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 EG-1 (North of the loading dock)
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Tank surface shows signs of leakage
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Description & Comments
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Tank is damaged, rusted, deteriorated or corroded
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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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Interstitial space contains liquid
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Description & Comments
Tank EG-2 (North of the maintenance shop)
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Tank surface shows signs of leakage
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Description & Comments
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Tank is damaged, rusted, deteriorated or corroded
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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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Interstitial space contains liquid
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Description & Comments
Tank FO-1 (North of the loading dock)
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Tank surface shows signs of leakage
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Description & Comments
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Tank is damaged, rusted, deteriorated or corroded
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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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Interstitial space contains no liquid
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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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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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Out-of-service pipes are not capped
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Description & Comments
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Warning signs are missing or damaged
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Description & Comments
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Fill and discharge piping is not properly connected
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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
Transformers
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Transformers show signs of leakage
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Description & Comments
Security
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Fencing, gates, or lighting is non-functional
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Description & Comments
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Additional Remarks:
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Title:
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Print Name and Sign