54624 805 US AIR FORCE BLDG 283 1 CMP FCO 23 20220810 0217.pdf

37641

37641

37641

37641 Failure to post signage for emergency procedures and spill contacts

54624

Onestop: 8/17/2022 joseph.apodaca Highlight

New Mexico Petroleum Storage Tank Bureau

Aboveground Storage Tank Systems Inspection Checklist

Facility ID Number: 54624 Case Number: 23 20220810 0217

1. Registration (20.5.102 NMAC) and Tank Fees (20.5.103 NMAC)

A. Are all applicable tanks registered? (20.5.102.200 NMAC)

B. Current & Valid Registration Certificate on-site? (20.5.102.207 NMAC)

C. Owner Mailing address is correct? (20.5.102.208 NMAC)

D. Owner in compliance with tank fees. (20.5.103.300 NMAC)

E. Notification of transfer of ownership submitted per (20.5.102.201 NMAC)

2. Operator Training (20.5.104 NMAC)

A. Class A&B Operator(s) designated for the storage tank system(s). (20.5.104.400 NMAC)

B. Class A&B Operator(s) conducting monthly inspections. (20.5.104.409.B NMAC)

Page _2_ of 6

Yes

No

Yes

NIA

NIA

No

No

C. Class A&B Operator(s) must retrain within the next 60 days due to significant violation(s). (20.5.104.406.B NMAC) Yes

D. Class A/B Operator retrains:

E. Class A/B Operator retrained by NMED Inspector following significant violation. NIA

F. Operator Training requirements have been met for Class A/B and C. (20.5.104 NMAC) NIA

3. Operations and Maintenance Plan (20.5.110.1001 NMAC)

A. Operations & Maintenance Plan at the facility? Yes

B. Operations & Maintenance Plan updated? No

4. Financial Responsibility (20.5.117 NMAC)

5. Release Prevention Decords Review

A. Spill Prevention Equipment: I Spill Bucket I Tank(s) in Violation

1. Equipment is present? (20.5.109.910.A NMAC) Yes

2. Equipment is free of tears, rips, or damage. (20.5.110.1005.C NMAC) Yes

3. Equipment has adequate volume to contain spills. (20.5.110.1005.C NMAC) Yes

4. Equipment free ofregulated substance, debris, water, or other liquids. (20.5.110.1005.C) Yes

5. Equipment free of minor damage or other operational defects. (20.5.110.1005.C NMAC) Yes

6. Equipment tested within the last 3 years & report submitted within time frames? (110.1005.C) NIA

7. Equipment passed the test? (20.5.l 10.1005.C(4) NMAC) NIA

8. Test conducted per regulations and by tester who meets qualifications. (110.1005.G) NIA

9. Integral spill bucket monitored monthly or tested every 3 years. (20.5.l 10.1005.C(3) NMAC) Yes

10. Equipment is listed per national standard or code of practice. (20.5.109.910.F NMAC) Yes

11. Drain valve on remote fill box is closed? (20.5.110.1005.C NMAC) Yes

B. Overfill Prevention Equipment: I Clock guage I Tank(s) in Violation

1. Equipment is present? (20.5.109.910.A(2) NMAC) No

2. Equipment is operational/functional? (20.5.110.1005.D NMAC) NIA

Facility ID Number: 54624 Case Number: 23 20220810 0217

3. Alarm audible and visible to delivery driver? (20.5.109.910.A(2)(b) NMAC)

4. Equipment inspected or tested per regulations within last 3 years? (20.5.1010.1005.D NMAC)

5. Equipment passed periodic inspection or test? (20.5.110.1005.D NMAC)

6. Inspection/Test report submitted within required time frames. (20.5. l 10.1005.D(5) NMAC)

7. Inspection/Test conducted per regulations and by tester who meets qualifications. (110.1005.G)

8. Equipment is listed per national standard or code of practice. (20.5.109.910.F NMAC)

C. Corrosion Protection

6. Release Detection

A. Tank(s): I Visual Inspection

1. Applicable method is present. (20.5.111.1100.A/112.120511206 NMAC)

I

2. Tank(s) being monitored monthly for releases. (20.5.111.1102 thru 1104 & 115.1501.A NMAC)

3. Method is being operated and maintained as required. (20.5.111.1102 thru 1104 NMAC)

4. Equipment inspected or tested annually for operability and serviceability.(1102 thru 1104)

5. Annual inspections and testing conducted by tester who meets qualifications. (111.1100.D)

6. Records are being maintained. (20.5.111.1111 NMAC)

7. Integrity Test performed prior to return-to-service. (20.5.115.1501.1 NMAC)

B. Piping: I Visual Inspection

1. Applicable method is present. (20.5.111.1105 thru 1109 & 112.120511206 NMAC)

2. Piping being monitored monthly for releases. (20.5.111.1100.A NMAC)

3. Method is being operated and maintained as required. (20.5.111.1105 thru 1109 NMAC)

4. ALLD is capable of detecting leaks. (20.5.111.1105.A(l)) NMAC)

5. ALLD Functionality tested within last 12 months (20.5.111.1105.A(2)ll 106.A(2) NMAC)

6. Requirements have been met for no ALLD on aboveground piping (20.5.111.1109.B NMAC)

7. Tightness test conducted within required time frames. (20.5.111.1105.A/1107.A(l) NMAC)

8. Records are being maintained. (20.5.111.1111 NMAC)

9. Interstitial monitoring has automatic shutoff and sensors tested annually. (1106.A(3)11108.A)

10. Interstitial monitoring for emergency generator triggers alarm & tested annually. (20.5.112)

11. Equipment inspected or tested by tester who meets qualifications. (20.5.105.504 NMAC)

7. Containment

A. Secondary containment installed on new or upgraded AST system. (20.5.109.9001908 NMAC)

B. Under-dispenser containment is present? (20.5.109.917 NMAC)

C. Transition sump is present for above-ground piping? (20.5.109.913.D NMAC)

No

No

NIA

NIA

NIA

Yes

Yes

Yes

Yes

NIA

NIA

Yes

NIA

Yes

Yes

Yes

NIA

NIA

NIA

NIA

Yes

NIA

NIA

NIA

[]Records Review

NIA

No

NIA

D. Containment for loading rack is present and meets volume requirements? (20.5.109.918 NMAC) NIA

E. Containment is operated and maintained as required? (20.5.l 10.1002110031100711008 NMAC) NIA

Page _3_ of 6

37641

37641

Tank(s) in Violation

Tank(s) in Violation

Tank(s) in Violation

Facility ID Number: 54624 Case Number: 23 20220810 0217

F. Periodic testing conducted on sumps used for interstitial monitoring.(20.5.110.1007 NMAC)

G. Double walled containment sumps used for interstitial monitoring is monitored every 30 days.

H. Periodic testing of sumps reported within required time frames.(20.5.110.1016 NMAC)

I. Sump testing conducted per regulations and by tester who meets qualifications. (105.504)

8. Periodic Walk-through Inspections (20.5.110.1008 NMAC)

A. Inspections conducted every 30 days. (20.5.110.1008 NMAC)

B. Spill and overfill prevention is inspected every 30 days. (20.5.110.1008.A(l) NMAC)

C. Containment sumps inspected every 30 days. (20.5.110.1008.A(3) NMAC)

D. Release detection equipment checked every 30 days for alarms, signs ofrelease. (1008.A(2))

E. Equipment/material used to isolate metal components inspected every 30 days. (110.1006.D)

F. Records maintained. (20.5.110.1008.D NMAC)

9. Tank(s)/PipinglOperations & Maintenance

A. Ancillary equipment is maintained. (20.5.110.1000 NMAC)

B. Fill port lids are marked. (20.5.110.l000(A) NMAC)

C. Normal venting is maintained. (20.5.110.1004 NMAC)

D. Emergency vents are maintained and inspected monthly.20.5.110.1004 NMAC)

E. Underground piping replaced that shows signs of deterioration/failure. (20.5.110.1010.A)

F. Sump liners and penetration boots are maintained as required.(20.5.110.1007 NMAC)

G. AST system is documented to be compatible with contents greater than El0 or B20. (1009.B)

H. AST is compatible with the regulated substance stored? (20.5.109.1009 NMAC)

10. Notifications and Records

11. Evidence of a release or spill: Unknown

12. Attachments

[Z] Pictures ID Site Sketch

13. Comments.

ID Records ID Re-training module I [Z] Other

Page _i__ of 6

NIA

NIA

NIA

NIA

Tank(s) in Violation

No 37641

No

No

No 37641

NIA

NIA

Tank(s) in Violation

Yes

Yes

Yes

NIA

NIA

NIA

NIA

NIA

ID Financial Respons.

A. Tank Fees and Certificate: A tank certificate was not posted or provided for this fuel system. Violation 207.A (Level C) (TIO# 37641) (1 occurrence per tank) Failure to display a current and valid registration certificate at the facility, solution provide NMED inspector proof that a current and valid registration certificate is posted at the facility within 30 days ofreceipt of this report.

B. Spill Containment: Equipment was free ofregulated substance, debris, water, or other liquids and free of tears, rips, or damage.

C. Overfill protection: Site overfill system consist of only a Morrison Bros. clock guage, the overfill alarm is not installed at this fuel system.

Violation 910.A(2)(b) (1 occurrence per tank) (Level B)(TID# 37641), Failure to install an overfill alarm capable of alerting the transfer operator when the tank is no more than ninety percent full by restricting the flow into the tank or triggering a high-level audible and visual alarm. Solution, have a certified installer or Junior installer install the overfill equipment within 30-days of this report.

D. Vent Line Risers: Vents appear to be appropriate height and protected from elements

E. Vapor Recovery: NI A

Facility ID Number: 54624 Case Number: 23 20220810 0217

Page _5_ of 6

F. Under Dispenser Sumps (UDC): Site is equipped with a Fill-Rite Model FR902RU, dispenser that does not have underneath containment sump, the dispenser in not located in secondary containment. Violation 917 (1 occurrence per tank) (Level B)(TID# 37641). Failure to install a containment sump underneath each dispenser system associated with an AST. Solution, have a certified installer or Junior installer, install underneath containment sump the fuel system in accordance with NMED regulation, Industry standards and manufacture instructions.

G. Automatic Tank Gauge (ATG): NIA

H. Tank Release Detection: Visual inspection

I. Piping Release Detection: Visual inspection

J. Automatic Line Leak Detector (ALLD): NIA

K. Operation & Maintenance Plan (OMP): Owner/ operator submitted OMP. The OMP is not current with the new rules. Violation 1001.A(l) (Level C) (TID# 37641) (1 occurrence per tank) Failure to include required information and documentation in Operations and Maintenance Plan, Solution, At a minimum, the operations and maintenance plan shall include the following:

(1) a detailed plan showing inspections, operations, testing and maintenance to be done on a daily, monthly, quarterly and annual basis; the plan shall include a description of how owners and operators properly dispose ofregulated substances spilled at the facility, and any water or soil removed from any part of the storage tank system where there is any indication it might be or have been contaminated with a regulated substance;

(2) a description of periodic operation and maintenance walk-through inspections in accordance with 20.5.110.1008 NMAC; and

(3) responses to emergency situations; this information shall be readily accessible at the facility; responses to emergency situations shall include the following:

(a) the location of equipment to be shut down during an emergency and how to safely perform these tasks;

(b) actions to be taken in the event of a fire, flooding, a spill, or a release of regulated substances;

( c) a site diagram; and

(d) a list of whom to notify or call during or after an emergency situation.

(E) Tank chart

L. A/B & C Operator Training: Owner/ operators did not provide correct A/B certification associated with a Above ground storage tank system. Violations 404.D[2] (Level C) (1 occurrence per tank) (TID# 37641) Failure to have a current class A, B, or C certificate issued by an approved trainer. Solution provide the Bureau with certificate(s) of a class A/B operator assigned to the facility.

M. Monthly Inspections: The 30-day inspection logs are greater than 30 calendar days, walk-through inspections were not conducted with-in the 30 calendar days' time frames. Violations 1008.A, 1008.A(2), (Level C) (1 occurrence per tank) (TID# 37641), Failure to conduct spill and overfill prevention walk-through inspection every 30 days and Failure to conduct release detection equipment walk-through inspection every 30 days. Solution, from date ofreceipt of this notice owner/operator required to conduct inspection on or before 30 days of each other and maintain record of 30-day inspections for the life of the tank system.

N. Emergency Response Signage: Site did not have Emergency signage posted, Violation 403.C(l) (Level C) (1 occurrence per tank) (TID# 37641). Solution, post signage with these procedures and contacts in prominent areas of the storage tank facility that are easily visible to any person dispensing a regulated substance. Emergency response procedures shall include but are not limited to:

(a) procedures for overfill protection during delivery of regulated substances;

(b) operation of the emergency shut off system and alarm response;

( c) release reporting; and ( d) any site-specific emergency procedures

0. Emergency Stop: easily accessible and clearly labeled

P. Financial Responsibility (FR): NIA

14. Closing Conference and Signatures.

Closing Conference Date: Closing Conference Time:

Facility ID Number: 54624 Case Number: 23 20220810 0217

Joseph Apodaca

Compliance Officer - Print Name Compliance Officer's Signature

Scott Dorton

Owner or Representative - Print Name Owner or Representative's Signature

Environmental Manager scott.dorton@us.af.mil

Owner or Representative - Print Title E-mail Address

Page� of 6

8/17/2022

Date

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TANK COMPLIANCE ASSESSMENT FINDINGS

MONTHLY ORGANIZATIONAL TANK ASSESSMENT

22099-283

2022/07/14 23:03 UTCFor Official Use Only

2004/09/29

3,000

2022/06/30

572-3752

Installation Date:Installation/GSU: HOLLOMAN AFB

Owner: 445970Tank Real Prop ID:

Unit/Org: HFR - AbovegroundDesignation:

Location: BUILDING 00283 AERO CLUB Volume (Gallons):

Model: U-TANK-009 AVGASContents:

Serial #: U-AEROCLUB-009

Finding Status: 16 Question(s) - 16 Appropriate Response(s) and No Findings

Perform Date: COMPLETEStatus:

Duty Phone:Assessor: GROSHART, DANIEL J CIV

Conclusion:

Comments:

TANK CONTAINMENT

Are there water accumulations, debris, vegetation, cracks, fire hazards, or holes observed in the tank containment?

Correct Response: NResponse: N

Are containment drain valves in working order and closed?

Correct Response: YResponse: NA

If the tank is a double wall tank, was there water or fuel in the tank interstitial space?

Correct Response: NResponse: N

Are there leaks, broken seals, and/or corrosion of manhole covers?

Correct Response: NResponse: NA

Are there any indications of leakage, staining, seepage, or corrosion around tank shell or concrete pad?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on piping, pipe connections, or pipe stands?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on valves?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on tank supports/saddles?

Correct Response: NResponse: NA

Is the tank level gauge working, readable, and can be observed by the operator from the fill position location?

Correct Response: YResponse: Y

Are ladders, platforms, handrails, and stairs secure with no indication of severe corrosion and/or damage?

Correct Response: YResponse: Y

Are containment egress (exit) pathways clear?

Correct Response: YResponse: Y

Are gates/doors operable and in working order?

Correct Response: YResponse: NA

Are fire extinguishers maintained in a serviceable condition and located in the designated area?

Correct Response: YResponse: Y

Has an AF Form 332 been completed for any deficiencies observed?

Correct Response: YResponse: NA

MONTHLY ORGANIZATIONAL TANK ASSESSMENT

22099-283

2022/07/14 23:03 UTCFor Official Use Only

TANK CONTAINMENT (continued)

Are NFPA-compliant placards present and legible?

Correct Response: YResponse: Y

ADDITIONAL

Have all other Local, State, or Federal requirements checklist(s) been accomplished, if required, and documents uploaded to this tank record? Provide appropriate reference to record in comments.

Correct Response: YResponse: Y

MONTHLY ORGANIZATIONAL TANK ASSESSMENT

22099-283

2022/07/14 23:04 UTCFor Official Use Only

2004/09/29

3,000

2022/05/31

572-3752

Installation Date:Installation/GSU: HOLLOMAN AFB

Owner: 445970Tank Real Prop ID:

Unit/Org: HFR - AbovegroundDesignation:

Location: BUILDING 00283 AERO CLUB Volume (Gallons):

Model: U-TANK-009 AVGASContents:

Serial #: U-AEROCLUB-009

Finding Status: 16 Question(s) - 16 Appropriate Response(s) and No Findings

Perform Date: COMPLETEStatus:

Duty Phone:Assessor: GROSHART, DANIEL J CIV

Conclusion:

Comments:

TANK CONTAINMENT

Are there water accumulations, debris, vegetation, cracks, fire hazards, or holes observed in the tank containment?

Correct Response: NResponse: N

Are containment drain valves in working order and closed?

Correct Response: YResponse: NA

If the tank is a double wall tank, was there water or fuel in the tank interstitial space?

Correct Response: NResponse: N

Are there leaks, broken seals, and/or corrosion of manhole covers?

Correct Response: NResponse: NA

Are there any indications of leakage, staining, seepage, or corrosion around tank shell or concrete pad?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on piping, pipe connections, or pipe stands?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on valves?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on tank supports/saddles?

Correct Response: NResponse: N

Is the tank level gauge working, readable, and can be observed by the operator from the fill position location?

Correct Response: YResponse: Y

Are ladders, platforms, handrails, and stairs secure with no indication of severe corrosion and/or damage?

Correct Response: YResponse: Y

Are containment egress (exit) pathways clear?

Correct Response: YResponse: Y

Are gates/doors operable and in working order?

Correct Response: YResponse: NA

Are fire extinguishers maintained in a serviceable condition and located in the designated area?

Correct Response: YResponse: Y

MONTHLY ORGANIZATIONAL TANK ASSESSMENT

22099-283

2022/07/14 23:04 UTCFor Official Use Only

TANK CONTAINMENT (continued)

Are NFPA-compliant placards present and legible?

Correct Response: YResponse: Y

ADDITIONAL

Have all other Local, State, or Federal requirements checklist(s) been accomplished, if required, and documents uploaded to this tank

MONTHLY ORGANIZATIONAL TANK ASSESSMENT

22099-283

2022/07/14 23:05 UTCFor Official Use Only

2004/09/29

3,000

2022/04/28

572-3752

Installation Date:Installation/GSU: HOLLOMAN AFB

Owner: 445970Tank Real Prop ID:

Unit/Org: HFR - AbovegroundDesignation:

Location: BUILDING 00283 AERO CLUB Volume (Gallons):

Model: U-TANK-009 AVGASContents:

Serial #: U-AEROCLUB-009

Finding Status: 16 Question(s) - 16 Appropriate Response(s) and No Findings

Perform Date: COMPLETEStatus:

Duty Phone:Assessor: GROSHART, DANIEL J CIV

Conclusion:

Comments:

TANK CONTAINMENT

Are there water accumulations, debris, vegetation, cracks, fire hazards, or holes observed in the tank containment?

Correct Response: NResponse: N

Are containment drain valves in working order and closed?

Correct Response: YResponse: NA

If the tank is a double wall tank, was there water or fuel in the tank interstitial space?

Correct Response: NResponse: N

Are there leaks, broken seals, and/or corrosion of manhole covers?

Correct Response: NResponse: NA

Are there any indications of leakage, staining, seepage, or corrosion around tank shell or concrete pad?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on piping, pipe connections, or pipe stands?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on valves?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on tank supports/saddles?

Correct Response: NResponse: N

Is the tank level gauge working, readable, and can be observed by the operator from the fill position location?

Correct Response: YResponse: Y

Are ladders, platforms, handrails, and stairs secure with no indication of severe corrosion and/or damage?

Correct Response: YResponse: Y

Are containment egress (exit) pathways clear?

Correct Response: YResponse: Y

Are gates/doors operable and in working order?

Correct Response: YResponse: NA

Are fire extinguishers maintained in a serviceable condition and located in the designated area?

Correct Response: YResponse: Y

MONTHLY ORGANIZATIONAL TANK ASSESSMENT

22099-283

2022/07/14 23:05 UTCFor Official Use Only

TANK CONTAINMENT (continued)

Are NFPA-compliant placards present and legible?

Correct Response: YResponse: Y

ADDITIONAL

Have all other Local, State, or Federal requirements checklist(s) been accomplished, if required, and documents uploaded to this tank

MONTHLY ORGANIZATIONAL TANK ASSESSMENT

22099-283

2022/07/14 23:05 UTCFor Official Use Only

2004/09/29

3,000

2022/03/28

572-3752

Installation Date:Installation/GSU: HOLLOMAN AFB

Owner: 445970Tank Real Prop ID:

Unit/Org: HFR - AbovegroundDesignation:

Location: BUILDING 00283 AERO CLUB Volume (Gallons):

Model: U-TANK-009 AVGASContents:

Serial #: U-AEROCLUB-009

Finding Status: 16 Question(s) - 16 Appropriate Response(s) and No Findings

Perform Date: COMPLETEStatus:

Duty Phone:Assessor: GROSHART, DANIEL J CIV

Conclusion:

Comments:

TANK CONTAINMENT

Are there water accumulations, debris, vegetation, cracks, fire hazards, or holes observed in the tank containment?

Correct Response: NResponse: N

Are containment drain valves in working order and closed?

Correct Response: YResponse: NA

If the tank is a double wall tank, was there water or fuel in the tank interstitial space?

Correct Response: NResponse: N

Are there leaks, broken seals, and/or corrosion of manhole covers?

Correct Response: NResponse: NA

Are there any indications of leakage, staining, seepage, or corrosion around tank shell or concrete pad?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on piping, pipe connections, or pipe stands?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on valves?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on tank supports/saddles?

Correct Response: NResponse: N

Is the tank level gauge working, readable, and can be observed by the operator from the fill position location?

Correct Response: YResponse: Y

Are ladders, platforms, handrails, and stairs secure with no indication of severe corrosion and/or damage?

Correct Response: YResponse: Y

Are containment egress (exit) pathways clear?

Correct Response: YResponse: Y

Are gates/doors operable and in working order?

Correct Response: YResponse: NA

Are fire extinguishers maintained in a serviceable condition and located in the designated area?

Correct Response: YResponse: Y

MONTHLY ORGANIZATIONAL TANK ASSESSMENT

22099-283

2022/07/14 23:05 UTCFor Official Use Only

TANK CONTAINMENT (continued)

Are NFPA-compliant placards present and legible?

Correct Response: YResponse: Y

ADDITIONAL

Have all other Local, State, or Federal requirements checklist(s) been accomplished, if required, and documents uploaded to this tank

MONTHLY ORGANIZATIONAL TANK ASSESSMENT

22099-283

2022/07/14 23:06 UTCFor Official Use Only

2004/09/29

3,000

2022/02/25

572-3752

Installation Date:Installation/GSU: HOLLOMAN AFB

Owner: 445970Tank Real Prop ID:

Unit/Org: HFR - AbovegroundDesignation:

Location: BUILDING 00283 AERO CLUB Volume (Gallons):

Model: U-TANK-009 AVGASContents:

Serial #: U-AEROCLUB-009

Finding Status: 16 Question(s) - 16 Appropriate Response(s) and No Findings

Perform Date: COMPLETEStatus:

Duty Phone:Assessor: GROSHART, DANIEL J CIV

Conclusion:

Comments:

TANK CONTAINMENT

Are there water accumulations, debris, vegetation, cracks, fire hazards, or holes observed in the tank containment?

Correct Response: NResponse: N

Are containment drain valves in working order and closed?

Correct Response: YResponse: NA

If the tank is a double wall tank, was there water or fuel in the tank interstitial space?

Correct Response: NResponse: N

Are there leaks, broken seals, and/or corrosion of manhole covers?

Correct Response: NResponse: NA

Are there any indications of leakage, staining, seepage, or corrosion around tank shell or concrete pad?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on piping, pipe connections, or pipe stands?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on valves?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on tank supports/saddles?

Correct Response: NResponse: N

Is the tank level gauge working, readable, and can be observed by the operator from the fill position location?

Correct Response: YResponse: Y

Are ladders, platforms, handrails, and stairs secure with no indication of severe corrosion and/or damage?

Correct Response: YResponse: Y

Are containment egress (exit) pathways clear?

Correct Response: YResponse: Y

Are gates/doors operable and in working order?

Correct Response: YResponse: NA

Are fire extinguishers maintained in a serviceable condition and located in the designated area?

Correct Response: YResponse: Y

MONTHLY ORGANIZATIONAL TANK ASSESSMENT

22099-283

2022/07/14 23:06 UTCFor Official Use Only

TANK CONTAINMENT (continued)

Are NFPA-compliant placards present and legible?

Correct Response: YResponse: Y

ADDITIONAL

Have all other Local, State, or Federal requirements checklist(s) been accomplished, if required, and documents uploaded to this tank

MONTHLY ORGANIZATIONAL TANK ASSESSMENT

22099-283

2022/07/14 23:07 UTCFor Official Use Only

2004/09/29

3,000

2022/01/28

572-3752

Installation Date:Installation/GSU: HOLLOMAN AFB

Owner: 445970Tank Real Prop ID:

Unit/Org: HFR - AbovegroundDesignation:

Location: BUILDING 00283 AERO CLUB Volume (Gallons):

Model: U-TANK-009 AVGASContents:

Serial #: U-AEROCLUB-009

Finding Status: 16 Question(s) - 16 Appropriate Response(s) and No Findings

Perform Date: COMPLETEStatus:

Duty Phone:Assessor: GROSHART, DANIEL J CIV

Conclusion:

Comments:

TANK CONTAINMENT

Are there water accumulations, debris, vegetation, cracks, fire hazards, or holes observed in the tank containment?

Correct Response: NResponse: N

Are containment drain valves in working order and closed?

Correct Response: YResponse: NA

If the tank is a double wall tank, was there water or fuel in the tank interstitial space?

Correct Response: NResponse: N

Are there leaks, broken seals, and/or corrosion of manhole covers?

Correct Response: NResponse: NA

Are there any indications of leakage, staining, seepage, or corrosion around tank shell or concrete pad?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on piping, pipe connections, or pipe stands?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on valves?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on tank supports/saddles?

Correct Response: NResponse: N

Is the tank level gauge working, readable, and can be observed by the operator from the fill position location?

Correct Response: YResponse: Y

Are ladders, platforms, handrails, and stairs secure with no indication of severe corrosion and/or damage?

Correct Response: YResponse: Y

Are containment egress (exit) pathways clear?

Correct Response: YResponse: Y

Are gates/doors operable and in working order?

Correct Response: YResponse: NA

Are fire extinguishers maintained in a serviceable condition and located in the designated area?

Correct Response: YResponse: Y

MONTHLY ORGANIZATIONAL TANK ASSESSMENT

22099-283

2022/07/14 23:07 UTCFor Official Use Only

TANK CONTAINMENT (continued)

Are NFPA-compliant placards present and legible?

Correct Response: YResponse: Y

ADDITIONAL

Have all other Local, State, or Federal requirements checklist(s) been accomplished, if required, and documents uploaded to this tank

MONTHLY ORGANIZATIONAL TANK ASSESSMENT

22099-283

2022/07/14 23:08 UTCFor Official Use Only

2004/09/29

3,000

2021/12/29

572-3752

Installation Date:Installation/GSU: HOLLOMAN AFB

Owner: 445970Tank Real Prop ID:

Unit/Org: HFR - AbovegroundDesignation:

Location: BUILDING 00283 AERO CLUB Volume (Gallons):

Model: U-TANK-009 AVGASContents:

Serial #: U-AEROCLUB-009

Finding Status: 16 Question(s) - 16 Appropriate Response(s) and No Findings

Perform Date: COMPLETEStatus:

Duty Phone:Assessor: GROSHART, DANIEL J CIV

Conclusion:

Comments:

TANK CONTAINMENT

Are there water accumulations, debris, vegetation, cracks, fire hazards, or holes observed in the tank containment?

Correct Response: NResponse: N

Are containment drain valves in working order and closed?

Correct Response: YResponse: Y

If the tank is a double wall tank, was there water or fuel in the tank interstitial space?

Correct Response: NResponse: N

Are there leaks, broken seals, and/or corrosion of manhole covers?

Correct Response: NResponse: NA

Are there any indications of leakage, staining, seepage, or corrosion around tank shell or concrete pad?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on piping, pipe connections, or pipe stands?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on valves?

Correct Response: NResponse: N

Are there any indications of leakage, staining, seepage, or corrosion on tank supports/saddles?

Correct Response: NResponse: N

Is the tank level gauge working, readable, and can be observed by the operator from the fill position location?

Correct Response: YResponse: Y

Are ladders, platforms, handrails, and stairs secure with no indication of severe corrosion and/or damage?

Correct Response: YResponse: Y

Are containment egress (exit) pathways clear?

Correct Response: YResponse: Y

Are gates/doors operable and in working order?

Correct Response: YResponse: NA

Are fire extinguishers maintained in a serviceable condition and located in the designated area?

Correct Response: YResponse: Y

MONTHLY ORGANIZATIONAL TANK ASSESSMENT

22099-283

2022/07/14 23:08 UTCFor Official Use Only

TANK CONTAINMENT (continued)

Are NFPA-compliant placards present and legible?

Correct Response: YResponse: Y

ADDITIONAL

Have all other Local, State, or Federal requirements checklist(s) been accomplished, if required, and documents uploaded to this tank

MONTHLY ORGANIZATIONAL TANK ASSESSMENT

22099-283

2022/07/14 23:08 UTCFor Official Use Only

2004/09/29

3,000

2021/11/29

572-3752

Installation Date:Installation/GSU: HOLLOMAN AFB

Owner: 445970Tank Real Prop ID:

Unit/Org: HFR -…