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STI SP001 Portable Container Monthly Inspection Checklist Prior Inspection Date:Retain until date: Z. Inspector's Signature (): Container(s) inspected ID Inspection Guidance: > > Item Area:Area: 1 No □Yes No □Yes □No 2 No No □Yes No □Yes No 3 □Yes □Yes □Yes No DN/A □Yes No DN/A 4 No DN/A No DN/A □Yes No QN/A □Yes No DN/A 5 No No □Yes No □Yes No 6 No □Yes No No □Yes □No Page 1 of 2Portable Container Checklist 57 |age 0Yes TOe: Is the container free of leaks? Note. If ’‘No", identify container and describe leak.___________________________________ Is the container free of distortions, buckling, denting or bulging? 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? □Yes ^Yes JTYes '□Yes ^Ves pYes Regulatory facility name and ID number (if applicable) VJlWmm vm._____ ^Ves Container □ No y.N/A 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. Area:^m wM IArea: Portable Container ContainmentfStorage Area ^Yes ONo ^Yes □ No '^N/A General Inspection Information: Inspection Date: Inspecior Name (print): i, A, • ■