Title Page
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Conducted on
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Prepared by
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Annual reminders:
• Hold SPCC Briefing for all oil-handling personnel (and update briefing log in the Plan);
• Check contact information for key employees and response/cleanup contractors and update
them in the Plan as needed;
Annual Facility Inspection Checklist
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This inspection record must be completed each year. If any response requires further elaboration, provide comments in Description & Comments space provided. Further description and comments, if necessary, must be provided on a separate sheet of paper and attached to this sheet. *Any item that receives “yes” as an answer must be described and addressed immediately.
Storage Tanks
Tank FO-1
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Tank G-1
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Tank UO-1
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Tank UO-2
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Tank HO-1
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Tank MO-1
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Water/product in interstice of double-walled tank
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Tank HO-2
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Water/product in interstice of double-walled tank
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Tank AL-1
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Tank GO-1
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Tank MNO-1
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Tank UO-3
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Tank FO-2
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Tank FO-3
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Tank FO-4
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Tank FO-5
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Tank FO-6
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Tank surface shows signs of leakage
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Description & Comments
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Tank surface shows signs of corrosion or thinning
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Description & Comments
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Tank is damaged, rusted, deteriorated
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Description & Comments
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Bolts, rivets, or seams are damaged
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Description & Comments
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Tank support is deteriorated or buckled
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Description & Comments
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Tank foundation has eroded or settled
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Description & Comments
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Level gauge or alarm is inoperative
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Description & Comments
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Vent is obstructed
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Description & Comments
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Secondary containment is damaged or stained
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
Dikes
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Secondary containment is stained
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Description & Comments
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Dike drainage valve is open or is not locked
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Description & Comments
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Dike walls or floors are cracked or are separating
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Description & Comments
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Dike is retaining water (following large rainfall)
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Description & Comments
Piping
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Valve seals, gaskets, or other appurtenances are leaking
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Description & Comments
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Fill pipe and discharge pipes are in good condition
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Description & Comments
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Pipelines or supports are damaged or deteriorated
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Description & Comments
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Joints, valves and other appurtenances are leaking
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Description & Comments
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Catch pans are in good condition
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Description & Comments
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Valves are locked in the closed position
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Description & Comments
Loading/unloading and transfer equipment
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Connections are not capped or blank-flanged
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Description & Comments
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Concrete berm is damaged or stained
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Description & Comments
Security
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Fencing, gates, or lighting is non-functional
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Description & Comments
Response equipment
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Response equipment inventory is incomplete
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Description & Comments
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Additional Remarks:
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Print Name and Sign