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4.MMA 4L <br /> LL <br /> co � <br /> N <br /> U-1 <br /> u <br /> LO O <br /> G CID <br /> � 3- STI SP001 Monthly Inspection Checklist <br /> General I ection Information, <br /> Inspection Uaie: Q 1/off Retai.i Uw'i Dates -a / (36 months from inspection date) <br /> r ,s' <br /> Pribr InsFecli--in Data }))� n1 I's�spe t.r flame: <br /> T amts Inspecte-d(Id#'s) _ ea.l1 k Y <br /> Inspection Guidance: <br /> For equipment not included in this Standard,follow the manufacturer recommended inspectionel&s€ing schedules and procedures. <br /> The periodic AST Inspection is Fntended for monitoring the external AST condition and its containment siructure. T his visual inWclion does not require a Certified <br /> Inspector_ It shall be performed by an owner's inspector who is familiar with the site and can identify changes and developing problems. <br /> Upon discovery of water in the primary tank,secondary oontainment afea, interstice,or spill contair-�,-r,remove pramptly or take oilier corrective action. Before <br /> discharge to the environment,inspect the liquid for regulated products or other contaminants and disposed of it property <br /> (")designates an ilea in a non-conformance status.This indicates that action is required to address a problem. <br /> > Non-conforming items impoitant.o tank or wnWnrnQflj integrity require evaluation by an engineer experienced in AST design, a Cerlified Inspector,or a tank <br /> manufFcturer who will determine the corrective action.Note the non-confarcnance and corresponding Corrective action in the comment section. <br /> Retain the completed checklists for 36 months. <br /> > In the event of severe weather(snow, ice,wind storms)or maintenance(such as painting)that could affect the operation of critical components <br /> (normal and emergency vents,valves).an inspection of these components is required as soon as the equipment is safely accessible after the event <br /> Itern-1 Task E Status Comments <br /> 11.0 Tank Containment <br /> J 3.1 Containment Check.for water, es`&NO :IIJ+A SC r� �� MAS o ,n� <br /> slrucWre debris, cracks or fire <br /> hazard i ��it-r3 1'�� J S) .rts <br /> W 1.2 Primary tank Check for water FiYes" to <br /> 1.3 Containment Operable and in a VYes LNo' DWA — <br /> �ir drain valves closed Sidon <br /> LU j 1.4 Pathways and Clear and es 1=No" OMA <br /> entry gatesfdoors <br /> �erabl9 <br /> 2.0 Leak detection �— -- -- <br /> 2.1 Tank tiJisible signs of ❑Yes' 0,10 <br /> leakage <br /> t2.2 Secondary Visible signs of Oyes" o <br /> Containment leakage from tank <br /> f <br /> into seczndar} <br /> confainmem <br /> <� 2.3 Surrounding soil i Visibfesigns of _Yes'i 4o NE A <br /> # leaky e _ <br /> r 2.4 1nfersfice i %fisibie suns of =Yes"ahto <fA <br /> Diu <br /> I AST INSPECTION STANDARD 29 T SEPTEMBER 2011 <br /> I <br /> W <br />