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STI SP001 Annual Inspection Checklist <br /> General inspection Information: <br /> Ine'ni Date'. s—'X -- ` Retain until Date: (36 months fmm inspection date) <br /> Prior Inspection Date: - 3b -\ K Inspector Name: <br /> Tanks Inspected In a's)'. <br /> Inspection Guidance: <br /> a For equipment not included in this Standard,follow the manufacturer recommended inspectionflesting schedules and procedures. <br /> n The periodic AST Inspection is intended for monitoring the moemal AST condition and is containment structure.This visual inspection does not require a Courted <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 /> r. Before tlisGaarge to the <br /> Y Remove promptly upon discovery standing water or liquid in the primary tank,secondary containment area,interstice,or <br /> spill <br /> oe <br /> environment,inspect the liquid for regulated products or other contaminants and disposed of it property. <br /> or In order to comply with EPA SPCC(Spill Prevention,Control and Countermeasure)mics,a facility must regularly test liquid level sensing devices to ensure proper <br /> operation(ao GFR 112.8(W(e)(v)). <br /> C)designates an item in a non-conformance status.This Indicates that action is required to address a problem. <br /> i Nonconforming items moment to tank or containment integrity require evaluation by an engineer experienced in AST design,a Certified Inspector, or a tank <br /> manufacturer who will determine the corrective acro..Note the nonconformance and corresponding conedive action in the comment section. <br /> L Retain the completed checklists for 36 months. <br /> • Complete this checklist on an annual basis supplemental to the owner monthly-perfomad inspection checklists. <br /> s Ni If a change has occurred to the tank system or containment that may affect the SPCC plan,the condition should be evaluated against the current <br /> plan requirement by a Professional Engineer knowledgeable in SPCC development and implementation. <br /> Item Task Status Comments <br /> 1.0 Tank Containment <br /> 1.1 Containment Check for: Year No N/ <br /> structure Holes or cracks In <br /> containment wall <br /> or floor <br /> • Washout <br /> • Linerdegradation <br /> • Corrosion <br /> • Leakage <br /> • Patntfailure <br /> Tank setflin <br /> 2.OTank Foundation and Supports <br /> 2.1 Foundation Settlement or NeS'i No <br /> foundation washout. l./ <br /> 2.2 Concrete pad Cracking or spalling? Yes' No <br /> or ring wall <br /> AST INSPECTION STANDARD S SEPTEMBER 2011 <br /> COPYRIGHTUd 2011 Steel Tank Institute <br />