monthly environmental inspection report march 2020€¦ · examples of containment: concrete/steel...
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MONTHLY ENVIRONMENTAL INSPECTION REPORT
MARCH 2020
First Transit - 55835148 Roberts Street
East Hartford, CT 06118
This inspection helps meet key corporate Environmental Policycommitments:
- Complying with, and where possible exceeding, applicablelegal and other requirements relating to the organisation
- Preventing pollution by minimising environmental risks fromour operations
Report Submitted: 3/14/2020Submitted By: Sultan Ali
Spill Prevention
Do all maintenance areas and fueling areashave spill control stations?
A spill control station is required to be located inall maintenance areas and fueling areas. Spillcontrol stations can be purchased from yourapproved CPA vendors.
Yes No N/A
Are all spill control stations completelystocked?
Spill control stations can be purchased from yourapproved CPA vendors.
Yes No N/A
Are emergency response procedures posted atthe fueling area?
Contact your regional manager for assistance.Yes No N/A
Is the FirstGroup America Emergency SpillResponse Contacts Placard posted on-site?
If you cannot find them, contact your regionalmanager for assistance.
Yes No N/A
Fire Extinguishers / Fire Suppression
Have fire extinguishers and/or fire suppressionsystems been inspected within the last year?
Contact your Region Safety Manager fordirection on arranging testing for fireextinguishers/ suppression systems.
Yes No N/A
Aboveground Storage Tank (Diesel Tank 10000 GAL)
Is this tank present at your site? Yes No
Tank Contents Diesel Tank
Tank Capacity 10000 GAL
Tank Location North East Corner of Building
Is this a fueling AST? Yes No
Is this AST single-walled? Yes No
Is this AST double-walled? Yes No
If tank is equipped with an interstitial monitor(i.e., leak detection), is the system workingproperly?
If monitor requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Do you have a permit for this AST? Yes No
Is the tank free of damage? If damage is observed, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Monthly Environmental Inspection Report / March 2020
Page 2 of 26
Is the tank surface free of signs of leaks andrusting?
If leaks or severe rusting are observed, contactMansfield Oil Company (800/695-6622 or [email protected]) to schedule repairand/or painting of the tank.
Yes No N/A
Are all overfill alarms (if any) associated withthe tank operational?
Contact Mansfield Oil Company (800/695-6622or email [email protected]) to obtaininstruction on how to test overfill if uncertain.
Yes No N/A
If the tank is equipped with a product levelgauge, is the level gauge working properly?
If level gauge requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
If the tank is equipped with a vent pipe, is thevent pipe unobstructed?
Obstructions include spider webs, bird nests, etc.Yes No N/A
Does this tank have a dispenser? Yes No
If a spill containment pan is located beneaththe dispenser, is the spill containment pan freeof water, fuel, and debris?
If fuel is present, contact your waste vendor ondisposal of fluids.
Yes No N/A
Is dispenser operating correctly (i.e., noevidence of leaks or drips from theequipment)?
If dispenser requires repair or replacement,contact Mansfield Oil Company 800/695-6622 oremail [email protected]).
Yes No N/A
Is the dispenser free of damage? If dispenser requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser filters tight with no evidenceof leaking?
If leaking around the filters is observed or filtersrequire replacement, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the dispenser hose cracked or worn? If dispenser hose requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser hoses positioned to where avehicle cannot run over the hose?
If hose retriever or other protectingdevice/method is needed, contact Mansfield OilCompany (800/695-6622 or [email protected]) to order or forfurther guidance.
Yes No N/A
Is the dispenser nozzle intact? If nozzle requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Has the dispenser meter been calibrated withinthe past year?
If meter requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
If a spill containment box is located around thefill port, is the spill containment box free ofwater, fuel, and debris?
If fuel is present, use an absorbent sock/pad toremove the fuel.
Yes No N/A
Monthly Environmental Inspection Report / March 2020
Page 3 of 26
If tank is equipped with an emergency stopswitch, has the switch been tested within thelast 30 days?
Test switch when fuel is being dispensed to avehicle or container. If emergency switch is inneed of repair, contact Mansfield Oil Company at800/695-6622 or [email protected].
Yes No N/A
For tanks equipped with piping, is the pipingfree of signs of leakage, corrosion, or damage?
If leakage, corrosion, or damage is observed,contact Mansfield Oil Company (800/695-6622or email [email protected]) for repairs.
Yes No N/A
Is this tank equipped with a secondarycontainment structure?
Yes No
Are containment walls intact (no evidence ofcracks or leaks)?
Examples of containment: concrete/steel dikes,spill containment pallets, and containment tubs.If cracks in the containment are present, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
If water is present in the secondarycontainment structure, is the water free of oilsheens?
If oil sheens are present, the water cannot bedischarged to the ground. Ccontact your tankvendor or waste vendor to address.
Yes No N/A
Are the drainage valves/plugs located insidecontainment structure closed and/or locked?
If drainage valves require repair, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
Has water been removed from the secondarycontainment structure during the past 30 daysand logged on the Drainage Discharge Log?
Refer to Environmental Procedure 8.6 DrainingSecondary Containment Structures, stored inEiOS Corporate Library as an EnvironmentalProcedure.
Yes No N/A
Aboveground Storage Tank (Motor Oil Tank #1 280 GAL)
Is this tank present at your site? Yes No
Tank Contents Motor Oil Tank #1
Tank Capacity 280 GAL
Tank Location Lube Room
Is this a fueling AST? Yes No
Is this AST single-walled? Yes No
Is this AST double-walled? Yes No
If tank is equipped with an interstitial monitor(i.e., leak detection), is the system workingproperly?
If monitor requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Do you have a permit for this AST? Yes No
Monthly Environmental Inspection Report / March 2020
Page 4 of 26
Is the tank free of damage? If damage is observed, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the tank surface free of signs of leaks andrusting?
If leaks or severe rusting are observed, contactMansfield Oil Company (800/695-6622 or [email protected]) to schedule repairand/or painting of the tank.
Yes No N/A
Are all overfill alarms (if any) associated withthe tank operational?
Contact Mansfield Oil Company (800/695-6622or email [email protected]) to obtaininstruction on how to test overfill if uncertain.
Yes No N/A
If the tank is equipped with a product levelgauge, is the level gauge working properly?
If level gauge requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
If the tank is equipped with a vent pipe, is thevent pipe unobstructed?
Obstructions include spider webs, bird nests, etc.Yes No N/A
Does this tank have a dispenser? Yes No
If a spill containment pan is located beneaththe dispenser, is the spill containment pan freeof water, fuel, and debris?
If fuel is present, contact your waste vendor ondisposal of fluids.
Yes No N/A
Is dispenser operating correctly (i.e., noevidence of leaks or drips from theequipment)?
If dispenser requires repair or replacement,contact Mansfield Oil Company 800/695-6622 oremail [email protected]).
Yes No N/A
Is the dispenser free of damage? If dispenser requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser filters tight with no evidenceof leaking?
If leaking around the filters is observed or filtersrequire replacement, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the dispenser hose cracked or worn? If dispenser hose requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser hoses positioned to where avehicle cannot run over the hose?
If hose retriever or other protectingdevice/method is needed, contact Mansfield OilCompany (800/695-6622 or [email protected]) to order or forfurther guidance.
Yes No N/A
Is the dispenser nozzle intact? If nozzle requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Has the dispenser meter been calibrated withinthe past year?
If meter requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
If a spill containment box is located around thefill port, is the spill containment box free ofwater, fuel, and debris?
If fuel is present, use an absorbent sock/pad toremove the fuel.
Yes No N/A
Monthly Environmental Inspection Report / March 2020
Page 5 of 26
If tank is equipped with an emergency stopswitch, has the switch been tested within thelast 30 days?
Test switch when fuel is being dispensed to avehicle or container. If emergency switch is inneed of repair, contact Mansfield Oil Company at800/695-6622 or [email protected].
Yes No N/A
For tanks equipped with piping, is the pipingfree of signs of leakage, corrosion, or damage?
If leakage, corrosion, or damage is observed,contact Mansfield Oil Company (800/695-6622or email [email protected]) for repairs.
Yes No N/A
Is this tank equipped with a secondarycontainment structure?
Yes No
Are containment walls intact (no evidence ofcracks or leaks)?
Examples of containment: concrete/steel dikes,spill containment pallets, and containment tubs.If cracks in the containment are present, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
If water is present in the secondarycontainment structure, is the water free of oilsheens?
If oil sheens are present, the water cannot bedischarged to the ground. Ccontact your tankvendor or waste vendor to address.
Yes No N/A
Are the drainage valves/plugs located insidecontainment structure closed and/or locked?
If drainage valves require repair, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
Has water been removed from the secondarycontainment structure during the past 30 daysand logged on the Drainage Discharge Log?
Refer to Environmental Procedure 8.6 DrainingSecondary Containment Structures, stored inEiOS Corporate Library as an EnvironmentalProcedure.
Yes No N/A
Aboveground Storage Tank (Diesel Exhaust Fluid Tank 1000 GAL)
Is this tank present at your site? Yes No
Tank Contents Diesel Exhaust Fluid Tank
Tank Capacity 1000 GAL
Tank Location LUBE ROOM
Is this a fueling AST? Yes No
Is this AST single-walled? Yes No
Is this AST double-walled? Yes No
If tank is equipped with an interstitial monitor(i.e., leak detection), is the system workingproperly?
If monitor requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Do you have a permit for this AST? Yes No
Monthly Environmental Inspection Report / March 2020
Page 6 of 26
Is the tank free of damage? If damage is observed, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the tank surface free of signs of leaks andrusting?
If leaks or severe rusting are observed, contactMansfield Oil Company (800/695-6622 or [email protected]) to schedule repairand/or painting of the tank.
Yes No N/A
Are all overfill alarms (if any) associated withthe tank operational?
Contact Mansfield Oil Company (800/695-6622or email [email protected]) to obtaininstruction on how to test overfill if uncertain.
Yes No N/A
If the tank is equipped with a product levelgauge, is the level gauge working properly?
If level gauge requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
If the tank is equipped with a vent pipe, is thevent pipe unobstructed?
Obstructions include spider webs, bird nests, etc.Yes No N/A
Does this tank have a dispenser? Yes No
If a spill containment pan is located beneaththe dispenser, is the spill containment pan freeof water, fuel, and debris?
If fuel is present, contact your waste vendor ondisposal of fluids.
Yes No N/A
Is dispenser operating correctly (i.e., noevidence of leaks or drips from theequipment)?
If dispenser requires repair or replacement,contact Mansfield Oil Company 800/695-6622 oremail [email protected]).
Yes No N/A
Is the dispenser free of damage? If dispenser requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser filters tight with no evidenceof leaking?
If leaking around the filters is observed or filtersrequire replacement, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the dispenser hose cracked or worn? If dispenser hose requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser hoses positioned to where avehicle cannot run over the hose?
If hose retriever or other protectingdevice/method is needed, contact Mansfield OilCompany (800/695-6622 or [email protected]) to order or forfurther guidance.
Yes No N/A
Is the dispenser nozzle intact? If nozzle requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Has the dispenser meter been calibrated withinthe past year?
If meter requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
If a spill containment box is located around thefill port, is the spill containment box free ofwater, fuel, and debris?
If fuel is present, use an absorbent sock/pad toremove the fuel.
Yes No N/A
Monthly Environmental Inspection Report / March 2020
Page 7 of 26
If tank is equipped with an emergency stopswitch, has the switch been tested within thelast 30 days?
Test switch when fuel is being dispensed to avehicle or container. If emergency switch is inneed of repair, contact Mansfield Oil Company at800/695-6622 or [email protected].
Yes No N/A
For tanks equipped with piping, is the pipingfree of signs of leakage, corrosion, or damage?
If leakage, corrosion, or damage is observed,contact Mansfield Oil Company (800/695-6622or email [email protected]) for repairs.
Yes No N/A
Is this tank equipped with a secondarycontainment structure?
Yes No
Are containment walls intact (no evidence ofcracks or leaks)?
Examples of containment: concrete/steel dikes,spill containment pallets, and containment tubs.If cracks in the containment are present, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
If water is present in the secondarycontainment structure, is the water free of oilsheens?
If oil sheens are present, the water cannot bedischarged to the ground. Ccontact your tankvendor or waste vendor to address.
Yes No N/A
Are the drainage valves/plugs located insidecontainment structure closed and/or locked?
If drainage valves require repair, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
Has water been removed from the secondarycontainment structure during the past 30 daysand logged on the Drainage Discharge Log?
Refer to Environmental Procedure 8.6 DrainingSecondary Containment Structures, stored inEiOS Corporate Library as an EnvironmentalProcedure.
Yes No N/A
Aboveground Storage Tank (Used Oil Tank 280 GAL)
Is this tank present at your site? Yes No
Tank Contents Used Oil Tank
Tank Capacity 280 GAL
Tank Location LUBE ROOM
Is this a fueling AST? Yes No
Is this AST single-walled? Yes No
Is this AST double-walled? Yes No
If tank is equipped with an interstitial monitor(i.e., leak detection), is the system workingproperly?
If monitor requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Do you have a permit for this AST? Yes No
Monthly Environmental Inspection Report / March 2020
Page 8 of 26
Is the tank free of damage? If damage is observed, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the tank surface free of signs of leaks andrusting?
If leaks or severe rusting are observed, contactMansfield Oil Company (800/695-6622 or [email protected]) to schedule repairand/or painting of the tank.
Yes No N/A
Are all overfill alarms (if any) associated withthe tank operational?
Contact Mansfield Oil Company (800/695-6622or email [email protected]) to obtaininstruction on how to test overfill if uncertain.
Yes No N/A
If the tank is equipped with a product levelgauge, is the level gauge working properly?
If level gauge requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
If the tank is equipped with a vent pipe, is thevent pipe unobstructed?
Obstructions include spider webs, bird nests, etc.Yes No N/A
Does this tank have a dispenser? Yes No
If a spill containment pan is located beneaththe dispenser, is the spill containment pan freeof water, fuel, and debris?
If fuel is present, contact your waste vendor ondisposal of fluids.
Yes No N/A
Is dispenser operating correctly (i.e., noevidence of leaks or drips from theequipment)?
If dispenser requires repair or replacement,contact Mansfield Oil Company 800/695-6622 oremail [email protected]).
Yes No N/A
Is the dispenser free of damage? If dispenser requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser filters tight with no evidenceof leaking?
If leaking around the filters is observed or filtersrequire replacement, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the dispenser hose cracked or worn? If dispenser hose requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser hoses positioned to where avehicle cannot run over the hose?
If hose retriever or other protectingdevice/method is needed, contact Mansfield OilCompany (800/695-6622 or [email protected]) to order or forfurther guidance.
Yes No N/A
Is the dispenser nozzle intact? If nozzle requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Has the dispenser meter been calibrated withinthe past year?
If meter requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
If a spill containment box is located around thefill port, is the spill containment box free ofwater, fuel, and debris?
If fuel is present, use an absorbent sock/pad toremove the fuel.
Yes No N/A
Monthly Environmental Inspection Report / March 2020
Page 9 of 26
If tank is equipped with an emergency stopswitch, has the switch been tested within thelast 30 days?
Test switch when fuel is being dispensed to avehicle or container. If emergency switch is inneed of repair, contact Mansfield Oil Company at800/695-6622 or [email protected].
Yes No N/A
For tanks equipped with piping, is the pipingfree of signs of leakage, corrosion, or damage?
If leakage, corrosion, or damage is observed,contact Mansfield Oil Company (800/695-6622or email [email protected]) for repairs.
Yes No N/A
Is this tank equipped with a secondarycontainment structure?
Yes No
Are containment walls intact (no evidence ofcracks or leaks)?
Examples of containment: concrete/steel dikes,spill containment pallets, and containment tubs.If cracks in the containment are present, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
If water is present in the secondarycontainment structure, is the water free of oilsheens?
If oil sheens are present, the water cannot bedischarged to the ground. Ccontact your tankvendor or waste vendor to address.
Yes No N/A
Are the drainage valves/plugs located insidecontainment structure closed and/or locked?
If drainage valves require repair, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
Has water been removed from the secondarycontainment structure during the past 30 daysand logged on the Drainage Discharge Log?
Refer to Environmental Procedure 8.6 DrainingSecondary Containment Structures, stored inEiOS Corporate Library as an EnvironmentalProcedure.
Yes No N/A
Aboveground Storage Tank (Used Antifreeze Tank 120 GAL)
Is this tank present at your site? Yes No
Tank Contents Used Antifreeze Tank
Tank Capacity 120 GAL
Tank Location LUBE ROOM
Is this a fueling AST? Yes No
Is this AST single-walled? Yes No
Is this AST double-walled? Yes No
If tank is equipped with an interstitial monitor(i.e., leak detection), is the system workingproperly?
If monitor requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Do you have a permit for this AST? Yes No
Monthly Environmental Inspection Report / March 2020
Page 10 of 26
Is the tank free of damage? If damage is observed, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the tank surface free of signs of leaks andrusting?
If leaks or severe rusting are observed, contactMansfield Oil Company (800/695-6622 or [email protected]) to schedule repairand/or painting of the tank.
Yes No N/A
Are all overfill alarms (if any) associated withthe tank operational?
Contact Mansfield Oil Company (800/695-6622or email [email protected]) to obtaininstruction on how to test overfill if uncertain.
Yes No N/A
If the tank is equipped with a product levelgauge, is the level gauge working properly?
If level gauge requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
If the tank is equipped with a vent pipe, is thevent pipe unobstructed?
Obstructions include spider webs, bird nests, etc.Yes No N/A
Does this tank have a dispenser? Yes No
If a spill containment pan is located beneaththe dispenser, is the spill containment pan freeof water, fuel, and debris?
If fuel is present, contact your waste vendor ondisposal of fluids.
Yes No N/A
Is dispenser operating correctly (i.e., noevidence of leaks or drips from theequipment)?
If dispenser requires repair or replacement,contact Mansfield Oil Company 800/695-6622 oremail [email protected]).
Yes No N/A
Is the dispenser free of damage? If dispenser requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser filters tight with no evidenceof leaking?
If leaking around the filters is observed or filtersrequire replacement, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the dispenser hose cracked or worn? If dispenser hose requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser hoses positioned to where avehicle cannot run over the hose?
If hose retriever or other protectingdevice/method is needed, contact Mansfield OilCompany (800/695-6622 or [email protected]) to order or forfurther guidance.
Yes No N/A
Is the dispenser nozzle intact? If nozzle requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Has the dispenser meter been calibrated withinthe past year?
If meter requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
If a spill containment box is located around thefill port, is the spill containment box free ofwater, fuel, and debris?
If fuel is present, use an absorbent sock/pad toremove the fuel.
Yes No N/A
Monthly Environmental Inspection Report / March 2020
Page 11 of 26
If tank is equipped with an emergency stopswitch, has the switch been tested within thelast 30 days?
Test switch when fuel is being dispensed to avehicle or container. If emergency switch is inneed of repair, contact Mansfield Oil Company at800/695-6622 or [email protected].
Yes No N/A
For tanks equipped with piping, is the pipingfree of signs of leakage, corrosion, or damage?
If leakage, corrosion, or damage is observed,contact Mansfield Oil Company (800/695-6622or email [email protected]) for repairs.
Yes No N/A
Is this tank equipped with a secondarycontainment structure?
Yes No
Are containment walls intact (no evidence ofcracks or leaks)?
Examples of containment: concrete/steel dikes,spill containment pallets, and containment tubs.If cracks in the containment are present, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
If water is present in the secondarycontainment structure, is the water free of oilsheens?
If oil sheens are present, the water cannot bedischarged to the ground. Ccontact your tankvendor or waste vendor to address.
Yes No N/A
Are the drainage valves/plugs located insidecontainment structure closed and/or locked?
If drainage valves require repair, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
Has water been removed from the secondarycontainment structure during the past 30 daysand logged on the Drainage Discharge Log?
Refer to Environmental Procedure 8.6 DrainingSecondary Containment Structures, stored inEiOS Corporate Library as an EnvironmentalProcedure.
Yes No N/A
Aboveground Storage Tank (Transmission Fluid Tank 120 GAL)
Is this tank present at your site? Yes No
Tank Contents Transmission Fluid Tank
Tank Capacity 120 GAL
Tank Location LUBE ROOM
Is this a fueling AST? Yes No
Is this AST single-walled? Yes No
Is this AST double-walled? Yes No
If tank is equipped with an interstitial monitor(i.e., leak detection), is the system workingproperly?
If monitor requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Do you have a permit for this AST? Yes No
Monthly Environmental Inspection Report / March 2020
Page 12 of 26
Is the tank free of damage? If damage is observed, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the tank surface free of signs of leaks andrusting?
If leaks or severe rusting are observed, contactMansfield Oil Company (800/695-6622 or [email protected]) to schedule repairand/or painting of the tank.
Yes No N/A
Are all overfill alarms (if any) associated withthe tank operational?
Contact Mansfield Oil Company (800/695-6622or email [email protected]) to obtaininstruction on how to test overfill if uncertain.
Yes No N/A
If the tank is equipped with a product levelgauge, is the level gauge working properly?
If level gauge requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
If the tank is equipped with a vent pipe, is thevent pipe unobstructed?
Obstructions include spider webs, bird nests, etc.Yes No N/A
Does this tank have a dispenser? Yes No
If a spill containment pan is located beneaththe dispenser, is the spill containment pan freeof water, fuel, and debris?
If fuel is present, contact your waste vendor ondisposal of fluids.
Yes No N/A
Is dispenser operating correctly (i.e., noevidence of leaks or drips from theequipment)?
If dispenser requires repair or replacement,contact Mansfield Oil Company 800/695-6622 oremail [email protected]).
Yes No N/A
Is the dispenser free of damage? If dispenser requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser filters tight with no evidenceof leaking?
If leaking around the filters is observed or filtersrequire replacement, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the dispenser hose cracked or worn? If dispenser hose requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser hoses positioned to where avehicle cannot run over the hose?
If hose retriever or other protectingdevice/method is needed, contact Mansfield OilCompany (800/695-6622 or [email protected]) to order or forfurther guidance.
Yes No N/A
Is the dispenser nozzle intact? If nozzle requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Has the dispenser meter been calibrated withinthe past year?
If meter requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
If a spill containment box is located around thefill port, is the spill containment box free ofwater, fuel, and debris?
If fuel is present, use an absorbent sock/pad toremove the fuel.
Yes No N/A
Monthly Environmental Inspection Report / March 2020
Page 13 of 26
If tank is equipped with an emergency stopswitch, has the switch been tested within thelast 30 days?
Test switch when fuel is being dispensed to avehicle or container. If emergency switch is inneed of repair, contact Mansfield Oil Company at800/695-6622 or [email protected].
Yes No N/A
For tanks equipped with piping, is the pipingfree of signs of leakage, corrosion, or damage?
If leakage, corrosion, or damage is observed,contact Mansfield Oil Company (800/695-6622or email [email protected]) for repairs.
Yes No N/A
Is this tank equipped with a secondarycontainment structure?
Yes No
Are containment walls intact (no evidence ofcracks or leaks)?
Examples of containment: concrete/steel dikes,spill containment pallets, and containment tubs.If cracks in the containment are present, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
If water is present in the secondarycontainment structure, is the water free of oilsheens?
If oil sheens are present, the water cannot bedischarged to the ground. Ccontact your tankvendor or waste vendor to address.
Yes No N/A
Are the drainage valves/plugs located insidecontainment structure closed and/or locked?
If drainage valves require repair, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
Has water been removed from the secondarycontainment structure during the past 30 daysand logged on the Drainage Discharge Log?
Refer to Environmental Procedure 8.6 DrainingSecondary Containment Structures, stored inEiOS Corporate Library as an EnvironmentalProcedure.
Yes No N/A
Aboveground Storage Tank (Windshield Washer Fluid Tank 120GAL)Is this tank present at your site? Yes No
Tank Contents Windshield Washer FluidTank
Tank Capacity 120 GAL
Tank Location LUBE ROOM
Is this a fueling AST? Yes No
Is this AST single-walled? Yes No
Is this AST double-walled? Yes No
If tank is equipped with an interstitial monitor(i.e., leak detection), is the system workingproperly?
If monitor requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Do you have a permit for this AST? Yes No
Monthly Environmental Inspection Report / March 2020
Page 14 of 26
Is the tank free of damage? If damage is observed, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the tank surface free of signs of leaks andrusting?
If leaks or severe rusting are observed, contactMansfield Oil Company (800/695-6622 or [email protected]) to schedule repairand/or painting of the tank.
Yes No N/A
Are all overfill alarms (if any) associated withthe tank operational?
Contact Mansfield Oil Company (800/695-6622or email [email protected]) to obtaininstruction on how to test overfill if uncertain.
Yes No N/A
If the tank is equipped with a product levelgauge, is the level gauge working properly?
If level gauge requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
If the tank is equipped with a vent pipe, is thevent pipe unobstructed?
Obstructions include spider webs, bird nests, etc.Yes No N/A
Does this tank have a dispenser? Yes No
If a spill containment pan is located beneaththe dispenser, is the spill containment pan freeof water, fuel, and debris?
If fuel is present, contact your waste vendor ondisposal of fluids.
Yes No N/A
Is dispenser operating correctly (i.e., noevidence of leaks or drips from theequipment)?
If dispenser requires repair or replacement,contact Mansfield Oil Company 800/695-6622 oremail [email protected]).
Yes No N/A
Is the dispenser free of damage? If dispenser requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser filters tight with no evidenceof leaking?
If leaking around the filters is observed or filtersrequire replacement, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the dispenser hose cracked or worn? If dispenser hose requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser hoses positioned to where avehicle cannot run over the hose?
If hose retriever or other protectingdevice/method is needed, contact Mansfield OilCompany (800/695-6622 or [email protected]) to order or forfurther guidance.
Yes No N/A
Is the dispenser nozzle intact? If nozzle requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Has the dispenser meter been calibrated withinthe past year?
If meter requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
If a spill containment box is located around thefill port, is the spill containment box free ofwater, fuel, and debris?
If fuel is present, use an absorbent sock/pad toremove the fuel.
Yes No N/A
Monthly Environmental Inspection Report / March 2020
Page 15 of 26
If tank is equipped with an emergency stopswitch, has the switch been tested within thelast 30 days?
Test switch when fuel is being dispensed to avehicle or container. If emergency switch is inneed of repair, contact Mansfield Oil Company at800/695-6622 or [email protected].
Yes No N/A
For tanks equipped with piping, is the pipingfree of signs of leakage, corrosion, or damage?
If leakage, corrosion, or damage is observed,contact Mansfield Oil Company (800/695-6622or email [email protected]) for repairs.
Yes No N/A
Is this tank equipped with a secondarycontainment structure?
Yes No
Are containment walls intact (no evidence ofcracks or leaks)?
Examples of containment: concrete/steel dikes,spill containment pallets, and containment tubs.If cracks in the containment are present, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
If water is present in the secondarycontainment structure, is the water free of oilsheens?
If oil sheens are present, the water cannot bedischarged to the ground. Ccontact your tankvendor or waste vendor to address.
Yes No N/A
Are the drainage valves/plugs located insidecontainment structure closed and/or locked?
If drainage valves require repair, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
Has water been removed from the secondarycontainment structure during the past 30 daysand logged on the Drainage Discharge Log?
Refer to Environmental Procedure 8.6 DrainingSecondary Containment Structures, stored inEiOS Corporate Library as an EnvironmentalProcedure.
Yes No N/A
Aboveground Storage Tank (Antifreeze Tank 120 GAL)
Is this tank present at your site? Yes No
Tank Contents Antifreeze Tank
Tank Capacity 120 GAL
Tank Location LUBE ROOM
Is this a fueling AST? Yes No
Is this AST single-walled? Yes No
Is this AST double-walled? Yes No
If tank is equipped with an interstitial monitor(i.e., leak detection), is the system workingproperly?
If monitor requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Do you have a permit for this AST? Yes No
Monthly Environmental Inspection Report / March 2020
Page 16 of 26
Is the tank free of damage? If damage is observed, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the tank surface free of signs of leaks andrusting?
If leaks or severe rusting are observed, contactMansfield Oil Company (800/695-6622 or [email protected]) to schedule repairand/or painting of the tank.
Yes No N/A
Are all overfill alarms (if any) associated withthe tank operational?
Contact Mansfield Oil Company (800/695-6622or email [email protected]) to obtaininstruction on how to test overfill if uncertain.
Yes No N/A
If the tank is equipped with a product levelgauge, is the level gauge working properly?
If level gauge requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
If the tank is equipped with a vent pipe, is thevent pipe unobstructed?
Obstructions include spider webs, bird nests, etc.Yes No N/A
Does this tank have a dispenser? Yes No
If a spill containment pan is located beneaththe dispenser, is the spill containment pan freeof water, fuel, and debris?
If fuel is present, contact your waste vendor ondisposal of fluids.
Yes No N/A
Is dispenser operating correctly (i.e., noevidence of leaks or drips from theequipment)?
If dispenser requires repair or replacement,contact Mansfield Oil Company 800/695-6622 oremail [email protected]).
Yes No N/A
Is the dispenser free of damage? If dispenser requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser filters tight with no evidenceof leaking?
If leaking around the filters is observed or filtersrequire replacement, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the dispenser hose cracked or worn? If dispenser hose requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser hoses positioned to where avehicle cannot run over the hose?
If hose retriever or other protectingdevice/method is needed, contact Mansfield OilCompany (800/695-6622 or [email protected]) to order or forfurther guidance.
Yes No N/A
Is the dispenser nozzle intact? If nozzle requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Has the dispenser meter been calibrated withinthe past year?
If meter requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
If a spill containment box is located around thefill port, is the spill containment box free ofwater, fuel, and debris?
If fuel is present, use an absorbent sock/pad toremove the fuel.
Yes No N/A
Monthly Environmental Inspection Report / March 2020
Page 17 of 26
If tank is equipped with an emergency stopswitch, has the switch been tested within thelast 30 days?
Test switch when fuel is being dispensed to avehicle or container. If emergency switch is inneed of repair, contact Mansfield Oil Company at800/695-6622 or [email protected].
Yes No N/A
For tanks equipped with piping, is the pipingfree of signs of leakage, corrosion, or damage?
If leakage, corrosion, or damage is observed,contact Mansfield Oil Company (800/695-6622or email [email protected]) for repairs.
Yes No N/A
Is this tank equipped with a secondarycontainment structure?
Yes No
Are containment walls intact (no evidence ofcracks or leaks)?
Examples of containment: concrete/steel dikes,spill containment pallets, and containment tubs.If cracks in the containment are present, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
If water is present in the secondarycontainment structure, is the water free of oilsheens?
If oil sheens are present, the water cannot bedischarged to the ground. Ccontact your tankvendor or waste vendor to address.
Yes No N/A
Are the drainage valves/plugs located insidecontainment structure closed and/or locked?
If drainage valves require repair, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
Has water been removed from the secondarycontainment structure during the past 30 daysand logged on the Drainage Discharge Log?
Refer to Environmental Procedure 8.6 DrainingSecondary Containment Structures, stored inEiOS Corporate Library as an EnvironmentalProcedure.
Yes No N/A
Aboveground Storage Tank (Motor Oil Tank #2 120 GAL)
Is this tank present at your site? Yes No
Tank Contents Motor Oil Tank #2
Tank Capacity 120 GAL
Tank Location LUBE ROOM
Is this a fueling AST? Yes No
Is this AST single-walled? Yes No
Is this AST double-walled? Yes No
If tank is equipped with an interstitial monitor(i.e., leak detection), is the system workingproperly?
If monitor requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Do you have a permit for this AST? Yes No
Monthly Environmental Inspection Report / March 2020
Page 18 of 26
Is the tank free of damage? If damage is observed, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the tank surface free of signs of leaks andrusting?
If leaks or severe rusting are observed, contactMansfield Oil Company (800/695-6622 or [email protected]) to schedule repairand/or painting of the tank.
Yes No N/A
Are all overfill alarms (if any) associated withthe tank operational?
Contact Mansfield Oil Company (800/695-6622or email [email protected]) to obtaininstruction on how to test overfill if uncertain.
Yes No N/A
If the tank is equipped with a product levelgauge, is the level gauge working properly?
If level gauge requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
If the tank is equipped with a vent pipe, is thevent pipe unobstructed?
Obstructions include spider webs, bird nests, etc.Yes No N/A
Does this tank have a dispenser? Yes No
If a spill containment pan is located beneaththe dispenser, is the spill containment pan freeof water, fuel, and debris?
If fuel is present, contact your waste vendor ondisposal of fluids.
Yes No N/A
Is dispenser operating correctly (i.e., noevidence of leaks or drips from theequipment)?
If dispenser requires repair or replacement,contact Mansfield Oil Company 800/695-6622 oremail [email protected]).
Yes No N/A
Is the dispenser free of damage? If dispenser requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser filters tight with no evidenceof leaking?
If leaking around the filters is observed or filtersrequire replacement, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the dispenser hose cracked or worn? If dispenser hose requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser hoses positioned to where avehicle cannot run over the hose?
If hose retriever or other protectingdevice/method is needed, contact Mansfield OilCompany (800/695-6622 or [email protected]) to order or forfurther guidance.
Yes No N/A
Is the dispenser nozzle intact? If nozzle requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Has the dispenser meter been calibrated withinthe past year?
If meter requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
If a spill containment box is located around thefill port, is the spill containment box free ofwater, fuel, and debris?
If fuel is present, use an absorbent sock/pad toremove the fuel.
Yes No N/A
Monthly Environmental Inspection Report / March 2020
Page 19 of 26
If tank is equipped with an emergency stopswitch, has the switch been tested within thelast 30 days?
Test switch when fuel is being dispensed to avehicle or container. If emergency switch is inneed of repair, contact Mansfield Oil Company at800/695-6622 or [email protected].
Yes No N/A
For tanks equipped with piping, is the pipingfree of signs of leakage, corrosion, or damage?
If leakage, corrosion, or damage is observed,contact Mansfield Oil Company (800/695-6622or email [email protected]) for repairs.
Yes No N/A
Is this tank equipped with a secondarycontainment structure?
Yes No
Are containment walls intact (no evidence ofcracks or leaks)?
Examples of containment: concrete/steel dikes,spill containment pallets, and containment tubs.If cracks in the containment are present, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
If water is present in the secondarycontainment structure, is the water free of oilsheens?
If oil sheens are present, the water cannot bedischarged to the ground. Ccontact your tankvendor or waste vendor to address.
Yes No N/A
Are the drainage valves/plugs located insidecontainment structure closed and/or locked?
If drainage valves require repair, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
Has water been removed from the secondarycontainment structure during the past 30 daysand logged on the Drainage Discharge Log?
Refer to Environmental Procedure 8.6 DrainingSecondary Containment Structures, stored inEiOS Corporate Library as an EnvironmentalProcedure.
Yes No N/A
Aboveground Storage Tank (Diesel Tank #2 (Emergency Gene 600GAL)Is this tank present at your site? Yes No
Tank Contents Diesel Tank #2 (EmergencyGene
Tank Capacity 600 GAL
Tank Location OUTDOORS
Is this a fueling AST? Yes No
Is this AST single-walled? Yes No
Is this AST double-walled? Yes No
If tank is equipped with an interstitial monitor(i.e., leak detection), is the system workingproperly?
If monitor requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Do you have a permit for this AST? Yes No
Monthly Environmental Inspection Report / March 2020
Page 20 of 26
Is the tank free of damage? If damage is observed, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the tank surface free of signs of leaks andrusting?
If leaks or severe rusting are observed, contactMansfield Oil Company (800/695-6622 or [email protected]) to schedule repairand/or painting of the tank.
Yes No N/A
Are all overfill alarms (if any) associated withthe tank operational?
Contact Mansfield Oil Company (800/695-6622or email [email protected]) to obtaininstruction on how to test overfill if uncertain.
Yes No N/A
If the tank is equipped with a product levelgauge, is the level gauge working properly?
If level gauge requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
If the tank is equipped with a vent pipe, is thevent pipe unobstructed?
Obstructions include spider webs, bird nests, etc.Yes No N/A
Does this tank have a dispenser? Yes No
If a spill containment pan is located beneaththe dispenser, is the spill containment pan freeof water, fuel, and debris?
If fuel is present, contact your waste vendor ondisposal of fluids.
Yes No N/A
Is dispenser operating correctly (i.e., noevidence of leaks or drips from theequipment)?
If dispenser requires repair or replacement,contact Mansfield Oil Company 800/695-6622 oremail [email protected]).
Yes No N/A
Is the dispenser free of damage? If dispenser requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser filters tight with no evidenceof leaking?
If leaking around the filters is observed or filtersrequire replacement, contact Mansfield OilCompany (800/695-6622 or [email protected]).
Yes No N/A
Is the dispenser hose cracked or worn? If dispenser hose requires repair or replacement,contact Mansfield Oil Company (800/695-6622or email [email protected]).
Yes No N/A
Are the dispenser hoses positioned to where avehicle cannot run over the hose?
If hose retriever or other protectingdevice/method is needed, contact Mansfield OilCompany (800/695-6622 or [email protected]) to order or forfurther guidance.
Yes No N/A
Is the dispenser nozzle intact? If nozzle requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
Has the dispenser meter been calibrated withinthe past year?
If meter requires repair or replacement, contactMansfield Oil Company (800/695-6622 or [email protected]).
Yes No N/A
If a spill containment box is located around thefill port, is the spill containment box free ofwater, fuel, and debris?
If fuel is present, use an absorbent sock/pad toremove the fuel.
Yes No N/A
Monthly Environmental Inspection Report / March 2020
Page 21 of 26
If tank is equipped with an emergency stopswitch, has the switch been tested within thelast 30 days?
Test switch when fuel is being dispensed to avehicle or container. If emergency switch is inneed of repair, contact Mansfield Oil Company at800/695-6622 or [email protected].
Yes No N/A
For tanks equipped with piping, is the pipingfree of signs of leakage, corrosion, or damage?
If leakage, corrosion, or damage is observed,contact Mansfield Oil Company (800/695-6622or email [email protected]) for repairs.
Yes No N/A
Is this tank equipped with a secondarycontainment structure?
Yes No
Are containment walls intact (no evidence ofcracks or leaks)?
Examples of containment: concrete/steel dikes,spill containment pallets, and containment tubs.If cracks in the containment are present, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
If water is present in the secondarycontainment structure, is the water free of oilsheens?
If oil sheens are present, the water cannot bedischarged to the ground. Ccontact your tankvendor or waste vendor to address.
Yes No N/A
Are the drainage valves/plugs located insidecontainment structure closed and/or locked?
If drainage valves require repair, contactMansfield Oil Company (800/695-6622 or [email protected]) for repairs.
Yes No N/A
Has water been removed from the secondarycontainment structure during the past 30 daysand logged on the Drainage Discharge Log?
Refer to Environmental Procedure 8.6 DrainingSecondary Containment Structures, stored inEiOS Corporate Library as an EnvironmentalProcedure.
Yes No N/A
Liquid Material Management
Are the areas where materials (includes fuel,oils, coolant, etc.) are loaded and unloaded byvendors free of significant staining?
If significant staining is observed, contact yourregional manager for assistance to addressissue.
Yes No N/A
Vehicle Maintenance
Do you perform vehicle maintenance at yourfacility?
Yes No
Is the maintenance area free of significant oilstaining on the floors?
If significant staining is observed, contact yourregional manager for assistance to addressissue.
Yes No N/A
Is the area outside of the maintenance buildingfree of signs of tracking of oils onto the pavedor gravel surfaces?
If significant staining is observed, contact yourregional manager for assistance to addressissue.
Yes No N/A
Monthly Environmental Inspection Report / March 2020
Page 22 of 26
Are the material storage areas located insideand outside of the maintenance building free ofsignificant oil staining?
If significant staining is observed, contact yourregional manager for assistance to addressissue.
Yes No N/A
Are all drums located inside or outside of themaintenance building intact with no signs ofleaks or damage?
If leaking drums are discovered, placeabsorbents around drum and empty contents ofdrum, place in an overpack drum, or turn drum towhere leak is stopped. Contact ERTS at800-924-6804 or 800-210-6804, your emergencyresponse dispatching contractor for assistance.
Yes No N/A
Are all drums/containers, including oil catchpans, properly sealed, if not in use?
Yes No N/A
Are all drums/containers properly labeled as tothe contents and associated hazard?
Contact your regional manager for direction onobtaining hazardous material labels (e.g.,HazMat Diamond labels).
Yes No N/A
Hydraulic Lifts
Are hydraulic lifts present at your facility(including both above and below ground)?
Yes No
Are hydraulic lifts operating correctly? Contact your Region Maintenance Manager, orRegion Director of Maintenance for direction onrepairs.
Yes No
Have the hydraulic lifts been inspected withinthe past 12 months?
Contact your Region Maintenance Manager, orRegion Director of Maintenance for direction onrepairs.
Yes No
Waste Management / Dumpsters
Has the area around all solid waste dumpstersbeen inspected to determine if any automotivefluids have been improperly disposed in thedumpster and are leaking from the dumpster?
If dumpster is not equipped with a lid, contactyour waste vendor for repair/replacement.
Yes No N/A
Is the area around the used oil filter bin/drumsfree of significant oil staining?
If significant staining is observed, contact yourregional manager for assistance to addressissue.
Yes No N/A
Is documentation (i.e., manifests / bills oflading) maintained on-site for all shipments ofwaste automotive fluids/filters off-site thatoccurred over the past 30 days?
Yes No N/A
Monthly Environmental Inspection Report / March 2020
Page 23 of 26
Oil/Water Separators
Are oil/water separators present at yourfacility?
Yes No
Are oil/water separator systems workingproperly?
If oil/separator is malfunctioning, contact yourregional manager for assistance to addressissue.
Yes No
Has the oil/water separator system beenserviced within the last 12 months?
If oil/water separator requires servicing, contactyour oil/water separator waste vendor.
Yes No
Security
Are all fences and gates located on theproperty intact?
Contact your regional manager for assistance toaddress issue.
Yes No N/A
Are all gates equipped with locks? Yes No N/A
If fencing is not provided around the perimeterof the property, are fill ports to outdoor storagetanks padlocked?
Yes No N/A
Is electricity shut off to outdoor fuelABOVEGROUND storage tank dispensersafter business hours?
Yes No N/A
Is lighting around outside liquid storage areasworking properly?
Contact your regional manager for assistance toaddress issue.
Yes No N/A
Vehicle Washing / Parking
Is the vehicle washing area free of oil staining? If significant staining is observed in an outdoorwash area that is not equipped with drains thatdischarge to an oil/water separator, contact yourregional manager for assistance to schedulecleaning.
Yes No N/A
Are the parking areas clean with no evidenceof significant oil staining?
If significant staining is observed in the parkingareas, contact your regional manager forassistance to schedule cleaning.
Yes No N/A
Stormwater
Is there evidence of excessive erosion and/orsediment buildup at the site?
Contact your regional manager for assistance toaddress issue.
Yes No N/A
Monthly Environmental Inspection Report / March 2020
Page 24 of 26
Are storm drains operating efficiently (i.e.,runoff is flowing unobstructed) and clear ofdebris and other objects?
Contact your regional manager for assistance ifstorm drains require cleaning.
Yes No N/A
Is there any evidence of potential pollutantsreaching the storm drains (i.e., oil staining, oilsheens)?
If evidence of pollutants in storm water areobserved, contact ERTS at 800-924-6804 or800-210-6804, your emergency responsedispatching contractor.
Yes No N/A
If an oil/water separator, clarifier, or otherstorm water management unit is locatedon-site to treat storm water, is the systemoperating correctly?
If a stormwater treatment oil/water separatorrequires servicing, contact your oil/waterseparator waste vendor.
Yes No N/A
Are drainage ditches or swales free of debrisand sediment buildup?
Contact your regional manager for assistance ifdrainage ditches or swales require cleaning.
Yes No N/A
Is there any evidence of potential pollutantsreaching the drainage ditches/swales (i.e., oilstaining, oil sheens)?
If evidence of pollutants in storm water areobserved, contact ERTS at 800-924-6804 or800-210-6804, your emergency responsedispatching contractor.
Yes No N/A
Are storm water retention/detention pondsclear of debris and sediment building and freeof any obstructions that may inhibit water flowand drainage?
Contact your regional manager for assistance ifyour retention/detention ponds require cleaning.
Yes No N/A
Is there any evidence of potential pollutantsreaching the retention/detention pond (i.e., oilstaining, oil sheens)?
If evidence of pollutants in storm water areobserved, contact ERTS at 800-924-6804 or800-210-6804, your emergency responsedispatching contractor.
Yes No N/A
Are sediment levels in storm drains below thedrain’s effluent pipe?
Yes No N/A
Are significant amounts of sediments beingtracked onto the adjoining roadway(s) fromvehicles entering and exiting the property?
Yes No N/A
Certification
Description of Weather During Inspection Sunny 45degree
Description of any Wastewater DischargesOccurring Outdoors at the Time of Inspection(i.e., vehicle wash water, air compressorblowdown, etc.):
Normal
Were there any releases or spills identifiedduring the inspection that had not beenpreviously identified?
Yes No
Were any instances of noncomplianceobserved?
Yes No
Monthly Environmental Inspection Report / March 2020
Page 25 of 26
Has all documentation from inspectionsconducted by outside regulatory agencies(e.g., EPA, State environmental agencies, localfire department/health department, etc.) beensubmitted to [email protected]?
Yes No N/A
Summary of Corrective Actions
Comments
Surface rust on the tank.Need s repainting.
Pictures
Monthly Environmental Inspection Report / March 2020
Page 26 of 26