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STI SP001 Portable Container Monthly Inspection Checklist <br /> General Inspection Information: f <br /> Inspection Date: Prior Inspection Date: Retain until date: <br /> Inspector Name(print): 4)Gail e22 Title: <br /> Inspector's Signature O: ' <br /> Container(s)inspected ID <br /> Regulatory facility name and ID number(if applicable) [ 0I/,-_1C <br /> Inspection Guidance: <br /> ➢ This checklist is intended as a model. Locally developed checklists are acceptable as long as they are substantially equivalent(as applicable). <br /> ➢ This periodic Inspection is intended for monitoring the external condition and its containment structure. This visual inspection does not require a <br /> Certified Inspector. It shall be performed by an owner's inspector who is familiar with the site and can identify changes and developing problems. Note <br /> the non-conformance and corresponding corrective action in the comment section. <br /> ➢ Retain the completed checklists for at least 36 months. <br /> Item Area: `� J�> Area: p t,,4 �5 1,7_e Area: 1 Area: <br /> Portable Container Containment/Stora a Area <br /> 1 Are all portable container(s)within designated <br /> storage area? Yes ONO 19*6—s ' ONO ONO Dyes ONO <br /> 2 Is the containment and storage area free of excess <br /> liquid, debris,cracks or fire hazards? Evy-6 ONO &Yes ONO &Wi ONO Dyes ONO <br /> 3 Are drain valves closed and in good working � <br /> condition? Dyes 0 No f MIA Dyes ❑ No 5MJAt Dyes ❑ No UWCr'A Dyes ❑ No El N/A <br /> 4 Are containment egress pathways clear and any <br /> gates/doors o erable? es ❑ No ❑N/A tLY-e�❑ No ❑N/A s ❑ No ❑N/A Dyes ❑ No ❑N/A <br /> 5 Is the container free of leaks? Container <br /> i <br /> Note;If"No'; identify container and describe es ❑No ❑No es 11 No Dyes ONO <br /> leak. <br /> 6 Is the container free of distortions, buckling, <br /> dentin or bulging? es ❑No DY-e§ ONO es ONO Dyes ❑No <br /> Portable Container Checklist Page 1 of 2 <br />