NCG030687_Notice of Intent Application_20171204

- 200 Altec Way Telephone: [phone]
Mount Airy, NC Facsimile* [phone]
Altec Industries, Inc. 27030 www.altec com
Tuesday, 31 October 2017
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Attention: Stormwater Permitting Unit
SUBJECT: Notice of Intent for NPDES General Permit Application
Altec Industries, Inc.
200 Altec Way
Mount Airy, North Carolina 27030
To whom it may concern:
NOV 21 2017
DENR-LAND QUALITY
STORMVVATER PERMITTING
Enclosed is the Notice of Intent (NO[) for a General National Pollution Discharge Elimination System
(NPDES) Permit and the required supporting documents for the above referenced facility. We are also
enclosing a check for $100 for the required permit fee.
Altec Industries, Inc. owns and operates the facility that serves as a manufacturing assembly and service
operation in Mount Airy, North Carolina (Altec Mt. Airy). The facility is located at 200 Altec Way, Mount
Airy, North Carolina, in Surry County. The facility services aerial lift trucks, and assembles chassis and
trailers for use by utility companies and the tree care industry.
The facility is located approximately 1,300 feet southwest of Reeves Mill Road, and is approximately 4.5
miles southeast of downtown Mt Airy, North Carolina. Altec Mt. Airy's property in comprised of
approximately 90 acres and includes three single -story metal buildings originally built around 1998.
Bordering the facility's western property boundary is the Mt. Airy-Surry County Airport and aircraft hangar
and bordering the northeastern boundary is Pike Electric, LLC property.
Altec Mt. Airy has paved driveways and parking areas surrounding the Altec buildings that include a storm
drain system that drains to the south and southwestern portions of the site. There are three terraced
gravel -covered staging areas on the southern portion of the property. The facility also receives
stormwater runoff from the adjacent, northeastern Pike Electric, LLC property. _ -
The storm drains in the paved areas collect sheet flow precipitation and drain either to a pond adjacent to
the Mt. Airy-Surry County Airport on the southwestern portion of the site or to a riser -type sediment basin
on the southern portion of the site Stormwater that does not enter the storm drain system flows through
curb drains to a swale east of the property that eventually enters Stoney Creek, or an intermittent stream
on the southwestern edge of the property, around the pond adjacent to the airport and eventually joins
Stoney Creek.

Notice of Intent for NPDES General Permit Application
Altec Industries, Inc. —Mt. Airy, North Carolina
Tuesday, 24 October 2017
Page 2
If after reviewing the enclosed information, you have any questions or need any additional information,
please do not hesitate to contact me or our Corporate Environmental Manager, Mr. Bruce W. Stainbrook
at 770/919-9552 ext. 228
Regards,
ALTEC INDUSTRIES, INC.
1
Ben Griffin
General Manager
Cc: Bruce W. Stainbrook- Altec, Inc. — Corporate
Jan Nordcliff — Altec, Inc. — Creedmoor, NC
Enclosures

Division of Energy, Mineral and Land Resourcesyeu DeReceived
�► Day
Land Quality Section
-National Pollutant Discharge Elimination System cemscate o ca"e
NCDENR h t
RMEWCF - NCG030000 III-1,032il IOU
EwRWNN ANo NARnu_ RmouRcE9
Pemnt Ass1Aed t0
NOTICE OF INTENT
X30 �i
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG030000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) 335 Rolling, Drawing, and Extruding of Nonferrous Metals
SIC 3398 Metal Heat Treating
SIC 34 Fabricated Metal ProductsRECEIVED
SIC 35 Industrial and Commercial Machinery
SIC 36 Electronic and Other Electrical Equipment NOV 2 12017
SIC 37 Transportation Equipment
SIC 38 Measuring, Analyzing, and Controlling Instruments I)ENRLA1\fD QUALITY
�7�ORMV1lAl'Lt� PERMITTING
KaFor questions, please contact the DEMLR Regional Office for your area. See page 4.
(Please print or type)
1) Mailing address of ownerloperator (address to which all permit correspondence will be mailed)r
Name Altec Industries Inc.
Street Address 200 Altec way
city Mount Airy State NC ZIP Code 27030
Telephone No. 336 786-3600 Fax: [phone]
2) Location offacility- producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
Email
Altec Industries Inc.
Nate Grundmann
200 Altec Way
Mount Airy
surry
336 786-3600
Nate [e-mail]
3) Physical Location Information:
State NC
ZIP Code 27030
Fax: [phone]
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). - The facility is located at 200 Altec way in Mount Airy North Carolina.
The facility is located approximately 1,300 feet southwest of Reeves Mill Road and is approximately 4.5 miles southeast of downtown Mt Airy, North Carolina.
Bordering the facility's western property boundary is the Mt. Airy-Surry County Airport and aircraft hangar.
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude - 36° 27'35" N - Longitude 80° 32'53" W (deg, min, sec) -
Page 1 of 4
SW U-218-071408
Last revised 7/2/14

NCG030000 N.®.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDENR
❑ This completed application and all supporting documents.
❑ A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
(f) impervious areas, (g) site property lines.
❑ Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mad Service Center
Raleigh, North Carolina 27699-1612
Note
.I- The submission of this document does not guarantee coverage -under the General Permit.
For questions, please contact the DEMLR Regional Office for your area.
_DEMLR Regional Office Contact Information:,
Asheville Office [phone]
Fayetteville Office ..
[phone]
Mooresville Office
[phone]
Raleigh Office .....
[phone]
Washington Office
[phone]
Wilmington Office ..
[phone]
Winston-Salem .....
[phone]
Central Office ....
. [phone]
Page 4 of 4
SWU-218-071408 Last revised 7/2/14

Attach.m- e nts _
Attachment'One: Site Location Map _
Attachment Two: Location of Stormwater Outfalls'Corresponding to Drainage -Areas
Attachment Three: Stormwater Management Structures and Runoff Conveyance
Features
Attachment Four: Petroleum Material Storage Areas
Attachment Five: Chemical Material Storage Areas "
Attachment Six:- Site Property Lines _
Attachment Seven: USGS Quad .Sheet with Location of Facility
Attachment Eight: - Facility RPCC Plan (Confidential/Sanitized Copy)
I aENVIRONMENTAL

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Attachment one: _ --Site Location Map
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Please reference_ the attached facility RPCC Plan under Section 6 (Stormwater Pollution
_
-Prevention Plan" (SWPPP) and the -facility. SPCC Plan under- Section 6.6.2 located in
Appendix H of the facility RPCC. _
ENVIRONMENTAL
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- _-tta_ch ' er t Four:
Petroleum=M=ateria-1
- _
= Storage: -Areas
_ _ ` tPENVIRONMENTAL
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ave 750 gallons stored WAREHOUSE average 1 or 2 stored 4°` ave 1,000 gallon stored
(underground room)
FEST LAB TOOL AND SUPPLY ROOM PMA TOOL
(Pike) (Pike) (PARTS MT AIRY) REPAIR
KEY
Locations of Petroleum Material
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t. �:.ISA, i syr,ij,F.�i,; xec• "�_ .,� _ �
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-
(underground ) Drums & Totes............
Source: 2017 Google Earth Aerial Photo/ with Drawn Layout), Scale- 1 block/ -210 ft
ALTEC INDUSTRIES, INC. PETROLEUM MATERIAL STORAGE
200 ALTEC WAY LOCATIONS Attachment
MOUNT AIRY, NORTH CAROLINA Four.
27030 AUGUST 2017

1 = Atta-ch.ment'Five: Chemical Material,
_ "Storage Areas -

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ALTEC INDUSTRIES, INC.
200 ALTEC WAY
MOUNT AIRY, NORTH CAROLINA 27030
SITE PROPERTY LINE
Attachment
LAYOUT MAP
SIX.

Ata.chment'SOvem. USGS_Quad Sheet .With
`
Location of Fa_ci l-ity
ENVIRONMENTAL- -
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ALTEC INDUSTRIES, INC. USGS QUAD SHEET WITH
200 ALTEC WAY LOCATION OF FACILITY Attachment
Fuel MOUNT AIRY, NORTH CAROLINA
=CAM
® Seven.
27030 AUGUST 2017

Attachment Eight: -Facility RPCC-Plan
(Confide'ntia'.I/Sanitized"=
_ = Copy= Not -for Publ=i=c-
_=. Review)
ENVIRONMENTAL

RELEASE
PREVENTION
CONTROL AND�
RES
Date: 08 August 2017

Release Prevention Control and Countermeasures Plan
Introducti®n
This Release Prevention Control and Countermeasure (RPCC) Plan (hereafter referred to as the "Plan")
has been prepared for Altec Industries, Inc. in accordance with federal and the State of North Carolina
regulations regarding release prevention and control.
The Clean Water Act (CWA), the Resource Conservation and Recovery Act (RCRA), and the Superfund
Amendment and Reauthorization Act (SARA) require industrial sources to develop plans to minimize the
risks of unplanned releases of toxic and hazardous substances This plan incorporates the Spill Prevention
Control and Countermeasure (SPCC) and the Storm Water Pollution Prevention Plan(5WP3) requirements
of the CWA, the Contingency Plan requirements of RCRA, and the Emer"ge) Response Plan
requirements of SARA into one document
The plan is designed to provide the controls and procedures necessary,,lo�imize hazards to human
health and the environment from fires, explosions, and releases of toxjc and. azardous substances to the
air, soil, surface waters, and groundwater. <,\vV
.�4,�
This document contains preventive actions and emergency resp !s proce`du`res�tb be followed in the event
of an emergency. Designated associates of Altec Industries,s16_ are familith the contents of this plan,
and trained to carry out the necessary procedures either as a location team or in concert with the North
Carolina Department of Environmental Quality, in conj,+hction�with-ATe.lpcaI law enforcement Emergency
Responders (police and fire departments)
The section entitled EMERGENCY NOTIFICATION<<IST .can be detached from this plan in case of an
emergency This section is discussed in greaterAdetail�tll following portions of the plan. Tables and
figures are located in the respective section's-,
A� q
44 A�
Altec Industries Inc — Mt Airy, North Carolina
Revision Date 08 August 2017 Page I H
Supersedes None

Release Prevention Control and Countermeasures Plan
Table of Contents
NOTE. Sections 1-9 contain reference information which is included in the Appendices at the end of this
manual. Additional appendix documents not referenced in the document may also be included.
INTRODUCTION
EMERGENCY NOTIFICATION LIST
SECTION 1 GENERAL -FACILITY INFORMATION NOTE: SECTIONS 1-5 NOT INCLU' E .jMAINTAINED IN FACILITY COPY
A GENERAL FACILITY INFORMATION
B PROPERTY AND FACILITY DESCRIPTION
C OVERVIEW OF FACILITY OPERATIONS
D HAZARDOUS MATERIAL STORAGE AREAS °
E AIR EMISSION POTENTIAL
F. SPILL POTENTIAL
G. STORMWATER DISCHARGE `D
H. SPCC PLAN CERTIFICATION
I STATEMENT OF RELEASE PLAN P'QLIAyY
J PLAN REVIEW AND AMENDMENT
K. RELEASE EVENT HISTORY
L. PLAN DISTRIBUTION LIST
FIGURE 1-1 TOPOGRAP ,'MAP OF An,AND SURROUNDING AREA
FIGURE 1-2 AERI�L,P} jOTOG AA � F SITE AND SURROUNDING PROPERTY
SECTION 2 MATERIALS AND L�ITY;��1VE TORY
TABLE 2-1 MA„TERIALS;NVENTORY
FIGURE 2- ETROL _U MATERIAL STORAGE LOCATIONS
FIGURE 2:ALL CEMICAL MATERIAL LOCATIONS
SECTION 3 MINI 6tATJM,PREVE vT11%E MEASURES
zF:ACILIT+YT IGN
SPIL - NTROL EQUIPMENT
C. LOADING/UNLOADING OPERATIONS
D. AIS' EMISSIONS
TABLE 3-1 ABOVEGROUND STORAGE TANKS
TABLE 3-2 UNDERGROUND STORAGE TANKS
FIGURE 3-1 LOCATION OF SPILL RESPONSE EQUIPMENT
SECTION 4 CONTINGENCY PLAN
A. GENERAL OVERVIEW
Altec Industries Inc - Mt Airy, North Carolina
Revision Date, 08 August 2017 Page I iii
Supersedes None

Release Prevention Control and Countermeasures Plan
B CONTINGENCY PLAN DEVELOPMENT
C. PROTECTION OF SURFACE WATER BODIES
D EMERGENCY RESPONSE COORDINATORS
E. PREPAREDNESS AND PREVENTION
F. EMERGENCY RESPONSE EQUIPMENT
TABLE 4-1 EMERGENCY EQUIPMENT LIST
SECTION 5 EMERGENCY RESPONSE PROCEDURES
A.
B.
GENERAL OVERVIEW
ALERT PROCEDURES
C.
PERSONNEL RESPONSIBILITIES
SPECIFIC EMERGENCY PROCEDURES D
MAIN EMERGENCY CHEMICAL SPILL PROCEDUR SIGN
(FEATURING SPILL RESPONSE TEAM)
D
EMERGENCY NOTIFICATION PROCEDURES
E.
F.
REQUIRED ALTEC CORPORATE NOTIFICAT162.
EMERGENCY RESPONSE PROCEDURES�i
a�b
SECTION 6 STORMWATER
A
POLLUTION PREVENTION N
SPILL PREVENTION, CONTROL,D COUNT M, MEASURE PLAN (SPCC)
B STORMWATER PERMIT
C. STORMWATER POLLUTIO
D. STORMWATER POLLUTIO
E STORMWATER MONITOI
FIGURE 6-1 DIRE" 10. OF
FIGURE 6-2 SAM -1 PACK
LAN (SWPPP)
AWATER FLOW AND DRAINS
AND SHIPPING DIAGRAM
-N
SECTION 7 INSPECTIONS,A,, b RECORDS NOTE: SECTIONS 7-9 NOT INCLUDED. MAINTAINED IN FACILITY COPY
A GF�I�ERAL OVEIEW
B. INISPECTIOWSC,=IEDULE
Cpl IN,S�PECTI,QN`gTORMS AND RECORDKEEPING
TABLE -1 INSPECTION SCHEDULE
���
SECTION 8 SEC QTY
SECTION 9 PERSONNEL TRAINING
A. TRAINING OVERVIEW
B. TRAINING PROGRAMS
C TRAINING PROGRAM OUTLINES
D TRAINING RECORDS
E. JOB DESCRIPTIONS FOR ASSOCIATES INVOLVED IN EMERGENCY
RESPONSE
Altec Industries Inc — Mt Airy, North Carolina
Revision Date 08 August 2017 Page I iv
Supersedes None

Release Prevention Control and Countermeasures Plan
APPENDICES
APPENDIX A INSPECTION/ REPORTING FORMS
1 WEEKLY HAZARDOUS WASTE STORAGE AREA INSPECTION FORM
2 MONTHLY STORMWATER INSPECTION FORM
3. MONTHLY AST INSPECTION FORM
4. ANNUAL AST INSPECTION FORM
APPENDIX R TRAINING REPORTS AND RECORDS NOTE: APPENDICES BTHROUGH H NOT INCLUDED.
MAINTAINED IN FACILITY COPY
1. HAZARDOUS WASTE TRAINING FORM
2 HAZWOPER TEAM CERTIFICATION RECORDS
APPENDIX C SPILLS AND EMISSIONS
1. CHEMICAL SPILL REPORT FORM
2 SPILL REPORTING AND NOTIFICATION PRO CEDURESaFORM
3 REPORTABLE QUANTITY RELEASE NOTIFICATION SUPPLEMENT FOR
OFFSITE RELEASES FORM Aye
APPENDIX D RESOURCES,
1. REPORTABLE QUANTITIES REQUIRINGAGENCY NOTIFICATION
2 MATERIAL SAFETY DATA SHEEZS FORESEL'ECTED MATERIALS
APPENDIX E EMERGENCY FORMS A
o
1 EMERGENCY E`VACU\' ON
May also include maps for ve
2 LP -GAS STORAGE'FI E SA
APPENDIX F PERMITS
1.
2.
3..
APPENDIX G
APPENDIX H S
D TAKE -SHELTER MAP
ion, plumbing, equipment, piping, drainage, etc.
Y ANALYSIS
GENERATOR EPA ID
ND STORAGE TANK (UST) PERMIT
R PERMIT
(original)
CROSS REFERENCE
1. SPCC PLAN
2. SPCC FIGURES
3. SPCC APPENDICES
Altec Industries Inc — Mt Airy, North Carohna
Revision Date 08 August 2017 Page I v
Supersedes None

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1 `& .rte

Release Prevention Control and Countermeasures Plan
Secti®n Six
Stormwater Polluti®n Preventi®n Plan
A. SPILL PREVENTION, CONTROL, AND COUNTERMEASURE PLAN (SPCC)
Note the certified Spill Prevention, Control, and Countermeasure (SPCC) Plan is included in Appendix H.
Any discord in information between the RPCC Plan and the SPCC Plan should result the default to the
plan with the latest revision date
B. STORMWATER PERMIT`
Altec Mt Airy is authorized to discharge stormwater in accordance Alt4,the terms of General Permit
Number for stormwater discharge associated with indusP"lal activities (light metal fabrication
and vehicle maintenance). Altec Mt. Airy has been issued Perrrrt num�er,c by the State of
North Carolina and a copy is included in Appendix F��,
C. STORMWATER POLLUTION PREVENTION M"
A Stormwater Pollution Prevention Team (stormwa r team,,,'il_bbbe established at the Altec Mt. Airy
facility The stormwater team will have the following;respor1sibilities.
• Identify toxic and hazardous ma"tels irtheility.
• Identify potential spill sources°---�,
4V
• Develop Best Managerbe'nt4 ractice MP) to prevent pollutants from entering stormwater.
• Develop and cond &zb P tram for facility personnel
• Review changes ifacilitydes�n and operations and implement any necessary actions
• Coordinateihcl nt response, cleanup, and notification of authorities
• Establish post -incident reporting procedures
N
• RAieevy environmen al incidents to determine and implement necessary changes.
•
Develop,<irite epartmental coordination to carry out the Stormwater Pollution Prevention
Management provisions
• Evaluate effectiveness of overall Stormwater Pollution Prevention Plan (SWPPP) and make
recommendations for changes in the provisions to management.
Team Membership
Stormwater team members will meet periodically as necessitated by changes to the Altec Mt Airy
operations, change in regulatory status, significant stormwater events, or if anticipated situations arise
which impede implementation of these provisions Meetings of the Stormwater Pollution Prevention Team
Altec Industries, Inc — Mt Airy, North Carolina
Revision Date 08 August 2017 Page 16 -1
Supersedes None

Release Prevention Control and Countermeasures Plan
will be documented and maintained at the site by management for a minimum of three years. The
following personnel are members of the Stormwater Pollution Prevention Team,
Chairperson. Mr Nate Grundmann — Facilities EH&S Supervisor
Team Member 1 Mr Kenny Badgett - Maintenance Technician
Team Member 2. Mr Ronnie Collins - Service Manager
Team Member 3 Mr Andy Kelly - Plant Manager
D. STORMWATER POLLUTION PREVENTION PLAN (SWPPP)
The stormwater team chairman is responsible for the implementation and continued1development of the
Stormwater Pollution Prevention component of this Release Prevention Controland, Countermeasure
Plan. Input is provided by plant management with respect to plant operations.
Site Topography & Stormwater Discharges
The site's topographic relief varies between 1,206 to 1,278 feet above sea bevel The elevation drops
sharply to the south and west. nay? 'A�
Stormwater discharge is generated from a variety of source`s; `inciudin j�sojne sheet stormwater runoff
from several areas of the property The site is gradd"Aso that`�h,)4lajonty of stormwater from
manufacturing areas is routed to stormwater drains loc�a ed thYougho�G44the facility Stormwater is primarily
discharged from the property via two outfalls located t the, ess�t_an( south of the Main Building.
The Altec facility receives stormwater runoff from -the, dja ent northeastern Pike Electric, LLC property.
Paved driveways and parking areas surround'ng th6Altec"buildings have a storm drain system that drains
to the south and southwestern portions ofi�t;h`e site. There.,are three terraced gravel staging areas on the
southern portion of the site 1<\N�
The storm drains in the paved areas -collect sHeet�flow runoff and drain either to a pond adjacent to the
n�t
Mt. Airy-Surry County Airport o�ie south)restern portion of the site or to a riser -type sediment basin on
the southern portion of the site-,S�&Qhiiwater that does not enter the storm drain system flows through curb
L'\\ VV A V
cuts to a swale east of the property tat,eventually enters Stoney Creek, or an intermittent stream near
the southwestern edge of, , prop e t�1,-that cuts around the pond adjacent to the airport and eventually
joins Stoney Creek. Figurey6-1 protides a site layout map showing the direction of stormwater flow on the
property
Potential Polidt'on Sources
Raw, intermediate, final products are covered or inside buildings when feasible. The majority of
chemicals are kept under cover at the facility. The diesel fuel station, the bulk liquid propane tank, and
areas storing oxygen, nitrogen, carbon dioxide, and propane cylinders are located outdoors Aerial lift
trucks are parked outdoors. Painted steel parts may be stored outdoors while raw steel is covered or
indoors There are rock chutes and concrete flumes in the drainage areas with a high potential for soil
erosion.
Potential stormwater pollution sources may arise from sediment breakdown of gravel covered areas (total
suspended solids); vehicle leaks (oil and grease); fueling operations (oil and grease, hydrocarbons)
outside storage, and loading/unloading operations Records of materials used in these areas that
represent potential contaminants are maintained as part of the annual air emissions reporting
Altec Industries, Inc — Mt Airy, North Carolina
Revision Date 08 August 2017 Pagel 6 - 2
Supersedes None

Release Prevention Control and Countermeasures Plan
requirement. In order to decrease or eliminate potential pollution, best management -practices have been
implemented.
Best Management Practices (BMPs)
Best management practices (BMPs) have been implemented to prevent pollutants from entering
stormwater discharges. BMPs are selected, installed, operated, and maintained in accordance with the
requirement of the general permit The Chair of the Stormwater Team is responsible for ensuring
necessary BMPs are implemented in a timely manner. Many baseline BMPs implemented at the facility,
including visual inspections, spill prevention, and response, are discussed throughout this Plan General
BMPs implemented at the Altec Mt. Airy facility are discussed below.
A
Good Housekeeping
Good housekeeping procedures are designed to maintain a clean and orderly woTken ironment, thereby
minimizing the potential for pollutants to enter stormwater. The following goodhyusekeeping procedures
will be followed .�
1� V
• Regular disposal of trash and other solid waste material,
• Maintaining dry and clean floor and ground surfaces �us-in g� brooms -,shovels, etc.;
• Monitoring loading/unloading operations to avoid sPTI
a
• Maintenance of secondary containment structures around,4tsidee storage area,
• Evaluating stormwater from secondary containment st(ctures and disposing of accordingly;
• Avoiding spills of miscellaneous chemicals\,fuel or�Qther"vehicle fluids,
• Providing collection and storage a ea f r waste poducts and arranging for proper disposal;
• Keeping outside equipment in goodrrepa` �o eliminate chronic drips and leaks;
• Maintaining spill kits in are -',WP, cYf meals are stored;
• Prompt and proper cleanup of anal+�rwehicle fluid spills that may occur;
• Storing drums and, 66�ble c�d�ntao rs in locations with cover from rain and/or containment;
• Keeping drums or�other potable containers closed/secure when not in use;
• Use of graK`eI'br fip-r#t6,tfabilize soil but allow stormwater to permeate;
• Providing, se imer-I�9erosion control measures (straw bales, silt fences, sediment basins);
• Uti(izmg-filters--ih�and around all stormwater drains/inlets at the facility;
• Keeping st&ehWater conveyances clear of debris and sediment,
•Cleaning ' icles in the wash bay and properly maintaining the oil/water separator;
• Conducting regular inspections of facility, and
• Adhering to overlapping federal and state requirements for storage tanks and fueling
operations
Preventive Maintenance
Preventive maintenance involves the regular inspection and testing of plant equipment and operational
Altec Industries, Inc — Mt Airy, North Carolina
Revision Date 08 August 2017 Pagel 6 - 3
Supersedes None

Release Prevention Control and Countermeasures Plan
systems. The inspections are meant to uncover conditions such as cracks or slow leaks which could
cause breakdown or failures that result in discharges of chemicals to stormwater. The program is
designed to prevent breakdowns and failures by adjustment, repair, or replacement of equipment.
Equipment in the preventive maintenance inspection and testing program includes machining equipment,
pipes; pumps; storage tanks; material handling equipment, and stormwater management devices (i.e.,
oil/water separators and storm drains).
A record system for scheduling tests and documenting inspections in the preventive maintenance
program has been implemented. Documented test results and corrective action are on file. The Building
Maintenance Department maintains the preventive maintenance records.
Visual Inspections �
Visual inspections are used to evaluate existing BMPs and to identify condition nth potential to cause
contamination of-stormwater discharge Visual inspections schedules are listt6d,� ;Section 7, Table 7-1.
Spill Prevention and Response
Developing spill prevention and response procedures is a critical�e�ementt of an effective SWPPP
Section 3 identifies areas where spills may occur, material.li-andlmg p�\rocedures, and spill control
equipment. In addition, spill response procedures are discusssed4.Ihr ghouAlhe RPCC Plan
Employee Training�``��jj A�
The purpose of SWPPP training is to teach personne <a all levels, -,of -responsibility the components and
goals of the SWPPP Refer to Section 9 for Altec assac�ia trainnD
Recordkeeping and Reporting ,
Incidents such as spills or other discharged, along ith,,Wer information describing the quality and
quantity of stormwater discharges will be<tecAedit of the facility inspection and recordkeeping
program are included in Section 7
E. STORMWATER MONITO�RI� G PROEM
Monthly Stormwater Inspektions
\ a v �i y
In accordance withl th6e genera\stormwater permit, monthly site inspections are conducted by a
stormwater team me— ,ner T!�e inspections include observations and evaluations of BMP effectiveness,
deficiencies, andcor�ectiveomeasures that will be taken Deficiencies are corrected within seven (7) days
and must be dgcumentedL m -4h inspection report along with the dates and descriptions of any corrective
actions or improvX�ementVttta� were implemented. A copy of the monthly stormwater inspection form is
included in Appendiia)V
In addition, a stormwater team member, or his designee, shall conduct daily and/or weekly walkthrough
inspections of areas to ensure that BMPs are continually implemented and effective. Structures that
function to prevent pollution of stormwater or to remove pollutants from stormwater will also be specifically
inspected
Analytical Monitoring
The general stormwater permit requires analytical (laboratory) monitoring of Outfalls 001 and 002. Altec
Mt. Airy is required to conduct quarterly sampling of stormwater discharges.
Altec Industries, Inc — Mt Airy, North Carolina
Revision Date 08 August 2017 Page 16 - 4
Supersedes None

Release Prevention Control and Countermeasures Plan
The following parameters are followed for analytical monitoring:
• Samples will be collected from a precipitation event exceeding 0.1 inches during a 24-hour
period Precipitation events include rainfall and run-off from the melting of frozen
precipitation.
• Grab samples will be collected during the first 60 minutes of discharge.
• Samples will be collected prior to discharge leaving or at the property boundary, or before
discharge enters waters of the state on the property.
• Examinations will include observations of color, odor, clarity, floating solids, settled solids,
suspended solids, foam, oil sheen, or other obvious indicators of stormwater pollution.
4&1)
Documentation will be maintained with the SWPPP if the facility is unable =to ycollect grab samples.
Records will indicate if no rain event, or no "measurable" storm event occurreduring a monitoring period
(including dates/times the outfalls were viewed and/or sampling- Wasp attempted). Acceptable
documentation may include weather station data, local weather stVq AAdata, facility rainfall logs, and
other appropriate supporting data If adverse weather conditions prevent the collection of samples, a
substitute sample will be taken during a qualifying storm event ifi..t epY'ext-fib,�itonng period. Adverse
weather conditions are those that are dangerous or create i�naoces �ibility�faa pe`isonnel, and may include
such things as local flooding, high winds, electrical storms, o�`\jluation1 h t otherwise make sampling
impracticable, such as drought or extended frozen conditions A'�
Collecting Grab Samples for Analysis
Sample Documentation �,"
Correct sample labeling and a complete ctiainvof cust d are critical to ensure proper handling and
analysis by the laboratory Laboratories can,provide waterproof labels for each sample and a chain of
custody form. The following mformatiop, hou'ld� beecluded on the label and/or chain of custody.
• Unique Sample or Log -Ni - A�I�,mples should be assigned a unique identification
number Sample nu b re s may,�'ON yy,combination of the date, material sampled and location
where the sample�Z&en. F'opexample, SW001-112117 indicated a stormwater sample
(SW) collected'f o'P�n'Ou�( (001) on 21 November 2017.
• Date and Time o37Samplellection - Date and time of sample collection (including notation
of a.m. dr -p.m mush be recorded.
• Facrlitjn�Name and\Address — Include a contact phone number
• Name and Sigo-ature of Sampling Personnel - The name of the person taking the sample
must bels
i aced
• Sample Type - Each sample should indicate that it is a grab sample.
Preservation Used - Any preservatives (and the amount) added to the sample should be
recorded. The method of preservation should be indicated, including ice for temperature.
• Analysis Required - All parameters for which the sample must be analyzed at the laboratory
should be specified.
• Comments - Any relevant information pertaining to the sample or the sampling site that may
impact sample results should be recorded. This may include unusual weather conditions
Altec Industries, Inc — Mt Airy, North Carolina
Revision Date OS August 2017 Pagel 6 - 5
Supersedes None

Release Prevention Control and Countermeasures Plan
Observations regarding the quality of the sample (Le , excessive particulate, presence of oil films, color,
etc.) should be noted in the sampling documentation and it should be determined if corrective action is
required.
Sample Packaging and Shipping
If the samples are not hand -delivered to the laboratory, they should be shipped in a cooler with the chain
of custody Caution should be taken in packing to ensure that glass containers do not break during
shipping. Ice or a synthetic ice should be placed in the container so that samples maintain a temperature
of 39.2°F (4°C) throughout shipping. Seal the container to prevent tampering.
Most samples will not require any special transportation precautions except careful packaging to prevent
breakage and/or spillage. If shipped by common carrier or sent through the U S mail, samples must
comply with Department of Transportation Hazardous Materials Regulations. StormWater samples are not
generally considered hazardous materials However, carriers should be con[. e8 to determine if
transportation regulations apply Figure 6-2 provides a visual diagram of sam Ile packaging
Sample Preservation and Holding Times �N
Preservation techniques ensure that the sample remains representat�i e oaf+he stormwater discharge at
the time of collection. Since pollutants in the collected samples rn vNbe unstable,- samples should be
analyzed immediately, or preserved to minimize changes between'the time of collection and analysis.
Sample preservation techniques consist of lowering the�te rature,�pH> adjustment, and chemical
fixation. Refrigeration is the most widely used techniquue,16\ ause i Zhao no detrimental effect on the
sample composition, and it does not interfere with mdst analytic • methods. Refrigeration requires the
sample to be quickly chilled to a temperature of 39 2 F� 4 C). This e°bhnique is used at the beginning of
collection in the field (placing samples in a cooler�� i ), dud g -shipment, and at the laboratory
In addition to preservation techniques,
maximum amount of time that sample
Samples exceeding these holding timet
repeated. In most cases the samplgs Mi
be considered. The holding time is the
analysis and still be considered valid.
pct and sample collection may have to be
within 24 hours.
Altec Industries, Inc ^ Mt Airy, North Carolina
Revision Date 08 August 2017 Pagel 6 - 6
Supersedes None

Release Prevention Control and Countermeasures Plan
Annual Reporting
When no discharge has occurred during the report period, a discharge monitoring report providing all
required information and indicating "No Flow" will be submitted within 30 days of the end of the six-month
sampling period. Visual (qualitative) monitoring will be documented and maintained on-site for a minimum
of five (5) years from the date of inspection.
Altec Mt. Airy will submit duplicate signed copies of all reports to the following address:
Central Files
Division of Water Quality
1617 Mail Service Center a�
Raleigh, NC 27699-1617 �� p
Phone [phone]
Records D
Records of stormwater monitoring information and copies of reportsA ed by the general permit are
retained for a period of at least three years from the date that coverage under the permit expires or is
terminated Stormwater records are maintained by the site Environmental Coordinator and may include:
• Routine site inspections;` �� D
• Compliance site evaluations,
D
• Non-stormwater discharge inspections
• Stormwater discharge visual exam nation'recordg
• Inspections of stormwater drain- ohtn dik as;
Laboratory reports,
• Discharge monitoring re. DEQ)s;
• Date and time of sit jospectiio`ns isual observations, sampling, and laboratory analyses,
Name of individual p�erFormmgysite inspections, visual observations, sampling, and laboratory
• analyses; p�
• Signatureof ndividua� pee. orming site inspections, visual observations, and sampling;
• Analytical results, thod detection limits, and the analytical techniques or methods used;
• Quay assurance/quality control records and results,
• Records -of ective actions and follow-up activities that result from inspections; and
• Documentation of all changes to the SWPPP.
Altec Industries, Inc — Mt Airy, North Carolina
Revision Date 08 August 2017 Pagel 6 - 7
Supersedes None

Appendices
A.
B.
C.
D.
E.
F.
G.
H.
INSPECTION/REPORTING FORMS 4 A
TRAINING REPORTS AND RECORDS
SPILLS
SPILLS AND EMISSIONS - - tee*
RESOURCES�, �.
EMERGENCY FORMS `�.
PERMITS �SPCC REQUIREMENT CROS r'PE L *E
SPCC PLAN (original) _4,N\
NO"
NOTE: APPENDICES -13 through G NOT INCLUDED,
MAINTAINED IN FACILITY COPY

Appendix A
INSPECTION/REPORTING
FORMS
0,
1. WEEKLY HAZARDOUS WASTE ST E A
INSPECTION FORM
2. MONTHLY STORMWATER IN IT OM
3. MONTHLY AST INSPECTIOO M
4. ANNUAL AST INSPECTI,P Rpfl�

Inspector Date/ Time
Weekly Site Inspection Form
Altec Industries, Inc. • Mt. Airy, NC
M!==
iru
Inspection Item Y
✓
N Description of
✓ Unsatisfactory Conditions
a)
Are containers securely closed and properly stored? (including open top
drums and oil funnels)
b)
Are all containers free from signs of leaks, deterioration by corrosion,
bulging or other factors?
c)
Are containers properly labeled (i e, Hazardous Waste, Used oil)?
d)
Is the area free of debris and generally clean?
e)
Is the entrance to the storage area accessible?
Is aisle space sufficient for inspection of all containers?
g)
Are incompatible wastes stored apart from each other?
h)
Is the following information on all hazardous waste labels?
-Generator Name, Address and Phone Number
-Generator EPA ID Number
-Accumulation Dated
-EPA Waste Number and Dot Shipping Number
i)
Are the labels legible?
t)
Are containers being stored for 180 days or less?
2.
Aboveground Storage Tanks .
a)
Are tank shells free of corrosion, cracks, staining, etc ?
\"7 4
b)
Are tanks supports in satisfactory condition?
c)
Is foundation in satisfactory condition?
a V
d)
Are piping, pumps, dispensers free of leaks?
3.,
Containment
OIL
a)
Is secondary containment provided for hazardous materials? eA
b)
Is secondary containment provided for petroleum products?
C)
Are containment structures free of leaks and spills?
d)
Are containment structures free of cracks or other deficienaes2 '17 _
4.
Emergency'Eguiament & Notification �-
a)
Is emergency equipment stocked and readily accessible- .4..
b)
Are overpack drums available?
c)
Is the eyewash system accessible and operating.paerly'� tl r
d)
Are fire extinguishers accessible and fully charged?
e)
Do fire extinguishers have a tag with the las -�ppction dale? 'j
Are notification procedures posted or avail'able?,)
g)
Is the communication system in the a pa`function n-g
5.-
Wash Bay .jr1
a)
Is the site free of evidence o"thonz�isnti�rges?
b)
Ils the area surrounding Me, ash' bay c(4N
c)
Is the wash bay oil wate separator R Grain efficiently?
6.
Misc
Any pony motors leaking?
Are tires covered if stored outside?
Any erosion seen in far back lot?
Silt build up at stormwater drains?
Any recycling in the trash?
Corrective Action:
Inspector Date/ Time

M -a
1
Are there any containers of chemicals or oil stored outside which
are not covered?
Are all containers securely closed in their respective storage
Are all containers free from signs of corrosion and evidence of
2 Storage
Monthly Stormwater
Inspection Form
Mt. Airy, NC
UNSATISFACTORY CONDITIONS
Are all chemicals and ods stored under roof or cover so that they
Is there any odspillage on the parking lot or the back lot?
do not come into contact with stormwater runoff?
&
c1
Are there an signs of leakage around the oil/water �t7i?
Are there any spills from the vehicles stored outside?
Is there any spillage around the fuel and oil ab o rand
storage tanks?
Are there any vehicle parts (i e. batteries) that have been left
A6 .41111111
Does the oil/water separator ko clea tl tied?
])
outside or around parked vehicles?
a i
Is there evidence of oil I rom t ras om actor
Other than testing of the lifts, is there any work being done on
vehicles outside?
3 Secondary containmentAL N'v
Are the containment areas free of any accumulation,
precipitation, leakage orspillage?
Is the containment structure free of cracks or other deficiencies?
Is the area outside the containment structure free of s ills?
If applicable, is the drain valve for the containment locked?
4 General conditions
Are storm drains and drainage ditches free of debris?
Is there any odspillage on the parking lot or the back lot?
Is the oil/water separator for the wash bay functionin prop6I
&
c1
Are there an signs of leakage around the oil/water �t7i?
Is the drain in the wash bay functioninro erl ?
Is there any spillage around the fuel and oil ab o rand
storage tanks?
Is there any staining or other signs of on th ion to
or sod that surrounds the wash ba re h area
A6 .41111111
Does the oil/water separator ko clea tl tied?
Are the transformers in th of le �a oil?
a i
Is there evidence of oil I rom t ras om actor
Did any spills occur n e� lastc n? If yes, has
everythingbeen clean dKi?
5 Dry weather conditions
5 Wet weather conditions
Are there any areas where there is soil/sediment runoff?
Are there any areas where stormwater pools on the property?
Inspector. Date/time:

STI SP001 Monthly Inspection Checklist
General Inspection Information:
Inspection date- I I Retain until date. I (36 months from inspection date)
Prior Inspection date Inspector name. r^�
u
Tanks inspected (ID #'s)
=,z A j.
,u
Inspection Guidance:
- For equipment not Included In this standard, follow the manufacturer recommended inspection/test schedules and procedures.
- The periodic AST Inspection is intended for monitoring the external AST condition and its c ,�t�alnment strActure. This visual inspection does not
require a Certified Inspector. It shall be performed by an owner's inspector who is famil((v {1�(i'the,ste'd can identify changes and developing problems.
- Upon discovery of water in the primary tank, secondary containment area, interstice of-bly vcontain r;V emove promptly and take other corrective action.
*,� °n.
Before discharge to the environment, inspect the liquid for regulated products or other�cgntamtr%ntsprid dispose of it properly.
- (*) designates an item in a non-conformance status. This indicates that action is Q quired to�address a problem.
- Non -conforming items important to tank or containment integrity require evalua�11Q an en [neer experienced in AST design., a Certified Inspector, or a
tank manufacturer who will determine the corrective action. Note the non -co, €I'rnance ar�d,',corresponding corrective action in the comment section.
- Retain the completed checklists for 36 months.
- In the event of severe weather (snow, ice, wind storms) or mainte�na ce (such aspainting) that could affect the operation of critical components
(normal and emergency vents, valves), an inspection of these�coi jjpdnens irequired as soon
these,the is
as equipment safetly accessible after
the event.
_�
Item Task�`Status
Comments
1.0 Tank Containment A v
1 1 Containment structure
r fjr
Check for water, debris, cracks oeazazd a `
Yes* Q No Q N/A
1 2 Primary tank
Check for water
_ d
Q Yes* Q No
1.3 Containment drain
valves
P 'V
Operable and m a closed�jin on
Q Yes Q No* Q N/A
1.4 Pathways and entry
[ear and gates/doors ode a'ble �y
Q Yes Q No* Q N/A
2.0 Leak Detection W
2.1 Tank
Visible signs of leakage
Q Yes* Q No Q N/A
2 2 Secondary containment
Visible signs of leakage from tank into secondary
containment
Q Yes* Q No
2.3 Surrounding soil
Visible signs of leakage
Q Yes* Q No Q N/A
2 4 Interstice
Visible signs of leakage
Q Yes* Q No Q N/A
AST Inspection Standard March 2015

Item _ Task Status Comments
3.0 Tank Equipment
3.1 Valves
a Check for leaks
(D Yes* O No () N/A
b Tank drain valves must be kept locked.
Q Yes (7) No* 0 N/A
3 2 Spill containment boxes
on fill pipe
a Inspect for debris, residue and water in the box and
remove
O Yes* (7) No 0 N/A
b. Drain valves must be operable and closed
0 Yes % No* (' N/A
3.3 Liquid level equipment
a Both visual and mechanical devices must be
inspected for physical damage.
(7) Yes Q No* O N/A"
b Check that the device is easily readable
(7'j Yes Cj No* d N
3.4 Overfill equipment
a. If equipped with a "test' button, activate the audible
horn or light to confirm operation This could be4,
battery -powered. Replace the battery if needed
Yes Q No • �I/A
A�
3.5 Piping connections
b If overfill valve is equipped with a mechanical test
mechanism, actuate the mechanism to confirm
operation.
Check for leaks, corrosion and damage
Yes �j."����N,,��oe� Q N/A
4 X
es b N; viV/A
w
4.0 Tank Attachments and Appurtenances .� Y
4 1 Ladder and platform
structure
Secure with no sign of severe corrosion or damage
/
" Y J No* N/A
5.0 Other ConditionsA'
5.1 Are there other conditions that should be addressed for continued safe`ope�atio �
or that may affect the site spill prevention plans �,�
es* (� No (j N/A
Additional comments:��
AST Inspection Standard March 2015

STI SP001 Annual Inspecti®n Checklist
General Inspection Information:
Inspection date, Retain until date (36 months from Inspection date)
Prior inspection date Inspector name* �a
Tanks Inspected (ID #'s)
Inspection Guidance: `
For in this follow g
- equipment not Included standard, the manufacturer's recommended Inspection`�estl schedules and procedures.
- The periodic AST inspection is intended for monitoring the external AST condition and its corrtpinment structure This visual inspection does not
,,, � structure
require a Certified Inspector. It shall be performed by an owners Inspector who is familiar,, t Phe sit an >can identify changes and developing problems.
- Remove promptly upon discovery standing water or liquid in the primary tank, secondaainrnen Larea, Interstice or spill container. Before discharge
w,
,
to the environment, Inspect the liquid for regulated products or other contaminants an'd,Jlsposesf operly.
- In order to comply with EPA SPCC (Spill Prevention, Control and Countermeasyre)' rules, a fkiah must regularly test liquid level sensing devices to ensure
proper operation (40 CFR 112 8(c)(8)(v)). �ap
- (*) designates an item in a non-conformance status. This indicates that act�t%Ns.required�t ,� adress a problem.
- Non -conforming items Important to tank or containment Integrity require evalb6tion byZ,aQ engineer experienced In AST design., a Certified Inspector, or a
-
tank manufacturer who will determine the corrective action. Note the �confor ancee nd corresponding corrective action in the comment section.
- Retain the completed checklists for 36 months.
- Complete this checklist on an annual basis supplemental to the
ovnemonthlyy performed inspection checklists.
ena
- In the event of severe weather (snow, ice, wind storms) or`rnai 9�a(such as painting) that could affect the operation of critical components
(normal and emergency vents, valves), an inspection of`-omponents is required as soon as the equipment is safely accessible after
the event. m bb
Item Task `'
� Status Comments
1.0 Tank Containment , `
1 1 Containment structure
Check for � � e, ��
• Holes or crack,rn dor to nm tAwm alr floor
Q Yes* Q No Q N/A
• Washout
Liner degradat
•
• Corrosion
• Leakage
• Paint failure
• Tank settling
AST Inspection Standard January 2016

_ Item I Task Status Comments _
2.0 Tank Foundation and Supports
2.1 Foundation
Settlement or foundation washout?
Q Yes' Q No
2.2 Concrete pad or ring wall
Cracking or spalling?
Q Yes* Q No Q N/A
A
2.3 Supports
Check for corrosion, paint failure, etc
Q Yes' (7) No Q N/A
i3 +
2 4 Water drainage
Water drains away from tank?
Q Yes Q No* Q N/A
,
2 5 Tank grounding
Strap secured and in good conditions
Q Yes Q No* Q N/A
3.0 Tank Shell, Heads, Roof` "
3 1 Coating
Check for coating failure
Q Yes` Q No (7t�%A\�
3 2 Steel condition
Check for
Q Yes* Q Nom ([V/A
V
• Dents
• Buckling
• Bulging
• Corrosion
• Cracking
3.3 Roof slope
Check for low points and standing water.
y�
4.0 Tank Equipment
4 1 Vents
Verify that components are moving freely and vin
(Yes Q No* Q N/A
passageways are not obstructed for
• Emergency vent covers 4
• Pressure/vacuum vent poppet
• Other moving vent compOA , t
4 2 Valves
Check the condition of all valves&rl ks, corrosion!'
and damage
Q Yes* Q No
4.2.1 Anti-siphon, check and
gate valves
Cycle the valve open arl&ciose`d, andpcflecly, „fofi
proper operations
Q Yes Q No* Q N/A
.
4 2.2 Pressure regulator
valve
Check for proper operation (Notteth"afthere may be
small, 1/4" drain plugs in the bo om of the valve that
Q Yes Q No* Q N/A
are not visible by looking from above only.)
4.2 3 Expansion relief valve
Check that the valve is in the proper orientation. (Note
Q Yes Q No* Q N/A
that fuel must be discharged back to the tank via a
separate pipe or tubing )
AST Inspection Standard January 2016

Item
Task
Status
Comments
42.4 Solenoid valves
Cycle power to valve to check operation. (Electrical
Yes 0No* (^) N/A
solenoids can be verified by listening to the plunger
opening and closing. If no audible confirmation, the
valve should be inspected for the presence and
operation of the plunger.)
A
4.2 5 Fire and shear valves
a. Manually cycle the valve to ensure components are
Yes Q No* (� N/A
moving freely and that the valve handle or lever has
clearance to allow valve to close completely.
b. Valves must not be wired in open position
(� Yes !^j No* Q N/A
�<\ e
c. Make sure fusible element is in place and
Yes No*N/A
G
V
correctly positioned.
d Be sure test ports are sealed with plug after testing
'
0Yes (7)No* � N/A�
r
�✓AV-11
is complete and no temporary test fixture orcomponent
remains connected to valve.
4.3 Interstitial leak detection
Check condition of equipment, including
(j Yes NoQ)/A
equipment
• The window is clean and clear in sight leak
v
gauges.
• The wire connections of electronic gauges for
tightness and corrosion.
• Activate the test button, if applicable.
4 4 Spill containment boxes
fill
a If corrosion damage or wear has compromised the
the to func-,I,<
Yes* t o' >� N/A
on pipe
ability of unit perform spill containment
tions, the
replace unit
b. Inspect the connections to the AST for tightness�� "
as well as the bolts, nuts and washers fo fgo,�n'dition
(`,.Yesa� (7) No* 0N/A
\ y
,and replace if necessary. �, °"
S
c. Drain valves must be operable and closed}
, Yes O No* N/A
4.5 Strainer
a. Check that the strainer is clean`arian good condition.
O Yes Q No* N/A
b Access strainer baske%An'tlbheck cc p�,�d,gasket
seal as well as bolts
0 Yes O No* N/A
A
4.6 Filter
a. Check that the filter is in gogdd ondofibn and is
0 Yes (� No* N/A
within the manufacturer's ex q,eyed service life
Replace XY
if necessary
b Check for leaks and decreased fuel flow.
(� Yes* No d N/A
4 7 Flame arrestors
Follow manufacturer's instructions Check for corrosion
n Yes* (7) No 0 N/A
and blockage of air passages.
AST Inspection Standard January 2016

Item
Task
Status
Comments
4.8 Leak detector for sub-
Test according to manufacturer's instructions and
Q Yes (-No* Q N/A
mersible pump systems
authority having jurisdiction (AHJ) Verify leak detectors
are suited and properly installed for aboveground use.
4 9 Liquid level equipment
a. Has equipment been tested to ensure proper
Q Yes Q No* (� N/A
operation'?
b. Does equipment operate as regwred 2
Q Yes Q No* Q N/A
c Follow manufacturer's instructions.
Q Yes Q No* Q N/A
4 10 Overfill equipment
a Follow manufacturer's instructions and regulatory
requirements for inspection and functionality
Q Yes Q No* Q N/A
verification.
b. Confirm device is suited for aboveground use byk'
Q Yes Q No*
the manufacturer
5.0 Insulated Tanks ani ten,"
5.1 Insulation
Check condition of insulation for
• Missing sections
• Areas of moisture
N/
Q Yes* Mo N/
1
• Mold
• Damage
5 2 Insulation cover or jacket
Check for damage that will allow water intrusion. /1,
(NVes* No Q N/A
6.0 Miscellaneous
6 1 Electrical wiring and
boxes
Are they in good condition?A�b�
g
a(`esS° ON.- Q N/A
6 2 Labels and tags
Ensure that all labels and tags are int6&1: na'readabre N
Yes Q No* Q N/A
Additional comments: 4�
AST Inspection Standard January 2016