2008-04-15_REVISION - M1980244 ‎(359)‎

• Permit No: M1980244
• IBM Index Class Name: REVISION
• Doc Date: 4/15/2008
• Doc Name: VOL VII APP 12 Appendix G Monthly Inspection Forms
• From: CC & V
• To: DRMS
• Type & Sequence: AM9
• Media Type: D
• Archive: No

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CC&V MONTHLY INSPECTION FORM for the SRP/SPCC for MOBILE EQUIPMENT '
I
Name: Date: Time: ~ Weather:
Tank No. Tank /Container Volume Contents of Tank or Location Product Follow-up Required When Containment
container Material Tank Container Contained? Req'd? Action Completed Okay?
Mobile Mining Equipment
LT40102 On Unit Steel Tank 3000 gal Diesel Fuel Lube Truck Y N .Y N ~
................... ............................................................... Y
................................................ N -
................
Y
On Truck Unit 2765 gal various oil/greases Lube Truck Y N
.
~
N ......................Y..
.
.
....... . N...........
...
.................
..
.................................
..................
...................
On Truck Unit 220 gal antifreeze Lube Truck
.Y N Y N ..................................r...................
...................................
.
. .........
.
.
.
...........................................Y
..
N
................
..
..
...
LT40103 On Unit Steel Tank 8000 gal Diesel Fuel Lube Truck Y N .Y N q .Y N
Y N ~~
On Truck Unit 2765 gal various oil/greases Lube Truck Y N Y
....................................
. N
................
.
..................... ............................................... ........
Y N ~
On Truck Unit 220 gal antifreeze Lube Truck Y N ........
...
Y . N
., ....
.
Records. of inspections and tests on mobile equipment are kept under usual and customary business practices. ' 1
'According to 40 CFR Part 112.7(e) records of inspections and tests kept under usual and customary business practices will suffice for purposes of meeting the inspection requirements.
If no such inspections are routinely conducted on mobile equipment or electrical transformers, then the form on this page should be used for the visual inspection.
sRP Inspection Forms- _ _ September 25, 2006
EMS: AGANA/CCV -DOC. # E-006
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