We deal with flush type clean-out on tanks (API-650 & API 12B & 12D) all the time. They are a door way (normally 24”x 36”) with the bottom elevation equal to the bottom of the tank (…ie “Flush Connection”). This is used in conjunction with a “Mud Apron”, that attaches to the front of this door way and acts like a dam to pool the remaining liquid in the tank (during clean out operations) in this exterior location it can be easily vacuumed up. Otherwise it would require somebody to crawl inside the tank to do this vacuuming, and now they would have to deal with the whole tank floor.
To carry this farther, this is why the manways on tanks are positioned approximately 180 Degrees from this flush clean-outs, the clean-up crew would enter the tank through the manways with squeegees and brooms to push the gunk remaining in the tank to the flush bottom clean-out door, where the vacuum truck can easily deal with it, and why the flush bottom clean-outs are positioned where it can easily be reached by a vacuum truck.