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2 <br />Is the Galvanic monitoring system functional (including wire connections: N/A <br /> <br />Stairways / Handrails, and Platforms: None Paint Failure? N/A <br />Broken Welds: Yes No / Bent Members: Yes No / Corrosion: Yes No <br />Adequate: Yes No (if no, explain)_________________________________________________________________ <br /> <br />AST Foundation: <br />Type of Foundation: Slab <br />Settlement: No <br />Cracking: No <br />Exposed Rebar: No <br />General disrepair: No <br />Washed out Areas: No <br />Voids under AST / Pad: No <br />Ground Sloped Away from AST: Yes <br />Soil Resting Against Side of AST: No <br />Soil Covering Parts of Shell or Bottom Extension: No <br />Standing Water Against the AST: Yes <br />Indication of Drainage Problems: No <br /> <br />AST Supports: <br />Condition of AST Supports: Good Fair Poor <br />Cracking: No <br />Spalling: No <br />Pad Plates between supports and tank shell: Good Fair Poor <br />Sitting Securely on Foundation: Yes <br />Welds from support to shell show signs of stress or deterioration: No <br />Is Tank Grounded: No <br />Anchor Bolt Size:__7/8”. No. of Bolts:_8 Condition: Secure Not Secure Not Bolted Adequate? Yes No (if <br />no, explain) <br /> <br />Secondary Containment: Yes <br />Type of Secondary Containment:___Tank Shell __________________________________________________ <br />Spill Control:______Double wall AST with Overfill Prevention accomplished by standby delivery fueler. <br />CRDM: Yes _Double Walled AST. __________________________________________________________ <br />General Condition of Containment Area: Good Fair Poor Explain:________________________________________ <br />Breach in Containment Structure: No Changes from Original Design: Yes No <br />Foreign Materials in Containment Area: No <br />Liquid found in Containment Area / System: No ____________________________________ <br />Other AST’s or Containers within same containment area: No <br />Tank Drain Valve: No / Is drain valve operable & Good Condition? N/A <br />Penetrations through Secondary Containment: N/A <br /> <br />Secondary Containment Dimensions (for bermed systems only): <br />Containment Diagram Prepared Yes No <br />If no, Note: <br />Containment: Length________. Width_________. Depth________. <br />Displacement(s): Length________. Width_________. Depth________. <br />Secondary Containment Wall Drain Valve: N/A <br /> <br />Piping / Ancillary Equipment / Leak Detection: Inspect Piping, Piping Supports and Piping Connections for: <br />Piping: Double Wall Pipe / Containment Berm / Controlled Drain / Sump / None / Other:__Single Wall pipe___ <br />Piping Monitoring Method: Visual / Cont. Interst. Monitor / Manual / None: Notes:__________________________ <br />Leak Detection Test Outcome: Pass / Fail / Not Tested <br />Piping Corrosion Protection: Paint/Epoxy Coating / Other / None