Title Page
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Site
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Inspected by
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Conducted on
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Location
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This SPCC plan template for tier 1 qualified facility is based on this link from USEPA.
https://www.epa.gov/sites/production/files/2014-05/documents/tier1template.pdf
Table G-18 Dike Drainage Log
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+ Dike Drainage
Dike Drainage
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Date and Time
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Bypass valve sealed closed?
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Rainwater inspected to be sure no oil (or sheen) is visible
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Open bypass valve and reseal it following drainage
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Drainage activity supervised
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Observations and Recommendations
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Photo (optional)
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Name and Signature of Inspector