Title Page
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Conducted on
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Inspector Name
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Signature
Warehouse 2 Waste Water Tank Inspection
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The tank is marked clearly and visibly "HAZARDOUS WASTE"
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Release from the tank or ancillary equipment (pumps, valves, flanges, joints, connections) detected within secondary containment
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Release from tank or ancillary equipment detected outside secondary containment
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Tank in good condition (no deterioration, not leaking, not damaged, no corrosion, etc.)
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Secondary containment in good condition (no deterioration, not leaking, not damaged, no corrosion, etc.)
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Tank operating instrumentation in proper working condition and indications within design operating parameters
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Spill prevention controls in proper working condition (pump isolation valves)
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Overfill prevention controls in proper working condition (level controls)
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Sufficient freeboard in tank to prevent overtopping
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Amount of wastewater in tank based on visual observation
90 Day Tank Inspection
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The tank is marked clearly and visibly "HAZARDOUS WASTE"
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Release from the tank or ancillary equipment (pumps, valves, flanges, joints, connections) detected within secondary containment (if yes, remove within 24 hours)
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Release from tank or ancillary equipment detected outside secondary containment (if yes, remove within 24 hours)
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Tank in good condition (no deterioration, not leaking, not damaged, no corrosion, etc.)
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Tank ancillary equipment in good condition (no deterioration, not leaking, no corrosion, etc.)
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Secondary containment in good condition (no deterioration, not leaking, not damaged, no corrosion, etc.)
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Tank operating instrumentation in proper working condition and indications within design operating parameters
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Spill prevention controls in proper working condition (pump isolation valves)
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Overfill prevention controls in proper working condition (level controls)
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Sufficient freeboard in tank to prevent overtopping
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Wastewater accumulation is within the temporary 909 day accumulation period
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What is the accumulation start date
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Amount of wastewater in tank (lbs.)
Water Treatment Facility Inspection
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Release from water treatment system detected within secondary containment (if yes, remove within 24 hours)
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Release from water treatment system detected outside secondary containment (activate immediate response)
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Water treatment building in good condition (no deterioration, no cracks, no leaks, etc.)
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Flocculation tank is in good condition (no deterioration, no leaks, no damage, no corrosion)
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Flocculation tank is marked clearly visible with "Storm Water Hazardous Waste"
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Flocculation tank operating instrumentation is in proper working condition and is operating within proper design parameters
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Flocculation tank spill prevention controls in proper working condition
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Flocculation tank spill prevention controls in proper working condition (level controls)
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Sludge tank is marked clearly visible with "Storm Water"
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Sludge tank in good condition (no deterioration, not leaking, not damaged, no corrosion, etc.)
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Sludge tank ancillary tank equipment is in good condition (no deterioration, not leaking, no corrosion, etc.)
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Rayox tank in good condition (no deterioration, no leaks, no corrosion, etc.)
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Rayox ancillary equipment in good condition (no deterioration, no leaks, no corrosion, etc.)
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Rayox operating instrumentation is in proper working condition and is operating within proper design parameters
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Rayox spill prevention controls in proper working condition (pump isolation valve)
Influent Storm water Hazardous Waste Tank Inspection
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The tank is marked clearly and visibly "Storm Water Hazardous Waste"
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Release from the tank or ancillary equipment (pumps, valves, flanges, joints, connections) detected within secondary containment (if yes, remove within 24 hours
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Release from tank or ancillary equipment detected outside secondary containment (if yes, remove within 24 hours)
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Tank is in good condition (no deterioration, not leaking, not damaged, no corrosion, etc.)
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Ancillary tank equipment is in good condition (no deterioration, not leaking, no corrosion, etc.)
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Secondary containment in good condition (no deterioration, not leaking, not damaged, no corrosion, etc.)
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Tank operating instrumentation in proper working condition and indications within design operating parameters
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Spill prevention controls in proper working condition (pump isolation valves)
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Overfill prevention controls in proper working condition (level controls)
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Sufficient freeboard in tank to prevent overtopping
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Amount of wastewater in tank (lbs.)
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Accumulation start date of influential tank
Hydrogen Peroxide Tank Inspection
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Rayox overfill prevention controls in proper working condition (level controls)
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Waste water within 90 day accumulation period for treatment process
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Hydrogen Peroxide tank labeled properly
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Hydrogen Peroxide tank, connections and hoses free of leaks
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Hydrogen peroxide storage building free of debris or other organics and locked secure