Star Pit SPCC Monthly Inspection Form

• Document No.

• Audit Title (Site-SPCC-Month-Year)

• Site Name & Permit Authorization Number

  Burnett Pit - WYR320827

  Casper Pit - WYR320276

  Star Pit - WYR320337

  VR Pit - WYR320279

• Division

  Cheyenne

  Casper
• Location
  Address

• Inspection Conducted on

  Date

Monthly Routine Inspection

• Have any changes in the facility design, construction, operation, or maintenance that affect the facility's potential to discharge oil been documented in the Plan Review Log in appendix E? <br><br>These changes include but are not limited to:<br>1. commissioning or decommissioning of containers<br>2. Reconstruction, replacement, or movement of containers or piping systems<br>3. Alteration of secondary containment structures<br>4. Changes in Product<br>5. Revisions is standard operation, modification of testing or inspection procedures, changes in industry standards or maintenance procedures

  Yes

  No

  N/A

• Select all of the SPCC Regulated Oil Containers to be inspected in the North Yard. Refer to Table 2-1 of the SPCC for further AST descriptions. Refer to Appendix A of the SPCC Plan for AST Locations.

  Select 1 - Diesel - 10,000 Gal AST 2 - Gasoline -4,000 Gal AST 3 - Used Oil - 1,000 Gal AST 4 - Motor Oil - 500 Gal AST 5 - Hydraulic Oil - 500 Gal AST 6 - Hydraulic Oil, Gear Oil, Degreaser, Parts Cleaner - 935 Gal - 55 gal Drums

  • 1 - Diesel - 10,000 Gal AST
  • 2 - Gasoline -4,000 Gal AST
  • 3 - Used Oil - 1,000 Gal AST
  • 4 - Motor Oil - 500 Gal AST
  • 5 - Hydraulic Oil - 500 Gal AST
  • 6 - Hydraulic Oil, Gear Oil, Degreaser, Parts Cleaner - 935 Gal - 55 gal Drums

• Select all of the SPCC Regulated Oil Containers to be inspected in the Star Pit. Refer to Table 2-1 of the SPCC for further AST descriptions. Refer to Appendix A of the SPCC Plan for AST Locations.

  Select 7 - Diesel - 12,000 Gal AST 8 - Diesel - 8,000 Gal AST 9 - Diesel - 2,000 Gal AST 10 - Tack Oil - 15,000 Gal AST 11 - Empty & not in use - former contents unknown - 10,000 Gal AST 12 - Tack Oil - 15,000 Gal AST 13 - Tack Oil - 15,000 Gal AST 14 - Gear oil, hydraulic fluid, motor oil - 495 Gal (55 Gal Drums)

  • 7 - Diesel - 12,000 Gal AST
  • 8 - Diesel - 8,000 Gal AST
  • 9 - Diesel - 2,000 Gal AST
  • 10 - Tack Oil - 15,000 Gal AST
  • 11 - Empty & not in use - former contents unknown - 10,000 Gal AST
  • 12 - Tack Oil - 15,000 Gal AST
  • 13 - Tack Oil - 15,000 Gal AST
  • 14 - Gear oil, hydraulic fluid, motor oil - 495 Gal (55 Gal Drums)

• Check the box to view the Facility Diagram and AST Locations

• North Yard Site Diagram and AST Locations

  

• Star Pit Site Diagram and AST Locations

  

Storage Tanks

• Tank surfaces are free from signs of leakage.

  Yes

  No

  N/A

• Tanks are free from damage, rust or deterioration.

  Yes

  No

  N/A

• Bolts, rivets, or seams are free from damage.

  Yes

  No

  N/A

• Tank supports are free from deterioration or buckling.

  Yes

  No

  N/A

• Tank foundations have not eroded or settled.

  Yes

  No

  N/A

• Level gauges are operative.

  Yes

  No

  N/A

• Vents are unobstructed.

  Yes

  No

  N/A

• Secondary Containment free from damage or staining.

  Yes

  No

  N/A

• Secondary Containment is free from storm water and adequate to contain a complete failure from the largest container.

  Yes

  No

  N/A

• Interstice of double-walled tanks are free from water/product.

  Yes

  No

  N/A

• Dike drainage valve is closed or is locked.

  Yes

  No

  N/A

Portable Containers

• Container surfaces are free from signs of leakage.

  Yes

  No

  N/A

• Containers are free of damage, rust or deterioration.

  Yes

  No

  N/A

Piping

• Valve seals, gaskets, or other appurtenances are not leaking.

  Yes

  No

  N/A

• Pipelines or supports are free from damage or deterioration.

  Yes

  No

  N/A

• Joints, valves and other appurtenances are not leaking.

  Yes

  No

  N/A

Security

• Fencing, gates, or lighting are functional.

  Yes

  No

  N/A

• Pumps and valves are locked if not in use.

  Yes

  No

  N/A

Response Equipment

• Spill kit discharge response equipment inventories will be verified during facility inspections and will be replenished as needed. An individual inventory for each specific spill kit should be maintained on or near the spill kit itself. The following inventory is a general inventory to be used as guidance when stocking and/or replenishing spill kits.

• Check the boxes below to confirm that Spill Kits include adequate supplies of the listed materials.

• Empty 55-gallons drums to hold contaminated material

• Loose absorbent material

• Absorbent pads

• Nitrile gloves

• Neoprene gloves

• Vinyl/PVC pull-on overboots

• Non-sparking shovels

• Brooms

Please list any corrective actions identified, date identified and date the corrective actions were completed.

• Describe any incidents of non-compliance observed and not described in the prior questions:

Incidents of Non-Compliance

• Incidents of Non-Compliance

• Use this space for any additional notes or observations from the inspection:

• Name & Signature

  Sign