Daily Hazardous Waste Tank Inspection Form and Log Sheet

• Document No.

• Daily Hazardous Waste Tank Inspection Form

• Section: NOTE: Inspections Must Be Conducted On A Daily Basis. Maintain Checklist As Documentation Of This Requirement For A Minimum Of 3 Years * Inspection Program Must Meet Requirements Of 22 CCR §66265.195. DAys That Are Not In Use Or Plant Is Closed, Place A Blank Inspection Sheet, Date And Sign. List In Comment Section, Reasons Why The Plant Is Closed Or The Equipment Is Not In Use

• Tank

  Waste Tank 2

  Waste Tank 2A

  WW Sludge Tank

• Prepared by

  Armando Franco

  Steve Gonzalez

  Joshua Orozco

  Abraham Vargas

• Conducted on

  Date
• Location
  Address

• Is tank or system in use?

  Yes

  No

  N/A

• Is the exterior of each treatment unit marked with the facility name, EPA ID number and tank/unit individual serial number?

  Yes

  No

  N/A

• Is there any indication of erosion or release of hazardous waste from the secondary containment (wet spots, stains, dead vegetation)?

  Yes

  No

  N/A

• Are all the tank/unit free of corrosion sign, leakages, or release of any waste (in or on tank exterior)?

  Yes

  No

  N/A

• Is the inlet piping / valves / connections free of corrosion signs or leakages?

  Yes

  No

  N/A

• Do open tanks have at least 2 ft. of free board?

  Yes

  No

  N/A

• Is collection equipment/system working properly? Test the system and document results

  Yes

  No

  N/A

• Are Inlet valves and connections working properly and free of leaks?

  Yes

  No

  N/A

• Are pipes and pumps (including connections) working properly and free of leaks?

  Yes

  No

  N/A

• Is high level waste feed cut-off alarm system in alarm mode ? Test alarm

  Yes

  No

  N/A

• Is berm leak detection system in alarm mode and working? Test the alarm, specified if system is working properly

  Yes

  No

  N/A

• Is secondary containment areas free of areas cracked, deteriorated or evident damage?

  Yes

  No

  N/A

• Does the secondary containment free of accumulated liquids and waste?

  Yes

  No

  N/A

• Is the labeling information legible?

  Yes

  No

  N/A

• Is the tank properly clearly labeled with the words "Hazardous Waste" and compatible with its contents?

  Yes

  No

  N/A

• Have waste been accumulated and/or disposed of within the allowable accumulation time?

  Yes

  No

  N/A

Secure area and sign below

• Sign here

  Sign

• This form is used to conduct the required self-inspection of a hazardous waste tank system. The inspection by the
  tank system operator or owner is required on a daily basis pursuant to the California Code of Regulations (CCR), Title 22, section
  66265.195 (Generators of hazardous waste that are large quantity generators or onsite waste treatment operations using a tank system to
  manage waste are required to conduct these inspections). The tank system inspection records are required to be onsite, available for
  inspector review, and kept for at least 3 years. If the tank system or a component of the tank system (i.e. piping, pumps, valves,
  secondary containment, sump, etc.) is in poor condition or unfit for service, the tank system operator must take proactive steps to
  investigate, repair, and/or replace the equipment, parts, or components as required in section 66265.196 of Title 22 CCR.