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Is the primary tank free of water or has another preventative measure been taken? <br /> 4 NOTE: Refer to paragraphs 6.10 and 6.11 of the standard for alternatives for Category 1 XYes ❑ No ❑ N/A <br /> tanks.N/A is only appropriate for these alternatives. <br /> For double-wall or double bottom tanks or CE-ASTs, is interstitial monitoring equipment A naf^a. <br /> u 5 ,7ea6la a)q/ 7au5g as 6ecr1 <br /> 5 (where applicable) in good working condition? ❑Yes xNo u N/A ��/t;�� 0W$arse %s i�JOf° .h the iri&,64 <br /> 6 For double-wall tanks or double bottom tanks or CE-ASTs, is interstice free of liquid? �eYeS ❑ NO ❑ N/A <br /> Remove the liquid if it is found. If tank product is found, investigate possible leak. <br /> Equipment on tank <br /> If overfill it has a"test'button,does it activate the audible horn or light $a/cA )ee4,-o' un" was Belle fc in5joecZ MZ <br /> 7 to confirm operation?If battery operated, replace battery if needed. YeS ❑ NO ❑ N/A N, h AeL d Al,rm <br /> 5 -$ 16 t <br /> 8 Is overfill prevention equipment in good working condition?If it is equipped with a ❑Yes Li No Li N/A <br /> mechanical test mechanism,actuate the mechanism to confirm operation. <br /> 9 Is the spill container(spill bucket)empty,free of visible leaks and in good working <br /> condition? Yes u No ii N/A <br /> 10 Are piping connections to the tank(valves,fittings,pumps,etc.)free of visible leaks? Yes ii NO <br /> Note:If"No", identify location and describe leak. <br /> 11 Do the ladders/platforms/walkways appear to be secure with no sign of severe corrosion ,Yes ❑ No ❑ N/A <br /> or damage? <br /> Containment(Diking/Impounding) <br /> 12 Is the containment free of excess liquid,debris, cracks, corrosion,erosion,fire hazards and <br /> Yes Li NO Li N/A <br /> other integrity issues? <br /> 13 Are dike drain valves closed and in good working condition? m�YeS ❑ No ❑ N/A <br /> 14 Are containment egress pathways clear and any gates/doors operable? xYes ❑ No ❑ N/A <br /> Concrete Exterior AST(CE-AST) <br /> 15 Inspect all sides for cracks in concrete. Are there any cracks in the concrete exterior larger ❑Yes p-,No ❑ N/A <br /> than 1/16"? <br /> 16 Inspect concrete exterior body of the tank for cleanliness, need of coating, or rusting where -'Yes ❑ No ❑ N/A <br /> applicable. Tank exterior in acceptable condition? <br /> Visual inspect all tank top openings including nipples,manways,tank top overfill containers, <br /> 17 and leak detection tubes. Is the sealant between all tank top openings and concrete intact KYeS ❑ No O N/A <br /> and in good condition? <br /> Other Conditions <br /> 16 Isthesystem free ofany other conditions that need tobeaddressedfor Yes ❑ No <br /> continued safe operation? <br /> Monthly Checklist Page 2 of 3 <br />