Clearwater Oil Company, Ltd.
Big Bear Lease No. 2 Production Facility
SAMPLE Spill Prevention, Control, and
Countermeasure (SPCC) Plan
APPENDIX C: Monthly Inspection Checklist
Further description and comments, if needed, should be provided on a separate sheet of paper and attached to this sheet. Any item answered “YES” needs to be promptly reported, repaired, or replaced, as it may result in non-compliance with regulatory requirements. Records are maintained with the SPCC Plan at the Ridgeview field office.
Date: _________________Signature: ____________________________
Description & Comments
(Note tank/equipment ID)
Storage tanks and Separation Equipment
Tank surfaces show signs of leakage
Tanks show signs of damage, rust, or deterioration
Bolts, rivets or seams are damaged
Aboveground tank supports are deteriorated or buckled
Aboveground tank foundations have eroded or settled
Gaskets are leaking
Level gauges or alarms are inoperative
Vents are obstructed
Thief hatch and vent valve does not seal air tight
Containment berm shows discoloration or stains
Berm is breached or eroded or has vegetation
Berm drainage valves are open/broken
Tank area clear of trash and vegetation
Equipment protectors, labels, or signs are missing
Piping/Flowlines and Related Equipment
Valve seals or gaskets are leaking.
Pipelines or supports are damaged or deteriorated.
Buried pipelines are exposed.
Loading/unloading lines are damaged or deteriorated.
Connections are not capped or blank-flanged
Secondary containment is damaged or stained
Response Kit Inventory
Discharge response material is missing or damaged or needs replacement
Additional Remarks (attach sheet as needed):
Version 1.0, 11/28/2005