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AST SP001 ANNUAL INSPECTION <br /> General Inspection Information: <br /> (36 months from inspection <br /> Inspedton Date: 1/24/2019 Retain Until Dale: 1/2412022 date) <br /> Pnor lnspedion Date: Unavailable Inspector Name: PNip Thel <br /> Tanks InapededdDVsk SPE 60 LUBE OIL <br /> Inspection Guidance: <br /> D For equipment not included in this standard,follow the manufacturer recommended inspectionttesting schedules and <br /> procedures. <br /> ➢ The periodic AST Inspection is intended for monitoring the external AST condition and its containment structure.This visual <br /> inspection does not require a Certified Inspector. It shall be performed by an owner's inspector who is familiar with the site <br /> and can identify changes and developing problems. <br /> 9 Remove promptly upon discovery standing water or liquid in the primary tank,secondary containment area, interstice,or <br /> spill container.Before discharge to the environment, inspect the liquid for regulated products or other contaminants and <br /> disposed of it properly. <br /> ➢ In order to comply with EPA SPCC(Spill Prevention,Control and Countermeasure)rules, a facility must regularly test liquid <br /> level sensing devices to ensure proper operation(40 CFR 112.8(c)(8)(v)). <br /> L Non-confonning items important to tank or containment intercity require evaluation by an engineer experienced in AST <br /> design,a Certified Inspector,or a tank manufacturer who will determine the corrective action.Note the non-conformance and <br /> corresponding corrective action in the comment section. <br /> i Retain the completed checklists for 36 months. <br /> r Complete this checklist on an annual basis supplemental to the owner monthly-performed inspection checklists. <br /> ➢ Note: If a change has occurred to the tank system or containment that may affect the SPCC plan,the condition <br /> should be evaluated against the current plan requirement by a Professional Engineer knowledgeable in SPCC <br /> development and implementation. <br /> Item Task Status <br /> 1.0 Tank Containment <br /> 1.1 Containment structure Is structure free of: r Yes r No r N/A <br /> • Holes or cracks in containment wall or floor R Yes r No r N/A <br /> • Washout F Yes r No r N/A <br /> • Liner degradation r Yes r No r N/A <br /> • Corrosion <br /> • Leakage r Yes r No r N/A <br /> • Paint failure r Yes r No r N/A <br /> • Tank settling r Yes r No r N/A <br /> Comments: <br /> 2.0 Tank Foundation and Supports <br /> 2.1 Foundation No observed settlement or foundation washout? r Yes r No <br /> 2.2 Concrete pad or ring wall No visible cracking or spelling? F Yes r No r N/A <br /> 2.3 Supports No visible corrosion,paint failure,etc.? r Yes r No r N/A <br /> 2.4 Water drainage Water drainage away from tank? A Yes r No r N/A <br /> 2.5 Tank grounding Strap secured and in good condition? r Yes r No r N/A <br /> If Intrinsically ground, please note in comments. <br /> Comments: <br /> Tank is on wood blocks. <br /> WO: 6703239 SFPIFMBER2016 <br />