3 Attachment B Malmstrom AFB Monthly UST.pdf

tankschedassessment.rpt

MONTHLY TANK ASSESSMENT CHECKLIST

341CES-500-1-UST-SF

2024/09/12 20:14 UTC

2000/01/01

12,000

Installation/GSU: Installation Date:

Owner: 465608Tank Real Prop ID:

Unit/Org: Supp Fac Real Prop ID:

Location: Designation: HFR - Underground

Model: Volume (Gallons):

Serial #:

MALMSTROM AFB

CC

0341 CIVIL ENGINEER SQ 0000

TANK 341CES-500-1-UST-SF

U-HFR-999000090568

07-08954 DIESEL FUELContents:

Finding Status:

Perform Date: Status:

Assessor: Duty Phone:

Comments:

Assessor Signature:

For Official Use Only

1. UST Monthly Walkthrough Checklist Review

2. Is the tank assessor/inspector conducting this inspection a qualified/trained operator?

Response: Yes No N/A

Comments:

2.02 UST Monthly Walkthrough Fire Extinguisher

5. Are fire extinguishers maintained in a serviceable condition and located in the designated area per NFPA 30 and 30A?

Response: Yes No N/A

Comments:

3.04 UST Monthly Walkthrough Venting

9. Is the normal vent located five feet or more from adjacent buildings and apart the required distance from an air intake?

Response: Yes No N/A

Comments:

10. Is the immediate surrounding area of the normal vent clear and free of obstructions?

Response: Yes No N/A

Comments:

11. Is the normal vent cap present and in good condition?

Response: Yes No N/A

Comments:

12. Is the normal vent riser solidly supported and standing vertical?

Response: Yes No N/A

Comments:

3.07 UST Monthly Walkthrough Pad

15. For tank pad and pavement: is concrete or asphalt over or near tank level with no significant cracks?

Response: Yes No N/A

Comments:

341CES-500-1-UST-SF

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3.07 UST Monthly Walkthrough Pad (continued)

16. Is the concrete cracking or settling over the top of the tank?

Response: Yes No N/A

Comments:

3.08 UST Monthly Walkthrough Safety

17. Are there other conditions that should be addressed for continued safe operation or that may affect the site spill prevention plan?

Response: Yes No N/A

Comments:

4.01 UST Monthly Walkthrough Spill Response

18. Are spill response kits properly supplied based on the product with absorbents, booms, PPE, etc. to properly contain/clean-up spillage from filling the tank?

Response: Yes No N/A

Comments:

4.04 UST Monthly Walkthrough Manhole

22. Are all manhole covers present, in good condition, seated firmly on the tank for the product type?

Response: Yes No N/A

Comments:

4.05 UST Monthly Walkthrough Spill Prevention

23. Visually check spill prevention equipment for damage and remove liquid or debris. (MDEQ, Q #1)

Response: Yes No N/A

Comments:

24. Is spill prevention equipment free of corrosion?

Response: Yes No N/A

Comments:

4.06 UST Monthly Walkthrough Fill Pipe

25. Check for and remove obstructions in the fill pipe. (MDEQ, Q #2)

Response: Yes No N/A

Comments:

26. Check the fill pipe cap to make sure it fits securely on the fill pipe. (MDEQ, Q #3)

Response: Yes No N/A

Comments:

27. Does the fill cap assembly (i.e., brass coupler and swivel) function properly before, during and after deliveries from any damage?

Response: Yes No N/A

Comments:

5.01 UST Monthly Walkthrough Containment Sumps

28. For double-walled spill prevention equipment with interstitial monitoring, check for leaks in the interstitial area. (MDEQ #4)

341CES-500-1-UST-SF

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5.01 UST Monthly Walkthrough Containment Sumps (continued)

29. Are spill buckets and containment sumps (integrity) free of vegetation, holes, cracks, bulges, corrosion, fire hazards and damage?

Response: Yes No N/A

Comments:

30. Are containment sumps (or manholes) free of water, product and debris?

Response: Yes No N/A

Comments:

5.02 UST Monthly Walkthrough Drainage

31. Does the surface water drainage system allow water to accumulate in a low spot, on top of the tank ?

Response: Yes No N/A

Comments:

5.04 UST Monthly Walkthrough Containment Drain Valves

33. Are the drain valves on the spill containment sump on the fill pipe operable and closed?

Response: Yes No N/A

Comments:

6.01 UST Monthly Walkthrough Release Detection

36. Ensure records of release detection testing are reviewed and current. (MDEQ, Q #6)

Response: Yes No N/A

Comments:

37. Have copies of passing release detection reports (i.e., leak detection test report) been obtained, for piping system(s), to meet record keeping and compliance requirements?

Response: Yes No N/A

Comments:

6.05 UST Monthly Walkthrough Wet Interstice

43. For double-walled, is the level of brine or monitoring fluid within normal range with no alarms?

Response: Yes No N/A

Comments:

6.06 UST Monthly Walkthrough RD Equipment (Tank)

44. Is the tank release detection equipment operating properly to determine usual operating conditions (i.e., faulty alarms, monitoring discrepancies, readings, etc.)?

Response: Yes No N/A

Comments:

6.08 UST Monthly Walkthrough RD Equipment (General)

46. Check release detection equipment to make sure the release detection equipment is operating with no alarms or other unusual operating conditions present. (MDEQ, Q #5)

Response: Yes No N/A

9. UST Monthly Walkthrough Reporting and Record Keeping

341CES-500-1-UST-SF

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9. UST Monthly Walkthrough Reporting and Record Keeping (continued)

60. Is reporting being conducted to the appropriate agency and recordkeeping being maintained of required documentation? (40 CFR 280.34)

Response: Yes No N/A

Comments:

10. UST Monthly Walkthrough Miscellaneous

62. Has an AF Form 332 been completed or electronic equivalent and submitted for any deficiencies observed? (Answer "no" if no deficiencies requiring a work request were noted)

Response: Yes No N/A

Comments:

63. If required, have all other Service, Local, State, or Federal requirements checklist(s) been accomplished, and documents uploaded/linked to this tank assessment record?