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• • • <br />CC&V MONTHLY INSPECTION FORM for the SRP/SPCC at the FUEL FARM <br />Name: <br />Date: <br />Tank No. Tank /Container Volume Contents of Tank or <br />Time: Weather: <br />Location Product Follow-up Required When Containment <br />container Material Tank Container Contained? Req'd? Action Completed Okay? <br />Tanks and Containers at the Fuel Farm <br />.............FF.:~............ ..........Lar e C indrical Steel Tank....... <br />..8...Y..l.... ....... <br />.. ....................... ......100:000 <br />........ al...... <br />..q.... .........................Diesel.Fuel......................... .......Fuel.Farm......... ...... <br />.. <br />Y. .N.. <br />. ... <br />..Y :.N <br />......... <br />.......... <br />....... <br />.. <br />. <br />.. Y N <br /> <br />Mounted Vertically <br />White Tank on West End . <br />. <br />. .. <br />.... ... <br />. <br />. .. <br />. <br />. <br />. <br />. <br />... <br />.......... ................................................. <br />.. . <br />........... <br />FF. 2 .Large Cylindrical Steel Tank <br />....................................... .100:000 <br />........ gal <br />.............. Diesel Fuel <br />........................................................................ Fuel Farm <br />.................................... Y <br />............... N <br />.............. Y <br />.............. N <br />.................................................. <br />.. Y <br />.. <br />... <br />. <br />: N <br /> <br />Mounted Vertically <br />White Tank in Middle of FF .. <br />. .. <br />. <br />................................ <br />............ ................ <br />.............FF:3............ ..........l.ar a indrical Steel Tank <br />8 .~7'~.... ................ <br />....................... .....13:000... <br />.... ..9a~...... ................. Unleaded.Gasoline.................. ....:..Fuel.Farm......... ..........Y.. . N......... ......... Y. ..N.................................................. ........ <br />.........................................Y.. . N........... <br /> Mounted Vertically White Tank on East End <br />.FF:4 ,Rectan ular Totes, Steel or 1:400 al Diesel Additives Fuel Farm Y N Y N Y N <br /> Plastic (4 ®350 gal) Top of Benn on West End <br />.FF:S Cylindrical Steel Tank <br />. ........ 1,000 <br />..... al On-Road Diesel Fuel <br />............... ........ .............. Fuel Farm Y N Y N Y N <br />• Mounted. Horizontally Northwest Comer of FF <br />FF:6 Cylindrical Steel Tank 1,000 dal Kerosene Fuel Farm Y N Y N Y N <br /> Mounted Horizontally Northeast Corner of FF <br />.............FF:~............ ................Cylindrical Steel Tank............. .............. 500... ..~a~...... ................... Motor Oi1.15W40..................... ...... Fuel <br /> Farm......... ..........Y.. . N......... ......... Y. ..N.................................................. .............. <br />..... <br />. <br />. <br />... <br />. <br />. <br />. <br />Y N <br /> <br />Mounted Vertically <br />White Tank-North Side of Berm . <br />... <br />... <br />. <br />. <br />..... <br />.. <br />...... <br />.. ........... <br />. <br />.............FF:B............ ................Cylindrical Steel Tank <br />.............. ...........500... <br />... ..~a~...... ..........................Antifreeze........................... ...... Fuel Farm......... ..........Y.. .N.......... ........Y. ..N..........................:....................... . <br />................... <br />.. <br />..... <br />. <br />... <br />. <br />. <br />.Y . <br />. <br />N <br /> <br />Mounted Vertically <br />Gray Tank-North Side of Berm . <br />.. <br />. <br />. <br />.. <br />.. <br />..... <br />.. ....... <br />. <br />. <br />. <br />FF:9 Cylindrical Steel Tank <br />....... 500 <br />....... gal <br />.............. .Hydraulic Oil <br />.......... ...................... Fuel Farm <br />................................... Y <br />............... N <br />............... Y <br />.............. N <br />...................................................... Y <br />............. <br />... <br />... <br />.... N <br /> <br />Mounted Vertically <br />Gray Tank-North Side of Berm ............................ <br />. <br />. <br />. ................ <br />Evaluate the overall condition of containers during this inspection: (circle one and provide narrative) <br />Written Comments: <br />SRP Inspection Forms <br />EMS: AGANA/CCV <br />\\usccvictor\data\EMS\3) Implementation\PIanS\ERP\SRP Plan May 2006 Final Doc'sV\PP-G-SPCC-INSPECTIONS.xIs <br />-- Good Needs Work <br />September 25, 2006 . <br />Doc. # E-006 <br />Revision 03 <br />