HomeMy WebLinkAbout40571 007764 015 12-29-2022 MOWALK AEPACS MONTHLY WALKTHROUGH INSPECTION Digitally signed by:
AEPACS
30 Day Walkthrough Inspection Checklist Date:2023.02.
Subm0s on Data -06:00
Reason:Log Location:State of Alabama
version 4.1
(Submission* HPR-60Z6-KN7YR,version 1)
Details
Submission Alias 30 Day Walk4wough Inspection Checklist Log(Form 558)
Submission ID HPR-60Z6-KN7YR
Form Input
Report Entry
Submission Method for Test Results
Upload PDF of Test Results in Digital Format
Is the Submission in response to an Waming Letter/Notice of Violation/Notice of Proposed Delivery Prohibition?
Yes
Site Information
Permit Number(Facility ID Number)
25967-015-007764
Site Name
BRYANT FEED&SEED
Site Address
12334 HIGHWAY431
WELLINGTON,AL 36279
United States
Upload Test Results
Were all of the Spill basins and release detection equipment satisfactory at the time of the inspection?
Yes
Attach the PDF file of the test form
Smut Gro MOWALK.odf-02/03/2023 01:53 PM
Comment
NONE PROVIDED
2/3120232:01:43 PM Page 1 of 1
MOWALK
ADEM
30 DAY WALKTHROUGH INSPECTIOA
CHECKLIST LOG FOR YEAR 99 5?
Questions on how to complete this form should be directed to the Groundwater Branch,UST Connieflarce Section al 334 37P5655
Facili Name: Wa,.4 r ee Owner. ;;. ` n ✓r
Address: f. 5 Address: .ice
City,, CountyZip: "t,_, C" State,ZI : /
Facility I.D.It. 9 S / "<r Phone#: ' s G
Inspector Name: tuicqolInspector Phone 411 a-
InspectorGorn n : 1 "
InsWctions
1. Spill prevention equipment al UST systems receiving deliveries at intervals greedlifthan every 30 days may only be checked prior
to each delivery. J�
2. Inspection must be performed in accordance with a nation �de1ally recognized practice(such as PEI RP-900,or equivalent),
manufacturers instructions,or ADEM requirements.
3. Keep a record copy of this inspection for 1 year.
Month of Inspection I Jan I Feb I Mar I A I May Jun I Jul I AugOct Nov I Dec
Da of Inspection I t I I_
Spill Containment Eq pnant(Spill Bucket)Imapection
Visually checked spill
prevention equipment Yes eyes gry.. yes sMlys. Byes yes yes Byes des
for dams e? ❑no O no O no ❑no ❑no ❑no ❑no ❑no ❑no ❑no ❑no ❑no
In y of bot Its of
a do le d spill
O yes ❑yes ❑yes ❑yes ❑ye A yes O yes ❑ e O yes O yes ❑yes O yes
pven equipment ❑no ❑no ❑no ❑no O no ❑no ❑no ❑no ❑no ❑no ❑no O no
iiverfi y king the ❑Na ❑Na ❑Na O n!a O rue O Na ❑Na ❑Na ❑Na ❑Na ❑Na ❑Na
in
for
leaks? —/ —/ �/
Water fuel and/or D/ae yec yes Yas eyyas Ryes Ryes al. 0Tyas
deeds found eq in enpill �❑no ❑no Ow ❑no O no ❑no ❑no ❑no ❑no ❑no ❑no ❑no
prevention equipment?
Water,fuel and/or "—/ — / / eyes W�
debris removed from urges Mrye- Glees By�es aYyes Byes ye. Oyes Byes CIO.
spill prevention ❑no ❑no ❑no ❑no ❑no ❑no ❑rat ❑no O no ❑no ❑no ❑no
equipment and ❑Na ❑Na O rda O n/a O n/a O n/a O We ❑Na ❑Na ❑Na ❑Na ❑n/a
disoosed of
Check for obstructions Byes Julard, 0,0. 1 e-Y. I 12f. yes yes yes yes GFfee
In the fill pipe? Orap ❑rat ❑no ❑no ❑no ❑no ❑no ❑no ❑no ❑no ❑no ❑no
Check fill cap to ensure ye � Eyes des l�es a yes gyps
it fits securely on fill yes es es s es es
pipe?
❑no ❑no ❑no ❑no ❑no ❑no ❑no ❑no ❑no Ono ❑no ❑no
Inspectors initials
Release Detection Equipment Inspection '
Release detection
operating with no O yes ❑yes ❑yes ❑yes ❑yes ❑yes ❑yes ❑yes ❑yes ❑yes ❑yes ❑yea
alarms dr un uarid, Ell ❑r no El no ❑no ❑no ❑ no ❑no ❑no ❑no ❑no ❑no ❑no
o eratir loon itions?
Reviewe lease
detecti esting O yes ❑yes ❑yes ❑yes Oyes ❑yes ❑yea ❑yes O yes ❑yea ❑yes ❑yea
records to Ourit they are Ono ❑no ❑no ❑rat Ono ❑no ❑no ❑no ❑no ❑no ❑no ❑no
p n and
ei .
Inspectors initi
Repairs Needed Date of Repair Description of any Repairs
ADEM Form 558 03118