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1 <br /> STI SP001 Monthly Inspect on Checklist <br /> General Inspection Information; <br /> Finspection Date: q 10�2�{ Retain Until Date: �/p Z 7_9 (36 months from inspection date) <br /> ection Date: Q�Z/2 Inspector Name: I <br /> l ae e eti <br /> Tanks Inspected(ID#'s): q 7 <br /> Inspection Guidance. <br /> ➢ For equipment not included in this Standard,follow the manufacturer recommended inspection/testing schedules and procedures. <br /> ➢ The periodic AST Inspection is intended for monitoring the external AST condition and its containment structure.This visual inspection does not require a Certified <br /> inspector. It shall be performed by an owner's inspector who is familiar with the site and can identify changes and developing problems. <br /> ➢ Upon discovery of water in the primary tank,secondary containment area,interstice, or spill container, remove promptly or take other corrective action. Before <br /> discharge to the environment, inspect the liquid for regulated products or other contaminants and disposed of it properly. <br /> ➢ (*)designates an item in a non-conformance status.This indicates that action is required to address a problem. <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 36 months. <br /> ➢ In the event of severe weather(snow, ice,wind storms) or maintenance (such as painting) that could affect the operation of critical components <br /> (normal and emergency vents, valves),an inspection of these components is required as soon as the equipment is safely accessible after the event. <br /> Item Task Status <br /> 1,0 Tank Containment Comments <br /> 1.1 Containment Check for water,structure debris, cracks or fire ®Yes* ❑ No LKA <br /> hazard <br /> 1.2 Primary tank Check for water ❑Yes* ' No <br /> 1.3 Containment Operable and in a <br /> drain valves closed position ❑Yes ❑ No* �?`N/A <br /> 1.4 Pathways and Clear and � <br /> entry gates/doors ZYes ❑ No* ❑ N/A <br /> 2.0 L.eakDetection operable <br /> 2.1 Tank Visible signs of <br /> leakage ❑Yes* No <br /> 2.2 Secondary Visible signs of <br /> Containment leakage from tank 5gc4wOIL J <br /> into secondary ❑Yes* ZINO <br /> containment <br /> 2.3 Surrounding soil Visible signs of <br /> leaka e EEO]Ye f/�No ❑ N/A <br /> 2.41nterstice Visible signs of <br /> leakage ❑Yes* ❑ No N/A <br /> AST INSPECTION STANDARD <br /> S EPTEMBER 2011 <br />