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'�•y_ .p$� :,, ars::-v <br /> fi Is the primary tank free of water or has another preventative measure been taken? <br /> � *g 4 NOTE: Refer to paragraphs 6.10 and 6.11 of the standard for aftematives for Category 1 <br /> tanks.N/A is only appropriate for these afternatives. YES =No ❑N/A <br /> For double-wall or double bottom tanks or CE-ASTs, is interstitial monitoring equipment <br /> " (where applicable) in good working condition? /Yes ❑No ❑N/A <br /> tom, <br /> 6 For double-wall tanks or double bottom tanks or CE-ASTs,is interstice free of liquid? ( <br /> Remove the liquid if it is found. If tank product is found,investigate possible leak. 41 <br /> Tes No N/A <br /> Equipment on tank <br /> If overfill equipment has a`test"button, does it activate the audible horn or light / <br /> to confirm operation? If battery operated, replace battery if needed. Z Yes ❑ No c N/A <br /> 8 Is overfill prevention equipment in good working condition?If it is equipped with a Z Y@S ❑NO ❑N/A <br /> mechanical test mechanism,actuate the mechanism to confirm operation. <br /> 9 Is the spill container(spill bucket)empty,free of visible leaks and in good working � L.1DW kQ <br /> condition? ❑Yes CNO ❑N/A 5 <br /> 10 Are piping connections to the tank(valves,fittings,pumps,etc.)free of visible leaks? ❑Yes GNo C�Arx� V'N li S Gi CEP1�4 <br /> Note:If"No", identify location and describe leak. <br /> 11 Do the ladders/platforms/walkways appear to be secure with no sign of severe corrosion �S ❑ No ❑N/A <br /> or damage? <br /> Containment(Diking/Impounding) <br /> 12 Is the containment free of excess liquid,debris,cracks,corrosion,erosion,fire hazards and n Yes ❑ No ❑N/A <br /> other integrity issues? <br /> s, e a 13 Are dike drain valves closed and in good working condition? El Yes ❑ No �i/A <br /> 14 Are containment egress pathways clear and any gates/doors operable? ❑ <br /> eS NO ❑ NIA <br /> S Concrete Exterior AST(CE-AST) <br /> r t <br /> Inspect all sides for cracks in concrete. Are there any cracks in the concrete exterior larger ❑Yes ❑ NO /N/A <br /> x 15 than 1/16"7 <br /> 96 Inspect concrete exterior body of the tank for cleanliness,need of coating,or rusting where <br /> ❑Yes ❑ No x E/Aapplicable. Tank exterior in acceptable condition? <br /> enin s including nipples,manways,tank top overfill containers, / <br /> Visual inspect all tank top op 9 2', N <br /> 17 and leak detection tubes. Is the sealant between all tank top openings and concrete intact ❑Yes ❑ NO <br /> and in good condition? <br /> Other Conditions <br /> 9.� <br /> Is the system free of any other conditions that need to be addressed for <br /> 'es ❑ No <br /> 18 continued safe operation? <br /> page 2 of 3 <br /> Monthly Checklist <br /> 4�' <br />