Title Page
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Site conducted
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Inspection Date
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PM Work Order Number for this Inspection
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Retain until date
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Inspector Name
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Title
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Container(s) Inspected ID
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Regulatory Facility Name and ID Number
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Location
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Inspection Guidance:
• This checklist is intended as a model. Locally developed checklists are acceptable as long as they are substantially equivalent (as applicable).
• This periodic Inspection is intended for monitoring the external condition and its containment structure. This visual inspection does not require a Certified Inspector. It shall be performed by an owner’s inspector who is familiar with the site and can identify changes and developing problems. Note the non-conformance and corresponding corrective action in the comment section.
• Retain the completed checklists for at least 36 months.
Container
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Area
Portable Container Containment/Storage Area
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1. Are all portable container(s) within designated storage area?
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2. Is the containment and storage area free of excess liquid, debris, cracks or fire hazards?
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3. Are drain valves closed and in good working condition?
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4. Are containment egress pathways clear and any gates/doors operable?
Containers
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5. Is the container free of leaks?<br>Note: If "No", identify container and describe leak.
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6. Is the container free of distortions, buckling, denting or bulging?
Sign Off
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Additional Comments
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Inspector’s Signature