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STI SP001 Moni Inspection Checklist <br /> General Ins eofil Information: <br /> mgledmn bale: / Retain bndl bate: "�/Z' zZ (Ay mwmis from Ins Aol dale) <br /> Rub lnspetlion bale: 7i/Z//11 Inspeclw Name: LF9fl2 A "NOA <br /> Tenkslnapatledpb Ms): galleyaookquarry:MTIIIOWO901),MT2(55opII,&Portable Lpuldp haltUnk(QOnnaal) <br /> Inspection Guidance: <br /> ➢ For equipment not included in this Stsntlarq below the manufacturer recommended inspection teen,schedules and procedures. <br /> ➢ The periodic AST Inspection is intended fit monitoring be external AST condition and Its containment structure.This visual Inspection does not require a Canifed <br /> Inspector.It shall be padonned by an chances ineredor Me is familiar with Me site and con idel changes and developing problems. <br /> ➢ Upon discovery M water In the primary lank,secondary containment area,interstice,or Will container,remove promptly or take other wxredfve Ann,Before <br /> discharge he the environment,inspect Me liquid for retested products or other contaminants and disposed of it propetly. <br /> Y (`)designates an item in a nonconformanm slaws.This indicates that action is required to address a problem. <br /> ➢ NomcoMorming items important M tank or containment intenrity require evaluation by an engineer experienced in AST dewgn,a Ceniged Inepetlor,ora tank <br /> manufacturer who will determine Me cormal action.Note the non-conMrmance and corresponding coaedive action in the comment section. <br /> ➢ Retain the completed creel for 36 months. <br /> ➢ In the event of severe weather(enaw,ice,wind storms)or prebendal(such as pound 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 atter the event. <br /> Item I Task status Cemmenta <br /> 1.0 Tank Containment <br /> 1.1 Containment CM1ech forwater, as•ONO OWA Niim,rani in the concrete slab were idennified.Tbefoduty,is anamly It oxxosp rra within me <br /> structure by is,e2eks or file wndhatDonAbarentareempw.The ntiossyl boweled with epoxy priortore-uaeoRbeaSTe. <br /> haaard <br /> 1.2 Prima tank Check for be CYes` <br /> 1 3 Containment Operable and In a OYes uhle• o IA <br /> tlrain valves deraetl poution <br /> 1APathways and Clear antl i�.YeanNo•ONIA <br /> entry gahoodoers <br /> operable <br /> 2.0 teak pernal <br /> 2.1 Tank Vlslble signs of Lyes• o <br /> Issuance <br /> 2.2 Secondary Viable sign.of JYek`jWo <br /> Containment leakage from tank <br /> into secondary <br /> wManment <br /> 2.3 SurmundMg soil Viable wins of CYes` o Di <br /> lea sc e <br /> 2A lntemgce ViwdSigna of CYes•ONo IA <br /> leaks <br /> AST INSPECTION STANMNb 29 SEPTEMBER 2l)11 <br />