Annual Inspection: C Street Facility Inspection

• C Street Annual Facility Inspection (SPCC Plan)

• C Street

• Conducted on

  Date

Tank Construction

• Tank is free of dents?

  Yes

  No

  N/A

• Tank is free of missing paint and/or rust?

  Yes

  No

  N/A

• Seams are tight and free of rust?

  Yes

  No

  N/A

• Tank surfaces are clear of snow, trees/vegetation, and debris?

  Yes

  No

  N/A

• Tank support elements are structurally secure?

  Yes

  No

  N/A

• Does tank foundation exhibit signs of settlement, pitting, cracking, or spalling?

  Yes

  No

  N/A

• Check function of level gauges

  Working

  Not Working

  N/A

• Valves open and close freely?

  Yes

  No

  N/A

• Vents are structurally sound and allow gases to escape?

  Yes

  No

  N/A

• Does overfill basin contain water or products?

  Yes

  No

  N/A

• Inspect the o-ring/gasket on emergency vent(s)?

  Satisfactory

  Not Satisfactory

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Tank overfill alarms?

  Working

  Not Working

  N/A

• Test automatic overfill shut-off mechanism

  Working

  Not Working

  N/A

• Test day tank transfer pump, alarms, and level controls

  Satisfactory

  Not Satisfactory

  N/A

• UST leak detection test (per UST regulations)

  Pass

  Fail

  N/A

• Date

  Date

• Tank tightness test (annual for T11, per UST regulations for others, as appropriate)

  Pass

  Fail

  N/A

• Date

  Date

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust or missing paint?

  Yes

  No

  N/A

• Interstitial space is free of fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms

  Working

  Not Working

  N/A

• Valve/access orifice closed and tank secure when done?

  Yes

  No

  N/A

Dispenser And Transfer Controls

• Dispenser nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

• Starter control is locked and in proper working order?

  Yes

  No

  N/A

• Test emergency shutoff switches

  Working

  Not Working

  N/A

Piping

• Piping is properly braced and supported (emphasis on joint support)?

  Yes

  No

  N/A

• Piping/hoses are free of deterioration, rips, and tears?

  Yes

  No

  N/A

• Piping is free of rust, corrosion, and missing paint?

  Yes

  No

  N/A

• Joints/connections to tanks are secure?

  Yes

  No

  N/A

• Verify proper function of anti-siphon valves?

  Satisfactory

  Not Satisfactory

  N/A

Containment Area

• Area is free of water/snow?

  Yes

  No

  N/A

• Area is free of product or indication of a release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Drain valves closed/locked?

  Yes

  No

  N/A

Indication of Releases

• Pooled Product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on ponded water?

  Yes

  No

  N/A

Security

• Lighting works (verify operation of security lights)?

  Yes

  No

  N/A

• Locks are functional with keys/combos available?

  Yes

  No

  N/A

• Fence is secure?

  Yes

  No

  N/A

Maintenance

• Replace fuel filters

  Completed

  Not Completed

  N/A

• Replace gaskets on flanged connections as necessary

  Completed

  Not Completed

  N/A

• Restore painting, coatings, or other corrosion protection

  Completed

  Not Completed

  N/A

• Calibrate product transfer gauges

  Completed

  Not Completed

  N/A

• Restock spill response kit as necessary

  Completed

  Not Completed

  N/A

Miscellaneous

• Review inventory records

  Completed

  Not Completed

  N/A

• Other

Tank Construction

• Tank is free of dents?

  Yes

  No

  N/A

• Tank is free of missing paint and/or rust?

  Yes

  No

  N/A

• Seams are tight and free of rust?

  Yes

  No

  N/A

• Tank surfaces are clear of snow, trees/vegetation, and debris?

  Yes

  No

  N/A

• Tank support elements are structurally secure?

  Yes

  No

  N/A

• Does tank foundation exhibit signs of settlement, pitting, cracking, or spalling?

  Yes

  No

  N/A

• Check function of level gauges

  Working

  Not Working

  N/A

• Valves open and close freely?

  Yes

  No

  N/A

• Vents are structurally sound and allow gases to escape?

  Yes

  No

  N/A

• Does overfill basin contain water or products?

  Yes

  No

  N/A

• Inspect the o-ring/gasket on emergency vent(s)?

  Satisfactory

  Not Satisfactory

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Tank overfill alarms?

  Working

  Not Working

  N/A

• Test automatic overfill shut-off mechanism

  Working

  Not Working

  N/A

• Test day tank transfer pump, alarms, and level controls

  Satisfactory

  Not Satisfactory

  N/A

• UST leak detection test (per UST regulations)

  Pass

  Fail

  N/A

• Date

  Date

• Tank tightness test (annual for T11, per UST regulations for others, as appropriate)

  Pass

  Fail

  N/A

• Date

  Date

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust or missing paint?

  Yes

  No

  N/A

• Interstitial space is free of fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms

  Working

  Not Working

  N/A

• Valve/access orifice closed and tank secure when done?

  Yes

  No

  N/A

Dispenser And Transfer Controls

• Dispenser nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

• Starter control is locked and in proper working order?

  Yes

  No

  N/A

• Test emergency shutoff switches

  Working

  Not Working

  N/A

Piping

• Piping is properly braced and supported (emphasis on joint support)?

  Yes

  No

  N/A

• Piping/hoses are free of deterioration, rips, and tears?

  Yes

  No

  N/A

• Piping is free of rust, corrosion, and missing paint?

  Yes

  No

  N/A

• Joints/connections to tanks are secure?

  Yes

  No

  N/A

• Verify proper function of anti-siphon valves?

  Satisfactory

  Not Satisfactory

  N/A

Containment Area

• Area is free of water/snow?

  Yes

  No

  N/A

• Area is free of product or indication of a release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Drain valves closed/locked?

  Yes

  No

  N/A

Indication of Releases

• Pooled Product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on ponded water?

  Yes

  No

  N/A

Security

• Lighting works (verify operation of security lights)?

  Yes

  No

  N/A

• Locks are functional with keys/combos available?

  Yes

  No

  N/A

• Fence is secure?

  Yes

  No

  N/A

Maintenance

• Replace fuel filters

  Completed

  Not Completed

  N/A

• Replace gaskets on flanged connections as necessary

  Completed

  Not Completed

  N/A

• Restore painting, coatings, or other corrosion protection

  Completed

  Not Completed

  N/A

• Calibrate product transfer gauges

  Completed

  Not Completed

  N/A

• Restock spill response kit as necessary

  Completed

  Not Completed

  N/A

Miscellaneous

• Review inventory records

  Completed

  Not Completed

  N/A

• Other

Tank Construction

• Tank is free of dents?

  Yes

  No

  N/A

• Tank is free of missing paint and/or rust?

  Yes

  No

  N/A

• Seams are tight and free of rust?

  Yes

  No

  N/A

• Tank surfaces are clear of snow, trees/vegetation, and debris?

  Yes

  No

  N/A

• Tank support elements are structurally secure?

  Yes

  No

  N/A

• Does tank foundation exhibit signs of settlement, pitting, cracking, or spalling?

  Yes

  No

  N/A

• Check function of level gauges

  Working

  Not Working

  N/A

• Valves open and close freely?

  Yes

  No

  N/A

• Vents are structurally sound and allow gases to escape?

  Yes

  No

  N/A

• Does overfill basin contain water or products?

  Yes

  No

  N/A

• Inspect the o-ring/gasket on emergency vent(s)?

  Satisfactory

  Not Satisfactory

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Tank overfill alarms?

  Working

  Not Working

  N/A

• Test automatic overfill shut-off mechanism

  Working

  Not Working

  N/A

• Test day tank transfer pump, alarms, and level controls

  Satisfactory

  Not Satisfactory

  N/A

• UST leak detection test (per UST regulations)

  Pass

  Fail

  N/A

• Date

  Date

• Tank tightness test (annual for T11, per UST regulations for others, as appropriate)

  Pass

  Fail

  N/A

• Date

  Date

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust or missing paint?

  Yes

  No

  N/A

• Interstitial space is free of fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms

  Working

  Not Working

  N/A

• Valve/access orifice closed and tank secure when done?

  Yes

  No

  N/A

Dispenser And Transfer Controls

• Dispenser nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

• Starter control is locked and in proper working order?

  Yes

  No

  N/A

• Test emergency shutoff switches

  Working

  Not Working

  N/A

Piping

• Piping is properly braced and supported (emphasis on joint support)?

  Yes

  No

  N/A

• Piping/hoses are free of deterioration, rips, and tears?

  Yes

  No

  N/A

• Piping is free of rust, corrosion, and missing paint?

  Yes

  No

  N/A

• Joints/connections to tanks are secure?

  Yes

  No

  N/A

• Verify proper function of anti-siphon valves?

  Satisfactory

  Not Satisfactory

  N/A

Containment Area

• Area is free of water/snow?

  Yes

  No

  N/A

• Area is free of product or indication of a release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Drain valves closed/locked?

  Yes

  No

  N/A

Indication of Releases

• Pooled Product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on ponded water?

  Yes

  No

  N/A

Security

• Lighting works (verify operation of security lights)?

  Yes

  No

  N/A

• Locks are functional with keys/combos available?

  Yes

  No

  N/A

• Fence is secure?

  Yes

  No

  N/A

Maintenance

• Replace fuel filters

  Completed

  Not Completed

  N/A

• Replace gaskets on flanged connections as necessary

  Completed

  Not Completed

  N/A

• Restore painting, coatings, or other corrosion protection

  Completed

  Not Completed

  N/A

• Calibrate product transfer gauges

  Completed

  Not Completed

  N/A

• Restock spill response kit as necessary

  Completed

  Not Completed

  N/A

Miscellaneous

• Review inventory records

  Completed

  Not Completed

  N/A

• Other

Tank Construction

• Tank is free of dents?

  Yes

  No

  N/A

• Tank is free of missing paint and/or rust?

  Yes

  No

  N/A

• Seams are tight and free of rust?

  Yes

  No

  N/A

• Tank surfaces are clear of snow, trees/vegetation, and debris?

  Yes

  No

  N/A

• Tank support elements are structurally secure?

  Yes

  No

  N/A

• Does tank foundation exhibit signs of settlement, pitting, cracking, or spalling?

  Yes

  No

  N/A

• Check function of level gauges

  Working

  Not Working

  N/A

• Valves open and close freely?

  Yes

  No

  N/A

• Vents are structurally sound and allow gases to escape?

  Yes

  No

  N/A

• Does overfill basin contain water or products?

  Yes

  No

  N/A

• Inspect the o-ring/gasket on emergency vent(s)?

  Satisfactory

  Not Satisfactory

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Tank overfill alarms?

  Working

  Not Working

  N/A

• Test automatic overfill shut-off mechanism

  Working

  Not Working

  N/A

• Test day tank transfer pump, alarms, and level controls

  Satisfactory

  Not Satisfactory

  N/A

• UST leak detection test (per UST regulations)

  Pass

  Fail

  N/A

• Date

  Date

• Tank tightness test (annual for T11, per UST regulations for others, as appropriate)

  Pass

  Fail

  N/A

• Date

  Date

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust or missing paint?

  Yes

  No

  N/A

• Interstitial space is free of fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms

  Working

  Not Working

  N/A

• Valve/access orifice closed and tank secure when done?

  Yes

  No

  N/A

Dispenser And Transfer Controls

• Dispenser nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

• Starter control is locked and in proper working order?

  Yes

  No

  N/A

• Test emergency shutoff switches

  Working

  Not Working

  N/A

Piping

• Piping is properly braced and supported (emphasis on joint support)?

  Yes

  No

  N/A

• Piping/hoses are free of deterioration, rips, and tears?

  Yes

  No

  N/A

• Piping is free of rust, corrosion, and missing paint?

  Yes

  No

  N/A

• Joints/connections to tanks are secure?

  Yes

  No

  N/A

• Verify proper function of anti-siphon valves?

  Satisfactory

  Not Satisfactory

  N/A

Containment Area

• Area is free of water/snow?

  Yes

  No

  N/A

• Area is free of product or indication of a release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Drain valves closed/locked?

  Yes

  No

  N/A

Indication of Releases

• Pooled Product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on ponded water?

  Yes

  No

  N/A

Security

• Lighting works (verify operation of security lights)?

  Yes

  No

  N/A

• Locks are functional with keys/combos available?

  Yes

  No

  N/A

• Fence is secure?

  Yes

  No

  N/A

Maintenance

• Replace fuel filters

  Completed

  Not Completed

  N/A

• Replace gaskets on flanged connections as necessary

  Completed

  Not Completed

  N/A

• Restore painting, coatings, or other corrosion protection

  Completed

  Not Completed

  N/A

• Calibrate product transfer gauges

  Completed

  Not Completed

  N/A

• Restock spill response kit as necessary

  Completed

  Not Completed

  N/A

Miscellaneous

• Review inventory records

  Completed

  Not Completed

  N/A

• Other

Tank Construction

• Tank is free of dents?

  Yes

  No

  N/A

• Tank is free of missing paint and/or rust?

  Yes

  No

  N/A

• Seams are tight and free of rust?

  Yes

  No

  N/A

• Tank surfaces are clear of snow, trees/vegetation, and debris?

  Yes

  No

  N/A

• Tank support elements are structurally secure?

  Yes

  No

  N/A

• Does tank foundation exhibit signs of settlement, pitting, cracking, or spalling?

  Yes

  No

  N/A

• Check function of level gauges

  Working

  Not Working

  N/A

• Valves open and close freely?

  Yes

  No

  N/A

• Vents are structurally sound and allow gases to escape?

  Yes

  No

  N/A

• Does overfill basin contain water or products?

  Yes

  No

  N/A

• Inspect the o-ring/gasket on emergency vent(s)?

  Satisfactory

  Not Satisfactory

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Tank overfill alarms?

  Working

  Not Working

  N/A

• Test automatic overfill shut-off mechanism

  Working

  Not Working

  N/A

• Test day tank transfer pump, alarms, and level controls

  Satisfactory

  Not Satisfactory

  N/A

• UST leak detection test (per UST regulations)

  Pass

  Fail

  N/A

• Date

  Date

• Tank tightness test (annual for T11, per UST regulations for others, as appropriate)

  Pass

  Fail

  N/A

• Date

  Date

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust or missing paint?

  Yes

  No

  N/A

• Interstitial space is free of fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms

  Working

  Not Working

  N/A

• Valve/access orifice closed and tank secure when done?

  Yes

  No

  N/A

Dispenser And Transfer Controls

• Dispenser nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

• Starter control is locked and in proper working order?

  Yes

  No

  N/A

• Test emergency shutoff switches

  Working

  Not Working

  N/A

Piping

• Piping is properly braced and supported (emphasis on joint support)?

  Yes

  No

  N/A

• Piping/hoses are free of deterioration, rips, and tears?

  Yes

  No

  N/A

• Piping is free of rust, corrosion, and missing paint?

  Yes

  No

  N/A

• Joints/connections to tanks are secure?

  Yes

  No

  N/A

• Verify proper function of anti-siphon valves?

  Satisfactory

  Not Satisfactory

  N/A

Containment Area

• Area is free of water/snow?

  Yes

  No

  N/A

• Area is free of product or indication of a release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Drain valves closed/locked?

  Yes

  No

  N/A

Indication of Releases

• Pooled Product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on ponded water?

  Yes

  No

  N/A

Security

• Lighting works (verify operation of security lights)?

  Yes

  No

  N/A

• Locks are functional with keys/combos available?

  Yes

  No

  N/A

• Fence is secure?

  Yes

  No

  N/A

Maintenance

• Replace fuel filters

  Completed

  Not Completed

  N/A

• Replace gaskets on flanged connections as necessary

  Completed

  Not Completed

  N/A

• Restore painting, coatings, or other corrosion protection

  Completed

  Not Completed

  N/A

• Calibrate product transfer gauges

  Completed

  Not Completed

  N/A

• Restock spill response kit as necessary

  Completed

  Not Completed

  N/A

Miscellaneous

• Review inventory records

  Completed

  Not Completed

  N/A

• Other

Tank Construction

• Tank is free of dents?

  Yes

  No

  N/A

• Tank is free of missing paint and/or rust?

  Yes

  No

  N/A

• Seams are tight and free of rust?

  Yes

  No

  N/A

• Tank surfaces are clear of snow, trees/vegetation, and debris?

  Yes

  No

  N/A

• Tank support elements are structurally secure?

  Yes

  No

  N/A

• Does tank foundation exhibit signs of settlement, pitting, cracking, or spalling?

  Yes

  No

  N/A

• Check function of level gauges

  Working

  Not Working

  N/A

• Valves open and close freely?

  Yes

  No

  N/A

• Vents are structurally sound and allow gases to escape?

  Yes

  No

  N/A

• Does overfill basin contain water or products?

  Yes

  No

  N/A

• Inspect the o-ring/gasket on emergency vent(s)?

  Satisfactory

  Not Satisfactory

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Tank overfill alarms?

  Working

  Not Working

  N/A

• Test automatic overfill shut-off mechanism

  Working

  Not Working

  N/A

• Test day tank transfer pump, alarms, and level controls

  Satisfactory

  Not Satisfactory

  N/A

• UST leak detection test (per UST regulations)

  Pass

  Fail

  N/A

• Date

  Date

• Tank tightness test (annual for T11, per UST regulations for others, as appropriate)

  Pass

  Fail

  N/A

• Date

  Date

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust or missing paint?

  Yes

  No

  N/A

• Interstitial space is free of fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms

  Working

  Not Working

  N/A

• Valve/access orifice closed and tank secure when done?

  Yes

  No

  N/A

Dispenser And Transfer Controls

• Dispenser nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

• Starter control is locked and in proper working order?

  Yes

  No

  N/A

• Test emergency shutoff switches

  Working

  Not Working

  N/A

Piping

• Piping is properly braced and supported (emphasis on joint support)?

  Yes

  No

  N/A

• Piping/hoses are free of deterioration, rips, and tears?

  Yes

  No

  N/A

• Piping is free of rust, corrosion, and missing paint?

  Yes

  No

  N/A

• Joints/connections to tanks are secure?

  Yes

  No

  N/A

• Verify proper function of anti-siphon valves?

  Satisfactory

  Not Satisfactory

  N/A

Containment Area

• Area is free of water/snow?

  Yes

  No

  N/A

• Area is free of product or indication of a release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Drain valves closed/locked?

  Yes

  No

  N/A

Indication of Releases

• Pooled Product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on ponded water?

  Yes

  No

  N/A

Security

• Lighting works (verify operation of security lights)?

  Yes

  No

  N/A

• Locks are functional with keys/combos available?

  Yes

  No

  N/A

• Fence is secure?

  Yes

  No

  N/A

Maintenance

• Replace fuel filters

  Completed

  Not Completed

  N/A

• Replace gaskets on flanged connections as necessary

  Completed

  Not Completed

  N/A

• Restore painting, coatings, or other corrosion protection

  Completed

  Not Completed

  N/A

• Calibrate product transfer gauges

  Completed

  Not Completed

  N/A

• Restock spill response kit as necessary

  Completed

  Not Completed

  N/A

Miscellaneous

• Review inventory records

  Completed

  Not Completed

  N/A

• Other

Tank Construction

• Tank is free of dents?

  Yes

  No

  N/A

• Tank is free of missing paint and/or rust?

  Yes

  No

  N/A

• Seams are tight and free of rust?

  Yes

  No

  N/A

• Tank surfaces are clear of snow, trees/vegetation, and debris?

  Yes

  No

  N/A

• Tank support elements are structurally secure?

  Yes

  No

  N/A

• Does tank foundation exhibit signs of settlement, pitting, cracking, or spalling?

  Yes

  No

  N/A

• Check function of level gauges

  Working

  Not Working

  N/A

• Valves open and close freely?

  Yes

  No

  N/A

• Vents are structurally sound and allow gases to escape?

  Yes

  No

  N/A

• Does overfill basin contain water or products?

  Yes

  No

  N/A

• Inspect the o-ring/gasket on emergency vent(s)?

  Satisfactory

  Not Satisfactory

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Tank overfill alarms?

  Working

  Not Working

  N/A

• Test automatic overfill shut-off mechanism

  Working

  Not Working

  N/A

• Test day tank transfer pump, alarms, and level controls

  Satisfactory

  Not Satisfactory

  N/A

• UST leak detection test (per UST regulations)

  Pass

  Fail

  N/A

• Date

  Date

• Tank tightness test (annual for T11, per UST regulations for others, as appropriate)

  Pass

  Fail

  N/A

• Date

  Date

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust or missing paint?

  Yes

  No

  N/A

• Interstitial space is free of fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms

  Working

  Not Working

  N/A

• Valve/access orifice closed and tank secure when done?

  Yes

  No

  N/A

Dispenser And Transfer Controls

• Dispenser nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

• Starter control is locked and in proper working order?

  Yes

  No

  N/A

• Test emergency shutoff switches

  Working

  Not Working

  N/A

Piping

• Piping is properly braced and supported (emphasis on joint support)?

  Yes

  No

  N/A

• Piping/hoses are free of deterioration, rips, and tears?

  Yes

  No

  N/A

• Piping is free of rust, corrosion, and missing paint?

  Yes

  No

  N/A

• Joints/connections to tanks are secure?

  Yes

  No

  N/A

• Verify proper function of anti-siphon valves?

  Satisfactory

  Not Satisfactory

  N/A

Containment Area

• Area is free of water/snow?

  Yes

  No

  N/A

• Area is free of product or indication of a release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Drain valves closed/locked?

  Yes

  No

  N/A

Indication of Releases

• Pooled Product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on ponded water?

  Yes

  No

  N/A

Security

• Lighting works (verify operation of security lights)?

  Yes

  No

  N/A

• Locks are functional with keys/combos available?

  Yes

  No

  N/A

• Fence is secure?

  Yes

  No

  N/A

Maintenance

• Replace fuel filters

  Completed

  Not Completed

  N/A

• Replace gaskets on flanged connections as necessary

  Completed

  Not Completed

  N/A

• Restore painting, coatings, or other corrosion protection

  Completed

  Not Completed

  N/A

• Calibrate product transfer gauges

  Completed

  Not Completed

  N/A

• Restock spill response kit as necessary

  Completed

  Not Completed

  N/A

Miscellaneous

• Review inventory records

  Completed

  Not Completed

  N/A

• Other

Tank Construction

• Tank is free of dents?

  Yes

  No

  N/A

• Tank is free of missing paint and/or rust?

  Yes

  No

  N/A

• Seams are tight and free of rust?

  Yes

  No

  N/A

• Tank surfaces are clear of snow, trees/vegetation, and debris?

  Yes

  No

  N/A

• Tank support elements are structurally secure?

  Yes

  No

  N/A

• Does tank foundation exhibit signs of settlement, pitting, cracking, or spalling?

  Yes

  No

  N/A

• Check function of level gauges

  Working

  Not Working

  N/A

• Valves open and close freely?

  Yes

  No

  N/A

• Vents are structurally sound and allow gases to escape?

  Yes

  No

  N/A

• Does overfill basin contain water or products?

  Yes

  No

  N/A

• Inspect the o-ring/gasket on emergency vent(s)?

  Satisfactory

  Not Satisfactory

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Tank overfill alarms?

  Working

  Not Working

  N/A

• Test automatic overfill shut-off mechanism

  Working

  Not Working

  N/A

• Test day tank transfer pump, alarms, and level controls

  Satisfactory

  Not Satisfactory

  N/A

• UST leak detection test (per UST regulations)

  Pass

  Fail

  N/A

• Date

  Date

• Tank tightness test (annual for T11, per UST regulations for others, as appropriate)

  Pass

  Fail

  N/A

• Date

  Date

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust or missing paint?

  Yes

  No

  N/A

• Interstitial space is free of fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms

  Working

  Not Working

  N/A

• Valve/access orifice closed and tank secure when done?

  Yes

  No

  N/A

Dispenser And Transfer Controls

• Dispenser nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

• Starter control is locked and in proper working order?

  Yes

  No

  N/A

• Test emergency shutoff switches

  Working

  Not Working

  N/A

Piping

• Piping is properly braced and supported (emphasis on joint support)?

  Yes

  No

  N/A

• Piping/hoses are free of deterioration, rips, and tears?

  Yes

  No

  N/A

• Piping is free of rust, corrosion, and missing paint?

  Yes

  No

  N/A

• Joints/connections to tanks are secure?

  Yes

  No

  N/A

• Verify proper function of anti-siphon valves?

  Satisfactory

  Not Satisfactory

  N/A

Containment Area

• Area is free of water/snow?

  Yes

  No

  N/A

• Area is free of product or indication of a release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Drain valves closed/locked?

  Yes

  No

  N/A

Indication of Releases

• Pooled Product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on ponded water?

  Yes

  No

  N/A

Security

• Lighting works (verify operation of security lights)?

  Yes

  No

  N/A

• Locks are functional with keys/combos available?

  Yes

  No

  N/A

• Fence is secure?

  Yes

  No

  N/A

Maintenance

• Replace fuel filters

  Completed

  Not Completed

  N/A

• Replace gaskets on flanged connections as necessary

  Completed

  Not Completed

  N/A

• Restore painting, coatings, or other corrosion protection

  Completed

  Not Completed

  N/A

• Calibrate product transfer gauges

  Completed

  Not Completed

  N/A

• Restock spill response kit as necessary

  Completed

  Not Completed

  N/A

Miscellaneous

• Review inventory records

  Completed

  Not Completed

  N/A

• Other

Tank Construction

• Tank is free of dents?

  Yes

  No

  N/A

• Tank is free of missing paint and/or rust?

  Yes

  No

  N/A

• Seams are tight and free of rust?

  Yes

  No

  N/A

• Tank surfaces are clear of snow, trees/vegetation, and debris?

  Yes

  No

  N/A

• Tank support elements are structurally secure?

  Yes

  No

  N/A

• Does tank foundation exhibit signs of settlement, pitting, cracking, or spalling?

  Yes

  No

  N/A

• Check function of level gauges

  Working

  Not Working

  N/A

• Valves open and close freely?

  Yes

  No

  N/A

• Vents are structurally sound and allow gases to escape?

  Yes

  No

  N/A

• Does overfill basin contain water or products?

  Yes

  No

  N/A

• Inspect the o-ring/gasket on emergency vent(s)?

  Satisfactory

  Not Satisfactory

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Tank overfill alarms?

  Working

  Not Working

  N/A

• Test automatic overfill shut-off mechanism

  Working

  Not Working

  N/A

• Test day tank transfer pump, alarms, and level controls

  Satisfactory

  Not Satisfactory

  N/A

• UST leak detection test (per UST regulations)

  Pass

  Fail

  N/A

• Date

  Date

• Tank tightness test (annual for T11, per UST regulations for others, as appropriate)

  Pass

  Fail

  N/A

• Date

  Date

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust or missing paint?

  Yes

  No

  N/A

• Interstitial space is free of fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms

  Working

  Not Working

  N/A

• Valve/access orifice closed and tank secure when done?

  Yes

  No

  N/A

Dispenser And Transfer Controls

• Dispenser nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

• Starter control is locked and in proper working order?

  Yes

  No

  N/A

• Test emergency shutoff switches

  Working

  Not Working

  N/A

Piping

• Piping is properly braced and supported (emphasis on joint support)?

  Yes

  No

  N/A

• Piping/hoses are free of deterioration, rips, and tears?

  Yes

  No

  N/A

• Piping is free of rust, corrosion, and missing paint?

  Yes

  No

  N/A

• Joints/connections to tanks are secure?

  Yes

  No

  N/A

• Verify proper function of anti-siphon valves?

  Satisfactory

  Not Satisfactory

  N/A

Containment Area

• Area is free of water/snow?

  Yes

  No

  N/A

• Area is free of product or indication of a release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Drain valves closed/locked?

  Yes

  No

  N/A

Indication of Releases

• Pooled Product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on ponded water?

  Yes

  No

  N/A

Security

• Lighting works (verify operation of security lights)?

  Yes

  No

  N/A

• Locks are functional with keys/combos available?

  Yes

  No

  N/A

• Fence is secure?

  Yes

  No

  N/A

Maintenance

• Replace fuel filters

  Completed

  Not Completed

  N/A

• Replace gaskets on flanged connections as necessary

  Completed

  Not Completed

  N/A

• Restore painting, coatings, or other corrosion protection

  Completed

  Not Completed

  N/A

• Calibrate product transfer gauges

  Completed

  Not Completed

  N/A

• Restock spill response kit as necessary

  Completed

  Not Completed

  N/A

Miscellaneous

• Review inventory records

  Completed

  Not Completed

  N/A

• Other

Tank Construction

• Tank is free of dents?

  Yes

  No

  N/A

• Tank is free of missing paint and/or rust?

  Yes

  No

  N/A

• Seams are tight and free of rust?

  Yes

  No

  N/A

• Tank surfaces are clear of snow, trees/vegetation, and debris?

  Yes

  No

  N/A

• Tank support elements are structurally secure?

  Yes

  No

  N/A

• Does tank foundation exhibit signs of settlement, pitting, cracking, or spalling?

  Yes

  No

  N/A

• Check function of level gauges

  Working

  Not Working

  N/A

• Valves open and close freely?

  Yes

  No

  N/A

• Vents are structurally sound and allow gases to escape?

  Yes

  No

  N/A

• Does overfill basin contain water or products?

  Yes

  No

  N/A

• Inspect the o-ring/gasket on emergency vent(s)?

  Satisfactory

  Not Satisfactory

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Tank overfill alarms?

  Working

  Not Working

  N/A

• Test automatic overfill shut-off mechanism

  Working

  Not Working

  N/A

• Test day tank transfer pump, alarms, and level controls

  Satisfactory

  Not Satisfactory

  N/A

• UST leak detection test (per UST regulations)

  Pass

  Fail

  N/A

• Date

  Date

• Tank tightness test (annual for T11, per UST regulations for others, as appropriate)

  Pass

  Fail

  N/A

• Date

  Date

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust or missing paint?

  Yes

  No

  N/A

• Interstitial space is free of fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms

  Working

  Not Working

  N/A

• Valve/access orifice closed and tank secure when done?

  Yes

  No

  N/A

Dispenser And Transfer Controls

• Dispenser nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

• Starter control is locked and in proper working order?

  Yes

  No

  N/A

• Test emergency shutoff switches

  Working

  Not Working

  N/A

Piping

• Piping is properly braced and supported (emphasis on joint support)?

  Yes

  No

  N/A

• Piping/hoses are free of deterioration, rips, and tears?

  Yes

  No

  N/A

• Piping is free of rust, corrosion, and missing paint?

  Yes

  No

  N/A

• Joints/connections to tanks are secure?

  Yes

  No

  N/A

• Verify proper function of anti-siphon valves?

  Satisfactory

  Not Satisfactory

  N/A

Containment Area

• Area is free of water/snow?

  Yes

  No

  N/A

• Area is free of product or indication of a release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Drain valves closed/locked?

  Yes

  No

  N/A

Indication of Releases

• Pooled Product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on ponded water?

  Yes

  No

  N/A

Security

• Lighting works (verify operation of security lights)?

  Yes

  No

  N/A

• Locks are functional with keys/combos available?

  Yes

  No

  N/A

• Fence is secure?

  Yes

  No

  N/A

Maintenance

• Replace fuel filters

  Completed

  Not Completed

  N/A

• Replace gaskets on flanged connections as necessary

  Completed

  Not Completed

  N/A

• Restore painting, coatings, or other corrosion protection

  Completed

  Not Completed

  N/A

• Calibrate product transfer gauges

  Completed

  Not Completed

  N/A

• Restock spill response kit as necessary

  Completed

  Not Completed

  N/A

Miscellaneous

• Review inventory records

  Completed

  Not Completed

  N/A

• Other

Tank Construction

• Tank is free of dents?

  Yes

  No

  N/A

• Tank is free of missing paint and/or rust?

  Yes

  No

  N/A

• Seams are tight and free of rust?

  Yes

  No

  N/A

• Tank surfaces are clear of snow, trees/vegetation, and debris?

  Yes

  No

  N/A

• Tank support elements are structurally secure?

  Yes

  No

  N/A

• Does tank foundation exhibit signs of settlement, pitting, cracking, or spalling?

  Yes

  No

  N/A

• Check function of level gauges

  Working

  Not Working

  N/A

• Valves open and close freely?

  Yes

  No

  N/A

• Vents are structurally sound and allow gases to escape?

  Yes

  No

  N/A

• Does overfill basin contain water or products?

  Yes

  No

  N/A

• Inspect the o-ring/gasket on emergency vent(s)?

  Satisfactory

  Not Satisfactory

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Tank overfill alarms?

  Working

  Not Working

  N/A

• Test automatic overfill shut-off mechanism

  Working

  Not Working

  N/A

• Test day tank transfer pump, alarms, and level controls

  Satisfactory

  Not Satisfactory

  N/A

• UST leak detection test (per UST regulations)

  Pass

  Fail

  N/A

• Date

  Date

• Tank tightness test (annual for T11, per UST regulations for others, as appropriate)

  Pass

  Fail

  N/A

• Date

  Date

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust or missing paint?

  Yes

  No

  N/A

• Interstitial space is free of fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms

  Working

  Not Working

  N/A

• Valve/access orifice closed and tank secure when done?

  Yes

  No

  N/A

Dispenser And Transfer Controls

• Dispenser nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

• Starter control is locked and in proper working order?

  Yes

  No

  N/A

• Test emergency shutoff switches

  Working

  Not Working

  N/A

Piping

• Piping is properly braced and supported (emphasis on joint support)?

  Yes

  No

  N/A

• Piping/hoses are free of deterioration, rips, and tears?

  Yes

  No

  N/A

• Piping is free of rust, corrosion, and missing paint?

  Yes

  No

  N/A

• Joints/connections to tanks are secure?

  Yes

  No

  N/A

• Verify proper function of anti-siphon valves?

  Satisfactory

  Not Satisfactory

  N/A

Containment Area

• Area is free of water/snow?

  Yes

  No

  N/A

• Area is free of product or indication of a release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Drain valves closed/locked?

  Yes

  No

  N/A

Indication of Releases

• Pooled Product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on ponded water?

  Yes

  No

  N/A

Security

• Lighting works (verify operation of security lights)?

  Yes

  No

  N/A

• Locks are functional with keys/combos available?

  Yes

  No

  N/A

• Fence is secure?

  Yes

  No

  N/A

Maintenance

• Replace fuel filters

  Completed

  Not Completed

  N/A

• Replace gaskets on flanged connections as necessary

  Completed

  Not Completed

  N/A

• Restore painting, coatings, or other corrosion protection

  Completed

  Not Completed

  N/A

• Calibrate product transfer gauges

  Completed

  Not Completed

  N/A

• Restock spill response kit as necessary

  Completed

  Not Completed

  N/A

Miscellaneous

• Review inventory records

  Completed

  Not Completed

  N/A

• Other

Tank Construction

• Tank is free of dents?

  Yes

  No

  N/A

• Tank is free of missing paint and/or rust?

  Yes

  No

  N/A

• Seams are tight and free of rust?

  Yes

  No

  N/A

• Tank surfaces are clear of snow, trees/vegetation, and debris?

  Yes

  No

  N/A

• Tank support elements are structurally secure?

  Yes

  No

  N/A

• Does tank foundation exhibit signs of settlement, pitting, cracking, or spalling?

  Yes

  No

  N/A

• Check function of level gauges

  Working

  Not Working

  N/A

• Valves open and close freely?

  Yes

  No

  N/A

• Vents are structurally sound and allow gases to escape?

  Yes

  No

  N/A

• Does overfill basin contain water or products?

  Yes

  No

  N/A

• Inspect the o-ring/gasket on emergency vent(s)?

  Satisfactory

  Not Satisfactory

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Tank overfill alarms?

  Working

  Not Working

  N/A

• Test automatic overfill shut-off mechanism

  Working

  Not Working

  N/A

• Test day tank transfer pump, alarms, and level controls

  Satisfactory

  Not Satisfactory

  N/A

• UST leak detection test (per UST regulations)

  Pass

  Fail

  N/A

• Date

  Date

• Tank tightness test (annual for T11, per UST regulations for others, as appropriate)

  Pass

  Fail

  N/A

• Date

  Date

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust or missing paint?

  Yes

  No

  N/A

• Interstitial space is free of fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms

  Working

  Not Working

  N/A

• Valve/access orifice closed and tank secure when done?

  Yes

  No

  N/A

Dispenser And Transfer Controls

• Dispenser nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

• Starter control is locked and in proper working order?

  Yes

  No

  N/A

• Test emergency shutoff switches

  Working

  Not Working

  N/A

Piping

• Piping is properly braced and supported (emphasis on joint support)?

  Yes

  No

  N/A

• Piping/hoses are free of deterioration, rips, and tears?

  Yes

  No

  N/A

• Piping is free of rust, corrosion, and missing paint?

  Yes

  No

  N/A

• Joints/connections to tanks are secure?

  Yes

  No

  N/A

• Verify proper function of anti-siphon valves?

  Satisfactory

  Not Satisfactory

  N/A

Containment Area

• Area is free of water/snow?

  Yes

  No

  N/A

• Area is free of product or indication of a release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Drain valves closed/locked?

  Yes

  No

  N/A

Indication of Releases

• Pooled Product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on ponded water?

  Yes

  No

  N/A

Security

• Lighting works (verify operation of security lights)?

  Yes

  No

  N/A

• Locks are functional with keys/combos available?

  Yes

  No

  N/A

• Fence is secure?

  Yes

  No

  N/A

Maintenance

• Replace fuel filters

  Completed

  Not Completed

  N/A

• Replace gaskets on flanged connections as necessary

  Completed

  Not Completed

  N/A

• Restore painting, coatings, or other corrosion protection

  Completed

  Not Completed

  N/A

• Calibrate product transfer gauges

  Completed

  Not Completed

  N/A

• Restock spill response kit as necessary

  Completed

  Not Completed

  N/A

Miscellaneous

• Review inventory records

  Completed

  Not Completed

  N/A

• Other

Tank Construction

• Tank is free of dents?

  Yes

  No

  N/A

• Tank is free of missing paint and/or rust?

  Yes

  No

  N/A

• Seams are tight and free of rust?

  Yes

  No

  N/A

• Tank surfaces are clear of snow, trees/vegetation, and debris?

  Yes

  No

  N/A

• Tank support elements are structurally secure?

  Yes

  No

  N/A

• Does tank foundation exhibit signs of settlement, pitting, cracking, or spalling?

  Yes

  No

  N/A

• Check function of level gauges

  Working

  Not Working

  N/A

• Valves open and close freely?

  Yes

  No

  N/A

• Vents are structurally sound and allow gases to escape?

  Yes

  No

  N/A

• Does overfill basin contain water or products?

  Yes

  No

  N/A

• Inspect the o-ring/gasket on emergency vent(s)?

  Satisfactory

  Not Satisfactory

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Tank overfill alarms?

  Working

  Not Working

  N/A

• Test automatic overfill shut-off mechanism

  Working

  Not Working

  N/A

• Test day tank transfer pump, alarms, and level controls

  Satisfactory

  Not Satisfactory

  N/A

• UST leak detection test (per UST regulations)

  Pass

  Fail

  N/A

• Date

  Date

• Tank tightness test (annual for T11, per UST regulations for others, as appropriate)

  Pass

  Fail

  N/A

• Date

  Date

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust or missing paint?

  Yes

  No

  N/A

• Interstitial space is free of fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms

  Working

  Not Working

  N/A

• Valve/access orifice closed and tank secure when done?

  Yes

  No

  N/A

Dispenser And Transfer Controls

• Dispenser nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

• Starter control is locked and in proper working order?

  Yes

  No

  N/A

• Test emergency shutoff switches

  Working

  Not Working

  N/A

Piping

• Piping is properly braced and supported (emphasis on joint support)?

  Yes

  No

  N/A

• Piping/hoses are free of deterioration, rips, and tears?

  Yes

  No

  N/A

• Piping is free of rust, corrosion, and missing paint?

  Yes

  No

  N/A

• Joints/connections to tanks are secure?

  Yes

  No

  N/A

• Verify proper function of anti-siphon valves?

  Satisfactory

  Not Satisfactory

  N/A

Containment Area

• Area is free of water/snow?

  Yes

  No

  N/A

• Area is free of product or indication of a release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Drain valves closed/locked?

  Yes

  No

  N/A

Indication of Releases

• Pooled Product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on ponded water?

  Yes

  No

  N/A

Security

• Lighting works (verify operation of security lights)?

  Yes

  No

  N/A

• Locks are functional with keys/combos available?

  Yes

  No

  N/A

• Fence is secure?

  Yes

  No

  N/A