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k� <br /> , <br /> .y <br /> STI SP-001 AST Monthly Inspection Checklist <br /> A. General Inspection Information: ' ` <br /> L t 1 Z I Retain until date: <br /> Inspection Date: 12 IS Z I Prior Inspection Date: F <br /> Inspector Name(print): L/i tJC l= 2�L Title: <br /> M x l <br /> Inspector's Signature r <br /> . . <br /> M Tank(s) inspected ID <br /> S� 3 <br /> f Regulatory facility name and ID number(if applicable) <br /> k ` Inspection Guidance: <br /> licable Inspections of multiple <br /> ` ➢ This checklist is intended as a model. Locally developed checklists are acceptable as long as they are substantially equivalent(as app ) <br /> tanks may be captured on one form as long as the tanks are substantially the same. <br /> R <br /> *� For equipment not included in this Standard,follow the manufacturer recommended inspection/testing schedules and procedures. <br /> r ➢ The periodic AST Inspection is intended for monitoring the external AST condition and its containment structure.This visual inspection does not require a Certified fs, <br /> Inspector. It shall be performed by an owner's inspector per paragraph 4.1.2 of the standard. <br /> .r�E ➢ Upon discovery of water in the primary tank,secondary containment area, interstice,or spill container,remove promptly or take other corrective action.Inspect the liquid <br /> for regulated products or other contaminants and dispose of properly. <br /> by an <br /> ngineer <br /> erienced <br /> ed <br /> y <br /> Non-conforming items im ortant to tank or containment integrity require conform nice and coresspondingpcorrective 1ac on in design,the commenit'sectionpe or,or a tank <br /> manufacturer who will determine the corrective action. Note the <br /> y Retain the completed checklists for at least 36 months. <br /> om onents is required as soon as the equipment is safely accessible after the event. <br /> After severe weather(snow, ice, these wind storms)or caintenance(such as coating)that could affect the operation of critical components(normal an <br /> emergency vents,valves),an inspection of es P <br /> STATUS COMMENTS I DATE CORRECTED <br /> ITEM <br /> Tank and Piping <br /> Is tank exterior(roof,shell,heads,bottom,connections,fittings, <br /> valves,etc.)free of visible /res O <br /> leaks? <br /> Note:If"No'; identify tank and describe leak and actions taken. es ❑NO ❑N/A <br /> 2 Is the tank liquid level gauge legible and in good working condition? <br /> ment,etc.)free of visible 14es ❑ No <br /> Is the area around the tank(concrete surfaces,ground,contain <br /> 3 I <br /> signs of leakage? <br /> Page 1 of 3 <br /> Monthly Checklist <br />