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Is the Galvanic monitoring system functional(including wire connections:N/A <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 /> 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 /> AST Supports: <br /> Condition of AST Support Good air Poor <br /> Cracking:No <br /> Spalling:No <br /> Pad Plates between supports and tank shell:Coodkair 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: EEio Not Secure Not Bolted Adequate?Yes No(if <br /> no,explain) <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 air oor 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 /> 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 /> Piping/Ancillar E uipment/Leak Detection:Inspect Piping,Piping Supports and Piping Connections for: <br /> Piping. ouble Wall Pi Containment Berm/Controlled Drain/Sump/None/Other:_ ' leWall i <br /> Piping Monitoring Method. isual t.Interst.Moni Manual/None:Notes: <br /> Leak Detection Test Outcome:Pass/Fail Qot Teste <br /> Piping Corrosion Protectio ain poxy Coating/Other None <br /> 2 <br />