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Chapter 11
Appendix
11.24. Environmental Checklist for MoDOT Facilities

Surveys are conducted of all maintenance facilities to establish compliance with federal, state and local environmental regulations. The form used to conduct these surveys covers areas of concern.

District____

1- Facility

Name: ___________________________ Date: ________/_________/_______

Address: _________________________ City : _________________ Zip: _______

2- Drinking Water

Private System _____ Distance to Public system ______ miles

Public System _____ Name: ______________________________

Backflow Preventer where needed: Yes______ No ______

Comment: _________________________________________________________

3- Sewage system

Private System: _____ Lagoon: _____ Tile field: _____ Working? ________

Distance to public system______ miles Name: ____________________

Public System: ______ Name: ___________________________________

Floor Drains Yes ___ No ____ (If yes) Connected to sewer ____ Tile field____

Daylight to ditch _____ Drains: plugged _____ covered _____

Comments: ______________________________________________________

4- Salt Storage

Type of Salt Building : Fabric ____ Dome _____ Bay _____ (# bays) _____

Gabriel _____ Outside pile _____ (covered? No ____Yes____

Type of cover ________________________)

Storage Building Condition : _____________________

Salt Basin ______ Salt Pond ______ (needed yes ____ no ____)

Salt Damage Yes____ No____ if yes----Onsite: ____ Offsite: ____

Damage result of Storage _____ salt pond_____ accident ____

Result of Past ______ Current ______ problems

Claim paid or land bought Yes _____ No _____

Comment : _______________________________________________________

5-Hazardous Material Storage

Evidence of Leaks or Spills Yes ____ No _____ (ongoing Yes ____ No ____)

Incompatible Chemicals stored separately Yes ____ No _____

Containers Properly Labeled Yes ____ No _____

Comments: ________________________________________________

Closed ____ Open _____

Parts Cleaner Closed _____ Open _____ Brand ______________________

Recycled ____ Filtered ____

Old Lead Acid Batteries Yes ____ No _____ (properly stored Yes ____ No ___

Comment: _________________________________________________________

____________________________________________________________

____________________________________________________________

6-Gasoline, Diesel Fuel, Oil, Asphalt, and Used Oil

Tank Number & Size (gallons): Gasoline (___)_______, Diesel (___)________

Kerosene (___)________Asphalt (___)________ (in service Yes ___

No___) Used Oil (___)________ Other _________________________

Containment: Largest tank plus %10 Yes ____ No _____ Some _______

Total Tanks/containers over 1,320 gallons Yes ____ No _____

(containers under 55 gallons not counted in total)

List Tanks that need containment: ____________________________

________________________________________________________

________________________________________________________

SPCC plan Yes _____ No _____ In the works _______

Containers Labeled Yes ____ No ____ Need _______________________

New Oil In containment Yes ____ No____

Floor Drains if present plugged Yes ____ No ____

connect to oil/water separator Yes ____ No ____

Used Oil in containment Yes____ No____ Tank or drum size _______ gal.

Used Oil Heater used at site Yes ____ No ____

If not for heat, disposal method ________________________________

Cost per gallon ______ Company ________________________

Comments : ______________________________________________________

7-Solid Waste Management

Waste Tires Hauled by Corrections Yes ____ No ____ (company)____________

No. Stored on site _______ More than 25 under cover Yes ____ No ____

Types of Waste Segregated Yes ____ No ____

Street Sweepings stored at site Yes ____ No ____ Disposal Method ___________

Landfill Name & Location ____________________________________________

Oil Filter Disposal: Landfill ______ Recycle _____ Company _______________

Comments: ________________________________________________________

8-Neighboring Environmental Concerns

One Mile - NPL Site ______________________, RCRA site ________________

Landfill site________________________________

Adjoining Property - UST _________________, RCRA site ________________,

Discharge to site _________________, Storage Tanks _______________,

Drums ___________, Stressed Vegetation _________Pits/Ponds _______,

Lagoons __________, Septic Waste ________, Wells _______________,

Property use for (i.e. residential, industrial or rural)__________________

9-Comments

 

Inspector Sign: __________________________________

Date: ___________________

 

 

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Continue to Section 11.25 »
 
Table of Contents
 
Chapter 11
Appendix
11.1 Florida DOT Environmental Policy 11-1
11.2 Kentucky Transportation Cabinet Environmental Policy 11-1
11.3 Maine Dot Environmental Policy 11-2
11.4 North Carolina DOT Environmental Stewardship Policy 11-3
11.5 PennDOT’s Green Plan Policy Statement 11-3
11.6 Washington State Dot Environmental Policy 11-4
11.7 New South Wales Roads and Traffic Authority Environmental Policy 11-4
11.8 Texas Environmental Commitment Checklist 11-5
11.9 Maine DOT Environmental and Safety Auditing Policy and Procedure 11-11
11.10 Maine DOT Corrective Action Request Form 11-14
11.11 Mass Highway Compliance Tracking Methods 11-15
11.12 Mass Highway Compliance Tracking Roles and Responsibilities 11-16
11.13 Mass Highway Self-Audit Procedure 11-17
11.14 Mass Highway Facility Self-Audit Checklist 11-18
11.15 Mass Highway Environmental Roles & Responsibilities 11-20
11.16 Mass Highway Environmental Section EMS Roles and Responsibilities 11-20
11.17 Mass Highway Operations Division EMS Roles and Responsibilities 11-22
11.18 Mass Highway District EMS Roles and Responsibilities 11-23
11.19 Mass Highway Training Expectations By Role 11-24
11.20 Mass Highway Environmental Training Program Roles and Responsibilities 11-25
11.21 PennDOT District 10 SEMP Responsibility Table 11-26
11.22 PennDOT District 10 SEMP Training Table 11-28
11.23 NYSDOT Construction/Environmental Training Schedule 11-29
11.24 Environmental Checklist for MoDOT Facilities 11-30
11.25 PennDOT Stockpile Quality Assurance Responsibilities 11-33
11.26 PennDOT 15-Minute Stockpile Walkaround 11-34
11.27 PennDOT Stockpile Snapshot 11-34
11.28 PennDOT Maintenance Stockpile Activity Protocol 11-35
11.29 PennDOT Post-Storm Salt Management Tracking Responsibilities 11-41
11.30 Risk, Compliance Issues, and Management Examples for Highway-Generated Waste - Oregon DOT 11-42
11.31 NYSDOT-DEC Deer Carcass Composting – Practice Guidelines 11-43
11.32 NYSDOT’s Draft Metric for Assessing Performance of Integrated Vegetation Management on ROW 11-47
11.33 NCDOT Roadside Vegetation Management Guidelines in Marked Areas 11-50
11.34 Invasive Species Coordination and Control DOT Resources
   
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