PESRA Questionnaires – Bulk Storage

PESRA Preliminary Survey

Date:
Participate Team Member:
Venue:

Question Selection Remark Qs

1. Is the oldest tank or pipeline on site more than 20 years old? Yes / No S
2. Have there been a spill/ cumulative spills of more than 1 barrel (209 liter)? Yes / No S
3. Are all or any of the tanks designed without adequate secondary containments Yes / No P
(110%) and the ground is not lined or paved with concrete?
Note: If any of the features highlighted in the question results with a ‘yes’ answer,
please select an overall ‘yes’.
4. Is the groundwater in the vicinity of the site within 1.5km regulated or used for Yes / No R
domestic purposes (e.g. drinking/ live stock farming/ irrigation)
5. Is there any presence of surface water bodies (e.g. public drainage) within 1km Yes / No R
of site?
6. Is there any sensitive receptor within 500m of the site (e.g. hospital/ school/ Yes / No R
residential/ agricultural site)

Legend
S – source P – pathway R - receptor