Title Page
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Facility
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Well Sign
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API
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Conducted on
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Prepared by
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Location
SPCC
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Does oil filled equipment show of signs of leaks, corrosion, damage or any other issues that could result in a leak?
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Are there any puddles or staining under oil filled equipment that indicates a leak may have occurred?
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Do visible valves, seals, gaskets and welds show signs of damage that could result in a leak?
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If a leak or release is discovered, was it reported immediately and contained?
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Do flow lines show signs of leaks, corrosion, damage or any other issues that could result in a leak?
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Do all oil filled containers over 55 gallons that are not process equipment (Separators) have sized secondary containment?
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Does secondary containment (berms, containments, etc) show signs of damage, low spots, animal burrows or corrosion?
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Does secondary containment show signs of accumulated or pooled oil or water?
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Are the foundations of all oil filled equipment in good condition, and show no signs of damage that could lead to a leak?
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If present, do all oil drums have bungs in place and show no signs of leakage?
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Has any oil filled equipment been added to the site that would require a SPCC plan update?
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Comments/Notes
Signature
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Person Performing Inspection
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Company
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Company Name
