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STI SP001 Mont hl Ins ection Checklist <br /> General Inspection Information: (36 months from inspection date) <br /> Inspection Date: Retain Until Date: 1 2/ �'� 7 <br /> Prior Inspection Date: ( l � Z'�l <br /> �3 Inspector Name: <br /> Tanks Inspected (ID#'s): N <br /> Inspection Guidance: <br /> ➢ For equipment not included in this Standard,follow the manufacturer recommended inspection/testing <br /> schedules and procedures. <br /> ainment <br /> ure.This <br /> sual inspection does <br /> ➢ The periodic AST Inspection is <br /> intended for monitoring the external AST condition and its contlentify changes and developing problems. not require gefo Before <br /> Inspector. It shall be performed by an owner's inspector who is familiar with the site an ca <br /> of water in the primary tank, secondary containment area, interstice, or spill <br /> contaminants and container, <br /> remove <br /> sed of it properlyor take other corrective action. <br /> ro <br /> ➢ Upon discovery problem <br /> discharge to the environment, inspect the liquid for regulated products or of leer exper in AST design, a Certified Inspector, or a tank <br /> ➢ (*) designates an item in a non-cDnformance status. <br /> to tank or containment icateequae ev'aluationgby an en address pp <br /> ➢ Non-conforming <br /> items important a-� <br /> manufacturer who will determine the corrective action. Note The non-conformance and corresponding corrective action moheration of critical components <br /> ➢ Retain the completed checklists for 36 months. that could affect the p <br /> valves , e, inspection of these components is required as soon as the equipment is safely accessible after the event. <br /> ➢ In the event of severe weather(snow,}ice,wind storms) or maintenance (such as painting <br /> (normal and emergency vents, Comments <br /> Item <br /> Task Status <br /> 1.0 Tank Containment <br /> 1.1 Containment Check for water, <br /> structure debris, cracks or fire Yes* ❑ No1 NIA <br /> hazard <br /> []Yes* No <br /> 1.2 Primary tank Check for water <br /> 1.3 Containment Operable and in a ❑Yes ❑ No* >C N/A <br /> drain valves closed position <br /> 1.4 Pathways and Clear and iYes ElNO* El N/A <br /> entry gates/doors <br /> operable <br /> 2.0 Leak Detection <br /> 2.1 Tank Visible signs of ❑Yes* IC No <br /> leakage <br /> 2.2 Secondary Visible signs of <br /> Containment leakage from tank []Yes* yNo <br /> into secondary <br /> containment <br /> 2.3 Surrounding soil Visible signs of [:]Yes* No ❑ NIA <br /> leakage <br /> 2.41nterstice Visible signs of ❑Yes* No ❑ NIA SEPTEMBER 2C <br /> leakage <br /> AST INSPECTION STANDARD <br />