Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Components
Valves 112.8 (d)(4) 112.9 (d)(1)
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Are there any signs of misting
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Are there any liquid leaks?
Flanges 112.8 (d)(4)
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Are there any liquid leaks?
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Are there any signs of misting?
Pumps 112.8 (d)(4)
Dump Lever Arms 112.11(d)
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Are there any liquid leaks?
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Are there any signs of misting?
Vessels
Tanks 112.9(c)(3)
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Do the tank surfaces show signs of leakage?
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Is there any staining on the ground?
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Are there holes in the tanks? (Including pinholes)
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Are the tanks damaged, rusted, or deteriorated?
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Are any of the bolts, rivets, or seams damaged?
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Are level gauges or alarms inoperative?
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Are any signs or labels missing on tanks?
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Have any tank supports deteriorated or buckled?
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Have the tank foundation eroded or settled?
Secondary Containment 112.9(c)(2) 112.9(b)(1) 112.9(b)(1) 112.7(c)
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Is the secondary containment damaged or not adequate?
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Is the drainage valve open or broken?
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Is there trash or vegetation inside the containment?
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Is there any staining inside or outside the containment?
Hatches 112.8(d)(4)
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Are there stains around the hatches?
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Are any hatches open or partly open?
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Gaskets not properly sealing or showing signs of deterioration?
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Are there visible gas emissions?
Relief Valves & Vents 112.9(d)(2)
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Are there any leaks?
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Are there any visible gas emissions?
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Vents are obstructed?
Separator(s) 112.9(c)(3)
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Does she'll condition show signs of pitting, rusting, or deterioration?
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Gaskets not properly sealing or showing signs of deterioration?
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Does the equipment show signs of leakage?
Piping
Pipelines 112.8(d)(4) 112.9(d)(1)
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Are any pipeline or supports damaged or deteriorating?
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Is any buried piping exposed?
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Are there any out of service pipes without caps
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Are there any liquid leaks?
Response Equipment 112.7(d)(2) 112.7(a)(3)(iv)
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Response equipment inventory is complete
Security/Safety
Fencing & Gates 112.7(g)
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Fencing and gates are damaged or non-functional?
Lighting 112.7(g)
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Is lighting non-functional?
Signage
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Is proper signage missing?
Pumps & Valves 112.7(g)
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Pumps and valves are not locked (if not in use)?
Transfer Equipment
Load lines 112.7(h) 112.9(d)(1)
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Are load line damaged or deteriorated?
Environmental Pots 112.9(b)(2) 112.7(h)
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Are environmental pots damaged or leaking?
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Is there any staining beneath environmental pots?
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Is there any any liquid in environmental pots?
Additional Comments
Has any equipment been added or remover since last inspection?
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Add drawing
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Add signature