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SEP.29.2008 12:15 9702233191 <br />MAIJTUi v essESSMENT FORM <br />#3579 P.003 /010 <br />Monthly Assessment Form <br />Area, Dam' <br />Inspector Name: Signature: <br />Tanks <br /> Yes/No Comment <br />Signs of leakage <br />'tank condition ok <br />Foundation condition ok <br />Drain valves locked <br />Water in tank <br />Gaugeslalarms working <br />property <br />Containment Areas <br />Signs of oil in ' <br />containment area <br />Containment ok <br />Drainage valves or <br />openings closed <br />Transfer Operations <br />Signs of leakage from <br />pipes, valves, flanges <br />Pipeline condition ok <br />Out-of-service pipes <br />capped <br />Truck Loading and Unloading Areas <br />Signs of leaks or spills <br />Warning signs posted or <br />wheel chocks used <br />Security <br />Lighting functioning <br />property <br />Fences and gates Intact <br />--?- --•- <br />Gates locked or guarded <br />when facility Is <br />unattended <br />Received Time Sep.29. 2008 12:15PM No.0329