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STI SP001 Monthly Inspection Checklist 'General in ection Information: Inspection Date: 12/20/22 Retain Until Date: 12/20/25 (36 months from inspection date) ��— Prior Inspection Date: 11/18/22 Inspector Name: Patrick Samson Tanks Inspected(ID#'s): T-631, T-632, T-633 Inspection Guidance: For equipment not included in this Standard,follow the manufacturer recommended inspection/testing schedules and procedures. Y The periodic AST Inspection is intended for monitoring the external AST condition and its containment structure.This site inspection does not require a Certified Inspector. It shall be performed by an owner's inspector who is familiar with the site and te can identify changes and developing problems. y or take Upon discovery of water in the primary tank,secondary containment area,interstice,or spill container, r the e ro milnants and other corrective action. Before discharge to the environment,inspect the liquid for regulated products disposed of it properly. problem➢ (')designates an item in a non-conformance status.This indicates that action is required to address a p i Non conforming items important to tank or containment inte rit require evaluation by an engineer experienced in AST design,a Certified Inspector, or a tank manufacturer who will determine the corrective action.Note the non conformance and corresponding corrective action in the comment section. i- Retain the completed checklists for 36 months. that could affect the v In the event of severe weather(snow,ice,wind storms)or maintenance(such as painting) ents,valves),an inspection of these components is required operation of critical components(normal and emergency v as soon as the equipment is safely accessible after the event. Comments Item Task Status 1.0 Tank Containment 1.1 Containment Check for water, ❑Yes` ^o uN/A structure debris,cracks or fire hazard 1.2 Prima oN tank Check for water e No 1.3 Containment Operable and in a Yes o' ❑N/A drain valves closed osition es oNo* ❑N/A 1.4 Pathways and Clear and entry gates/doors operable 2.0 L k Detection 2.1 Tank Visible signs of Yes' I o leaka e 2.2 Secondary Visible signs of Yes' No Containment leakage from tank into secondary containment 2 Visible signs of .3 Surrounding soil uYes* No❑N/A leakage Visible signs of ❑Yes' No❑N/A 2.41nterstice leaka e 3.0 Tank Equipment 3.1 Valves a. Check for leaks. ❑ s" No ❑N/A b.Tank drain valves IYes' i1No ❑N/A must be ke t locked. 3.2 Spill a. Inspect for debris, ❑Yes" ❑No N/A containment residue, and water in boxes on fill the box and remove. b. Drain valves must ❑Yes' ❑No N/A Pipe be operable and closed. � SEPTEMBER 2011 AST INSPECTION STANDARD