SPCC Monthly Spill Source Checklist

Date:    

Your Name:    

Email Address:    

Building and Room #:    

Calendar Year:     2007

Month: January February March April May June July August September October November December

1. Do any containers show signs of leakage or deterioration?
   Yes
   No
2. Are used oil collection drums 3/4 or more full, required used oil removal?
   Yes
   No
3. Are there surplus or junk materials stacked on top of containers?
   Yes
   No
4. Are aisles and walkways blocked preventing easy access to all containers?
   Yes
   No
5. Are there any containers that are unlabeled or outdated?
   Yes
   No
6. Are the lids on all containers tightly closed?
   Yes
   No
7. Do any containers show signs of spillage on their tops or sides requiring cleaning?
   Yes
   No
   

   ---

   Aboveground Storage Tanks (ASTs):
8. Are the tanks leaking?
   Yes
   No
9. Do the pipe connections show signs of leakage or deterioration?
   Yes
   No
10. Is there debris piled up around the tanks preventing easy access?
    Yes
    No
    

    ---

    Cooking Oil Collection Tanks:
11. Are the tanks leaking?
    Yes
    No
12. Is there debris piled up around the tanks preventing easy access?
    Yes
    No
13. Are the tanks almost full, requiring used oil and grease removal?
    
    Yes
    No

Please provide a full description of all deficiencies and indicate what maintenance or repair needs to be done.

Repairs and Maintenance: (State expected completion date for each item.)

If work order has been submitted, please provide:

Work order number:

Date Submitted:

Updated June 28, 2007 by SAK