐŶŽĨ <br />ƐĞǀĞƌĞĐŽƌƌŽƐŝŽŶŽƌ <br />ĚĂŵĂŐĞ͍ <br />5.0 Other Equipment / Conditions <br />ϱ͘ϭ^ĞĐƵƌŝƚLJůŝŐŚƚŝŶŐ͕ĨĞŶĐŝŶŐ͕ĚŽŽƌůŽĐŬƐ͕ĐĂƉ <br />ůŽĐŬƐ͕ĞƚĐ͘ĂƌĞŽƉĞƌĂƚŝŽŶĂů͍ <br />ϱ͘ϮKŝůͲĨŝůůĞĚƚƌĂŶƐĨŽƌŵĞƌƐĂƌĞŶŽƚůĞĂŬŝŶŐ͍ <br />ϱ͘ϯKƚŚĞƌŽŝůͲĨŝůůĞĚĞƋƵŝƉŵĞŶƚŝƐǁŽƌŬŝŶŐ <br />ƉƌŽƉĞƌůLJĂŶĚĚŽŶŽƚƐŚŽǁƐŝŐŶƐŽĨůĞĂŬŝŶŐ͍ <br />ϱ͘ϰ^ƉŝůůŬŝƚƐĂƌĞƉƌŽƉĞƌůLJůŽĐĂƚĞĚĂŶĚƐƚŽĐŬĞĚ͍ <br />ϱ͘ϱtĞƌĞĐŽƌƌĞĐƚŝǀĞĂĐƚŝŽŶƐĨƌŽŵƉƌĞǀŝŽƵƐ <br />ŝŶƐƉĞĐƚŝŽŶĐŽŵƉůĞƚĞĚ͍ <br />Additional Comments: <br />Inspection Guidance: <br />•&ŽƌĞƋƵŝƉŵĞŶƚŶŽƚŝŶĐůƵĚĞĚŝŶƚŚŝƐ^ƚĂŶĚĂƌĚ͕ĨŽůůŽǁƚŚĞŵĂŶƵĨĂĐƚƵƌĞƌƌĞĐŽŵŵĞŶĚĞĚŝŶƐƉĞĐƚŝŽŶͬƚĞƐƚŝŶŐƐĐŚĞĚƵůĞƐ <br />ĂŶĚƉƌŽĐĞĚƵƌĞƐ͘ <br />•dŚĞƉĞƌŝŽĚŝĐ^d/ŶƐƉĞĐƚŝŽŶƐŝŶƚĞŶĚĞĚĨŽƌŵŽŶŝƚŽƌŝŶŐƚŚĞĞdžƚĞƌŶĂů^dĐŽŶĚŝƚŝŽŶĂŶĚŝƚƐĐŽŶƚĂŝŶŵĞŶƚƐƚƌƵĐƚƵƌĞ͘dŚŝƐ <br />ǀŝƐƵĂůŝŶƐƉĞĐƚŝŽŶĚŽĞƐŶŽƚƌĞƋƵŝƌĞĂĞƌƚŝĨŝĞĚ/ŶƐƉĞĐƚŽƌ͘/ƚƐŚĂůůďĞƉĞƌĨŽƌŵĞĚďLJĂŶŽǁŶĞƌ͛ƐŝŶƐƉĞĐƚŽƌǁŚŽŝƐĨĂŵŝůŝĂƌ <br />ǁŝƚŚƚŚĞƐŝƚĞĂŶĚĐĂŶŝĚĞŶƚŝĨLJĐŚĂŶŐĞƐĂŶĚĚĞǀĞůŽƉŝŶŐƉƌŽďůĞŵƐ͘ <br />•hƉŽŶĚŝƐĐŽǀĞƌLJŽĨǁĂƚĞƌŝŶƚŚĞƉƌŝŵĂƌLJƚĂŶŬ͕ƐĞĐŽŶĚĂƌLJĐŽŶƚĂŝŶŵĞŶƚĂƌĞĂ͕ŝŶƚĞƌƐƚŝĐĞ͕ŽƌƐƉŝůůĐŽŶƚĂŝŶĞƌ͕ƌĞŵŽǀĞ <br />ƉƌŽŵƉƚůLJŽƌƚĂŬĞŽƚŚĞƌĐŽƌƌĞĐƚŝǀĞĂĐƚŝŽŶ͘ĞĨŽƌĞĚŝƐĐŚĂƌŐĞƚŽƚŚĞĞŶǀŝƌŽŶŵĞŶƚ͕ŝŶƐƉĞĐƚƚŚĞůŝƋƵŝĚĨŽƌƌĞŐƵůĂƚĞĚ <br />ƉƌŽĚƵĐƚƐŽƌŽƚŚĞƌĐŽŶƚĂŵŝŶĂŶƚƐĂŶĚĚŝƐƉŽƐĞĚŽĨŝƚƉƌŽƉĞƌůLJ͘ <br />•;ΎͿĚĞƐŝŐŶĂƚĞƐĂŶŝƚĞŵŝŶĂŶŽŶͲĐŽŶĨŽƌŵĂŶĐĞƐƚĂƚƵƐ͘dŚŝƐŝŶĚŝĐĂƚĞƐƚŚĂƚĂĐƚŝŽŶŝƐƌĞƋƵŝƌĞĚƚŽĂĚĚƌĞƐƐĂƉƌŽďůĞŵ͘ <br />•EŽŶͲĐŽŶĨŽƌŵŝŶŐŝƚĞŵƐŝŵƉŽƌƚĂŶƚƚŽƚĂŶŬŽƌĐŽŶƚĂŝŶŵĞŶƚŝŶƚĞŐƌŝƚLJƌĞƋƵŝƌĞĞǀĂůƵĂƚŝŽŶďLJĂŶĞŶŐŝŶĞĞƌĞdžƉĞƌŝĞŶĐĞĚŝŶ <br />^dĚĞƐŝŐŶ͕ĂĞƌƚŝĨŝĞĚ/ŶƐƉĞĐƚŽƌ͕ŽƌĂƚĂŶŬŵĂŶƵĨĂĐƚƵƌĞƌǁŚŽǁŝůůĚĞƚĞƌŵŝŶĞƚŚĞĐŽƌƌĞĐƚŝǀĞĂĐƚŝŽŶ͘ <br />•ZĞƚĂŝŶƚŚĞĐŽŵƉůĞƚĞĚĐŚĞĐŬůŝƐƚĨŽƌϯϲŵŽŶƚŚƐ͘ <br />•&ŽƌŵďĂƐĞĚŽŶ^d/^WϬϬϭDŽŶƚŚůLJ/ŶƐƉĞĐƚŝŽŶŚĞĐŬůŝƐƚ͕^ĞƉƚĞŵďĞƌϮϬϭϭ͘ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Ϯ͘ϭϲ͘ϭϳ͘ϮSubmit