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STI SP001 Portable Container MonthlV Inspection ection Checklist <br /> General Inspection Information: <br /> Inspection Date: -7 - k 5 - 1L0 V L4 Prior Inspection Date: Retain until date: <br /> Inspector Name(print): Qdr,41 I&VUt_Wt/1L Title: � ,-rx 5'Qobl <br /> Inspector's Signature(): <br /> Container(s)inspected ID c /�w�S A evt tom/ { fes CSA <br /> Regulatory facility name and ID number(if applicable) 5o V_wA Z-D L1440r% A,- <br /> This checklist is intended as a model. Locally developed checklists are acceptable as long as they are equivalent and meet all applicable inspection <br /> checklist items. <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. <br /> designates an item in a non-conformance status. This indicates that action is required to address a problem. Note the non-conformance and <br /> corresponding corrective action in the comment section. <br /> Retain the completed checklists for at least 36 months. <br /> Item Area: ri t Area:L,.,9rV r tL_jVV$ Area: P% Area: Te S Ol t� <br /> Portable Container Containment/Storage Area <br /> 1 Are all portable container(s)within designated HIYes ❑ No* KYes ❑ No* XYes ❑ No` AYes ❑ No* <br /> storage area? <br /> 2 Is the containment and storage area free of excess <br /> liquid,debris,cracks or fire hazards? Yes ❑ No* KYes ❑ No* Yes ❑ Noy AYes ❑ No* <br /> 3 Are drain valves closed and in good working <br /> condition? El Yes El No* M_N/A M Yes ElNo* ElN/A Yes ❑ No* ❑ N/A f4 Yes ❑ No* El N/A <br /> 4 Are containment egress pathways clear and any Yes ❑ No" ❑ N/A '&Yes ElNo* ElN/A ,4 Yes El No* El NIA KYes ❑ No* El N/A <br /> tes/doors operable? <br /> Container <br /> 5 Is the container free of leaks? KYes ❑ No* &Yes ❑ No` E Yes ❑ No` Yes ❑ No* <br /> Note:If`No, discontinue use of container <br /> 6 Is the container free of distortions, buckling, <br /> denting or bulging? MYes ❑ No* X-Yes ❑ No* J9Yes ❑ No* Yes ❑ No* <br /> Note:If"No", discontinue use of container <br /> Portable Container Checklist Page 1 of 2 <br />