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STI SP001 Portable Container Monthly inspection Checklist Prior Inspection Date: Retain until date: Inspector’s Signature 0: Container(s) inspected ID Inspection Guidance: > > Item Area:Area: 1 No □Yes No □Yes □No 2 No No □Yes No □Yes □No 3 □Yes No □Yes No □Yes No DN/A □Yes No DN/A 4 No DN/A □Yes No DN/A □Yes No DN/A 5 No No □Yes No □Yes □No 6 No No □Yes No □Yes □No Page 1 of 2Portable Container Checklist 57 | P a g e TitlexRXCH. J^N/A ((Yes yves XYes ^Yes Jj^Tes Are all portable container(s) within designated storage area?_______________________________ Is the containment and storage area free of excess liquid, debris, cracks or fire hazards? Are drain valves closed and in good working condition?__________________________________ Are containment egress pathways clear and any gates/doors operable? Is the container free of leaks? Note: If “No", identify container and describe leak.___________________________________ Is the container free of distortions, buckling, denting or bulging? ^fes VKi/a No DN/AV^Ves Container Y.h.wn \fYTOFrPmp Regulatory facility name and ID number (if applicable) (VlURYnYx W,. General Inspection Information: Inspection Date: IO|tQ^i4 Inspector Name (print): Area:Wm I AreaA&fl VflVer Portable Container Containment/Storage Area 'jd'es DNo \jyes This periodic Inspection is intended for monitoring the external condition and its containment structure. This visual inspection does not require a Certified Inspector. It shall be performed by an owner’s inspector who is familiar with the site and can identify changes and developing problems Note the non-conformance and corresponding corrective action in the comment section. Retain the completed checklists for at least 36 months.