Annual Facility Inspection Checklist

  • 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 CO-1 (east of the processing plant)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Wastewater treatment plant does not provide containment

  • Description & Comments

Tank CO-2 (east of the processing plant)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Wastewater treatment plant does not provide containment

  • Description & Comments

Tank D-1 (cooling shed)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Interstitial space contains no liquid

  • Description & Comments

Tank EG-2 (west of the cafeteria)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Interstitial space contains no liquid

  • Description & Comments

Tank EG-3 (west of the processing plant)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Interstitial space contains no liquid

  • Description & Comments

Tank EG-4 (wastewater generator tank)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Interstitial space contains no liquid

  • Description & Comments

Tank EG-5 (engine room 5 generator tank)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Interstitial space contains no liquid

  • Description & Comments

Tank FO-1 (east of the processing plant and south of the wastewater treatment office)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Interstitial space contains no liquid

  • Description & Comments

Tank FO-2 (pickup truck)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Interstitial space contains no liquid

  • Description & Comments

Tank HE-1 (west of the transportation office)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

Tank HO-1 (south of the truck shop)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Interstitial space contains no liquid

  • Description & Comments

Tank HO-2 (live receiving)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Interstitial space contains no liquid

  • Description & Comments

Tank HO-3 (west side hydraulic room)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Interstitial space contains no liquid

  • Description & Comments

Tank K-1 (warehouse #1)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Interstitial space contains no liquid

  • Description & Comments

Tank MO-1 (south of the truck shop)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Interstitial space contains no liquid

  • Description & Comments

Tank UO-1 (south of the truck shop)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Interstitial space contains no liquid

  • Description & Comments

Tank UO-2 (engine room 5)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Interstitial space contains no liquid

  • Description & Comments

D-1 Drums (engine room 5)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

D-2 Drums (truck shop)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

D-3 Drums (engine room 1 and 4)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

D-4 Drums (engine room 2)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

D-5 Drums (engine room 3)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

D-6 Drums (air compressor room)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

D-7 Drums (warehouse #1)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

D-8 Drums (parts inventory room)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

Piping

  • Valve seals, gaskets, or other appurtenances are leaking

  • Description & Comments

  • Pipelines or supports are damaged or deteriorated

  • Description & Comments

  • Joints, valves and other appurtenances are leaking

  • Description & Comments

  • Fill and discharge piping is not properly connected

  • Description & Comments

Loading/unloading and transfer equipment

  • Connections are not capped or blank-flanged

  • Description & Comments

Security

  • Fencing, gates, or lighting is non-functional

  • Description & Comments

Response equipment

  • Response equipment inventory is incomplete

  • Description & Comments

  • Additional Remarks:

  • Title:

  • Print Name and Sign

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