Laserfiche WebLink
STI SP001 Monthly Inspection Checklist <br />m3Prior Inspection Date Retain until ite: <br />Title:’ <br />Inspection Guidance: <br />ITEM STATUS COMMENTS / DATE CORRECTED <br />Tank and Piping <br />1 <br />2 Is the tank liquid level gauge legible and In good working condition? <br />3 <br />Monthly Checklist Page 1 of 3 <br />50 | P a q e <br />Is tank exterior (roof, shell, heads, bottom, connections, fittings, valves, etc. (free of visible <br />leaks? <br />Note: If "No", identify tank and describe leak and actions taken. <br />Is the area around the tank (concrete surfaces, ground, containment, etc.) free of visible <br />signs of leakage? <br />'yVes □ No <br />General Inspection Information: <br />Inspection Date: / j |\ Q "e-T <br />Inspector Name (print): ft A R r;Kwwftoree, <br />Inspector's Signature __________________________________ <br />T.nkjs) in^ec.M ID 2)8^A HlL UEBa 0t\ <br />Regulatory facility name and ID number (if applicable) wiwfiin1 vp(Y <br />□ Yes □ No 'y N/A <br />-\fYes □ No <br />lo^as ^X^Tubstantially^XV8 aS ,hey SUbStan,ially et’uivale^, (as applicable>- '"spec«°"s °f tanks may be captured on one form as <br />For equipment not included in this Standard, follow the manufacturer recommended inspection/testlng schedules and procedures <br />do~ “ • c“"0x: ",pi" <br />Non-conforming items important to tank or containment integrity require evaluation by an engineer experienced in AST design, a Certified Inspector or a tank <br />manufacturer who will determine the corrective action. Note the non-conformance and corresponding corrective action in the comment section <br />Retain the completed checklists for at least 36 months. <br />After severe weather (snow, ice, wind storms) or maintenance (such as coating) that could affect the operation of critical components (normal and <br />emergency vents, valves), an inspection of these components is required as soon as the equipment is safely accessible after the event.