Monthly Inspection: C Street Facility Inspection - duplicate

• C Street Monthly Facility Inspection (SPCC Plan)

• Conducted on

  Date

• Prepared by

Tank Construction

• Tank is free of debris?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Tank support/foundation is structurally secure?

  Yes

  No

  N/A

• Gauges are free of moisture?

  Yes

  No

  N/A

• Tank is free of leaks?

  Yes

  No

  N/A

• Indication of a product release in tank vicinity?

  Yes

  No

  N/A

• Does overfill basin contain water or product?

  Yes

  No

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Test overfill alarms.

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust and/or missing paint?

  Yes

  No

  N/A

• Interstitial space is free from fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms?

  Pass

  Fail

  N/A

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

  Yes

  No

  N/A

Piping

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

  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

• Replace gaskets on flanged connections as necessary?

  Completed

  Not Complete

  N/A

• Pipes not in service are capped and marked as to origin?

  Yes

  No

  N/A

• Filters are clean and free of debris?

  Yes

  No

  N/A

• Valves closed and secure?

  Yes

  No

  N/A

Dispensers

• Nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

Containment Areas (Includes Day Tank Dikes)

• Areas are free of water/snow?

  Yes

  No

  N/A

• Areas are free of product or indications of release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Darin valves are closed/locked?

  Yes

  No

  N/A

Indications Of Releases

• Pooled product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on pounded water?

  Yes

  No

  N/A

• Other (explain):

Tank Construction

• Tank is free of debris?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Tank support/foundation is structurally secure?

  Yes

  No

  N/A

• Gauges are free of moisture?

  Yes

  No

  N/A

• Tank is free of leaks?

  Yes

  No

  N/A

• Indication of a product release in tank vicinity?

  Yes

  No

  N/A

• Does overfill basin contain water or product?

  Yes

  No

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Test overfill alarms.

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust and/or missing paint?

  Yes

  No

  N/A

• Interstitial space is free from fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms?

  Pass

  Fail

  N/A

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

  Yes

  No

  N/A

Piping

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

  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

• Replace gaskets on flanged connections as necessary?

  Completed

  Not Complete

  N/A

• Pipes not in service are capped and marked as to origin?

  Yes

  No

  N/A

• Filters are clean and free of debris?

  Yes

  No

  N/A

• Valves closed and secure?

  Yes

  No

  N/A

Dispensers

• Nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

Containment Areas (Includes Day Tank Dikes)

• Areas are free of water/snow?

  Yes

  No

  N/A

• Areas are free of product or indications of release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Darin valves are closed/locked?

  Yes

  No

  N/A

Indications Of Releases

• Pooled product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on pounded water?

  Yes

  No

  N/A

• Other (explain):

Tank Construction

• Tank is free of debris?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Tank support/foundation is structurally secure?

  Yes

  No

  N/A

• Gauges are free of moisture?

  Yes

  No

  N/A

• Tank is free of leaks?

  Yes

  No

  N/A

• Indication of a product release in tank vicinity?

  Yes

  No

  N/A

• Does overfill basin contain water or product?

  Yes

  No

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Test overfill alarms.

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust and/or missing paint?

  Yes

  No

  N/A

• Interstitial space is free from fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms?

  Pass

  Fail

  N/A

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

  Yes

  No

  N/A

Piping

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

  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

• Replace gaskets on flanged connections as necessary?

  Completed

  Not Complete

  N/A

• Pipes not in service are capped and marked as to origin?

  Yes

  No

  N/A

• Filters are clean and free of debris?

  Yes

  No

  N/A

• Valves closed and secure?

  Yes

  No

  N/A

Dispensers

• Nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

Containment Areas (Includes Day Tank Dikes)

• Areas are free of water/snow?

  Yes

  No

  N/A

• Areas are free of product or indications of release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Darin valves are closed/locked?

  Yes

  No

  N/A

Indications Of Releases

• Pooled product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on pounded water?

  Yes

  No

  N/A

• Other (explain):

Tank Construction

• Tank is free of debris?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Tank support/foundation is structurally secure?

  Yes

  No

  N/A

• Gauges are free of moisture?

  Yes

  No

  N/A

• Tank is free of leaks?

  Yes

  No

  N/A

• Indication of a product release in tank vicinity?

  Yes

  No

  N/A

• Does overfill basin contain water or product?

  Yes

  No

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Test overfill alarms.

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust and/or missing paint?

  Yes

  No

  N/A

• Interstitial space is free from fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms?

  Pass

  Fail

  N/A

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

  Yes

  No

  N/A

Piping

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

  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

• Replace gaskets on flanged connections as necessary?

  Completed

  Not Complete

  N/A

• Pipes not in service are capped and marked as to origin?

  Yes

  No

  N/A

• Filters are clean and free of debris?

  Yes

  No

  N/A

• Valves closed and secure?

  Yes

  No

  N/A

Dispensers

• Nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

Containment Areas (Includes Day Tank Dikes)

• Areas are free of water/snow?

  Yes

  No

  N/A

• Areas are free of product or indications of release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Darin valves are closed/locked?

  Yes

  No

  N/A

Indications Of Releases

• Pooled product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on pounded water?

  Yes

  No

  N/A

• Other (explain):

Tank Construction

• Tank is free of debris?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Tank support/foundation is structurally secure?

  Yes

  No

  N/A

• Gauges are free of moisture?

  Yes

  No

  N/A

• Tank is free of leaks?

  Yes

  No

  N/A

• Indication of a product release in tank vicinity?

  Yes

  No

  N/A

• Does overfill basin contain water or product?

  Yes

  No

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Test overfill alarms.

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust and/or missing paint?

  Yes

  No

  N/A

• Interstitial space is free from fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms?

  Pass

  Fail

  N/A

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

  Yes

  No

  N/A

Piping

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

  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

• Replace gaskets on flanged connections as necessary?

  Completed

  Not Complete

  N/A

• Pipes not in service are capped and marked as to origin?

  Yes

  No

  N/A

• Filters are clean and free of debris?

  Yes

  No

  N/A

• Valves closed and secure?

  Yes

  No

  N/A

Dispensers

• Nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

Containment Areas (Includes Day Tank Dikes)

• Areas are free of water/snow?

  Yes

  No

  N/A

• Areas are free of product or indications of release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Darin valves are closed/locked?

  Yes

  No

  N/A

Indications Of Releases

• Pooled product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on pounded water?

  Yes

  No

  N/A

• Other (explain):

Tank Construction

• Tank is free of debris?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Tank support/foundation is structurally secure?

  Yes

  No

  N/A

• Gauges are free of moisture?

  Yes

  No

  N/A

• Tank is free of leaks?

  Yes

  No

  N/A

• Indication of a product release in tank vicinity?

  Yes

  No

  N/A

• Does overfill basin contain water or product?

  Yes

  No

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Test overfill alarms.

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust and/or missing paint?

  Yes

  No

  N/A

• Interstitial space is free from fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms?

  Pass

  Fail

  N/A

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

  Yes

  No

  N/A

Piping

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

  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

• Replace gaskets on flanged connections as necessary?

  Completed

  Not Complete

  N/A

• Pipes not in service are capped and marked as to origin?

  Yes

  No

  N/A

• Filters are clean and free of debris?

  Yes

  No

  N/A

• Valves closed and secure?

  Yes

  No

  N/A

Dispensers

• Nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

Containment Areas (Includes Day Tank Dikes)

• Areas are free of water/snow?

  Yes

  No

  N/A

• Areas are free of product or indications of release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Darin valves are closed/locked?

  Yes

  No

  N/A

Indications Of Releases

• Pooled product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on pounded water?

  Yes

  No

  N/A

• Other (explain):

Tank Construction

• Tank is free of debris?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Tank support/foundation is structurally secure?

  Yes

  No

  N/A

• Gauges are free of moisture?

  Yes

  No

  N/A

• Tank is free of leaks?

  Yes

  No

  N/A

• Indication of a product release in tank vicinity?

  Yes

  No

  N/A

• Does overfill basin contain water or product?

  Yes

  No

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Test overfill alarms.

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust and/or missing paint?

  Yes

  No

  N/A

• Interstitial space is free from fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms?

  Pass

  Fail

  N/A

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

  Yes

  No

  N/A

Piping

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

  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

• Replace gaskets on flanged connections as necessary?

  Completed

  Not Complete

  N/A

• Pipes not in service are capped and marked as to origin?

  Yes

  No

  N/A

• Filters are clean and free of debris?

  Yes

  No

  N/A

• Valves closed and secure?

  Yes

  No

  N/A

Dispensers

• Nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

Containment Areas (Includes Day Tank Dikes)

• Areas are free of water/snow?

  Yes

  No

  N/A

• Areas are free of product or indications of release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Darin valves are closed/locked?

  Yes

  No

  N/A

Indications Of Releases

• Pooled product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on pounded water?

  Yes

  No

  N/A

• Other (explain):

Tank Construction

• Tank is free of debris?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Tank support/foundation is structurally secure?

  Yes

  No

  N/A

• Gauges are free of moisture?

  Yes

  No

  N/A

• Tank is free of leaks?

  Yes

  No

  N/A

• Indication of a product release in tank vicinity?

  Yes

  No

  N/A

• Does overfill basin contain water or product?

  Yes

  No

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Test overfill alarms.

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust and/or missing paint?

  Yes

  No

  N/A

• Interstitial space is free from fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms?

  Pass

  Fail

  N/A

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

  Yes

  No

  N/A

Piping

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

  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

• Replace gaskets on flanged connections as necessary?

  Completed

  Not Complete

  N/A

• Pipes not in service are capped and marked as to origin?

  Yes

  No

  N/A

• Filters are clean and free of debris?

  Yes

  No

  N/A

• Valves closed and secure?

  Yes

  No

  N/A

Dispensers

• Nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

Containment Areas (Includes Day Tank Dikes)

• Areas are free of water/snow?

  Yes

  No

  N/A

• Areas are free of product or indications of release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Darin valves are closed/locked?

  Yes

  No

  N/A

Indications Of Releases

• Pooled product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on pounded water?

  Yes

  No

  N/A

• Other (explain):

Tank Construction

• Tank is free of debris?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Tank support/foundation is structurally secure?

  Yes

  No

  N/A

• Gauges are free of moisture?

  Yes

  No

  N/A

• Tank is free of leaks?

  Yes

  No

  N/A

• Indication of a product release in tank vicinity?

  Yes

  No

  N/A

• Does overfill basin contain water or product?

  Yes

  No

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Test overfill alarms.

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust and/or missing paint?

  Yes

  No

  N/A

• Interstitial space is free from fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms?

  Pass

  Fail

  N/A

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

  Yes

  No

  N/A

Piping

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

  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

• Replace gaskets on flanged connections as necessary?

  Completed

  Not Complete

  N/A

• Pipes not in service are capped and marked as to origin?

  Yes

  No

  N/A

• Filters are clean and free of debris?

  Yes

  No

  N/A

• Valves closed and secure?

  Yes

  No

  N/A

Dispensers

• Nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

Containment Areas (Includes Day Tank Dikes)

• Areas are free of water/snow?

  Yes

  No

  N/A

• Areas are free of product or indications of release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Darin valves are closed/locked?

  Yes

  No

  N/A

Indications Of Releases

• Pooled product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on pounded water?

  Yes

  No

  N/A

• Other (explain):

Tank Construction

• Tank is free of debris?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Tank support/foundation is structurally secure?

  Yes

  No

  N/A

• Gauges are free of moisture?

  Yes

  No

  N/A

• Tank is free of leaks?

  Yes

  No

  N/A

• Indication of a product release in tank vicinity?

  Yes

  No

  N/A

• Does overfill basin contain water or product?

  Yes

  No

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Test overfill alarms.

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust and/or missing paint?

  Yes

  No

  N/A

• Interstitial space is free from fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms?

  Pass

  Fail

  N/A

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

  Yes

  No

  N/A

Piping

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

  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

• Replace gaskets on flanged connections as necessary?

  Completed

  Not Complete

  N/A

• Pipes not in service are capped and marked as to origin?

  Yes

  No

  N/A

• Filters are clean and free of debris?

  Yes

  No

  N/A

• Valves closed and secure?

  Yes

  No

  N/A

Dispensers

• Nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

Containment Areas (Includes Day Tank Dikes)

• Areas are free of water/snow?

  Yes

  No

  N/A

• Areas are free of product or indications of release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Darin valves are closed/locked?

  Yes

  No

  N/A

Indications Of Releases

• Pooled product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on pounded water?

  Yes

  No

  N/A

• Other (explain):

Tank Construction

• Tank is free of debris?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Tank support/foundation is structurally secure?

  Yes

  No

  N/A

• Gauges are free of moisture?

  Yes

  No

  N/A

• Tank is free of leaks?

  Yes

  No

  N/A

• Indication of a product release in tank vicinity?

  Yes

  No

  N/A

• Does overfill basin contain water or product?

  Yes

  No

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Test overfill alarms.

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust and/or missing paint?

  Yes

  No

  N/A

• Interstitial space is free from fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms?

  Pass

  Fail

  N/A

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

  Yes

  No

  N/A

Piping

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

  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

• Replace gaskets on flanged connections as necessary?

  Completed

  Not Complete

  N/A

• Pipes not in service are capped and marked as to origin?

  Yes

  No

  N/A

• Filters are clean and free of debris?

  Yes

  No

  N/A

• Valves closed and secure?

  Yes

  No

  N/A

Dispensers

• Nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

Containment Areas (Includes Day Tank Dikes)

• Areas are free of water/snow?

  Yes

  No

  N/A

• Areas are free of product or indications of release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Darin valves are closed/locked?

  Yes

  No

  N/A

Indications Of Releases

• Pooled product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on pounded water?

  Yes

  No

  N/A

• Other (explain):

Tank Construction

• Tank is free of debris?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Tank support/foundation is structurally secure?

  Yes

  No

  N/A

• Gauges are free of moisture?

  Yes

  No

  N/A

• Tank is free of leaks?

  Yes

  No

  N/A

• Indication of a product release in tank vicinity?

  Yes

  No

  N/A

• Does overfill basin contain water or product?

  Yes

  No

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Test overfill alarms.

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust and/or missing paint?

  Yes

  No

  N/A

• Interstitial space is free from fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms?

  Pass

  Fail

  N/A

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

  Yes

  No

  N/A

Piping

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

  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

• Replace gaskets on flanged connections as necessary?

  Completed

  Not Complete

  N/A

• Pipes not in service are capped and marked as to origin?

  Yes

  No

  N/A

• Filters are clean and free of debris?

  Yes

  No

  N/A

• Valves closed and secure?

  Yes

  No

  N/A

Dispensers

• Nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

Containment Areas (Includes Day Tank Dikes)

• Areas are free of water/snow?

  Yes

  No

  N/A

• Areas are free of product or indications of release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Darin valves are closed/locked?

  Yes

  No

  N/A

Indications Of Releases

• Pooled product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on pounded water?

  Yes

  No

  N/A

• Other (explain):

Tank Construction

• Tank is free of debris?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Tank support/foundation is structurally secure?

  Yes

  No

  N/A

• Gauges are free of moisture?

  Yes

  No

  N/A

• Tank is free of leaks?

  Yes

  No

  N/A

• Indication of a product release in tank vicinity?

  Yes

  No

  N/A

• Does overfill basin contain water or product?

  Yes

  No

  N/A

• Tank vents are visible and free of dents?

  Yes

  No

  N/A

• Test overfill alarms.

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

Interstitial Space Monitoring (Double-Wall Tanks)

• Valve/access orifice closed prior to monitoring?

  Yes

  No

  N/A

• Valve free from rust and/or missing paint?

  Yes

  No

  N/A

• Interstitial space is free from fluid?

  Yes

  No

  N/A

• Inner compartments appear secure?

  Yes

  No

  N/A

• Test leak detection sensors and alarms?

  Pass

  Fail

  N/A

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

  Yes

  No

  N/A

Piping

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

  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

• Replace gaskets on flanged connections as necessary?

  Completed

  Not Complete

  N/A

• Pipes not in service are capped and marked as to origin?

  Yes

  No

  N/A

• Filters are clean and free of debris?

  Yes

  No

  N/A

• Valves closed and secure?

  Yes

  No

  N/A

Dispensers

• Nozzle is secure and properly stored?

  Yes

  No

  N/A

• Dispenser hose is stored off the ground?

  Yes

  No

  N/A

Containment Areas (Includes Day Tank Dikes)

• Areas are free of water/snow?

  Yes

  No

  N/A

• Areas are free of product or indications of release?

  Yes

  No

  N/A

• Dikes are secure?

  Yes

  No

  N/A

• Darin valves are closed/locked?

  Yes

  No

  N/A

Indications Of Releases

• Pooled product?

  Yes

  No

  N/A

• Stained soil or snow?

  Yes

  No

  N/A

• Distressed vegetation?

  Yes

  No

  N/A

• Sheen on pounded water?

  Yes

  No

  N/A

• Other (explain):

• Did you document any unsatisfactory inspection?

  Yes

  No

  N/A

• Did you notify supervisor of any unsatisfactory inspection?

  Yes

  No

  N/A

• Did you describe any corrective action taken or that will be performed?

  Yes

  No

  N/A

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