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ANNUAL AST INSPECTION CHECKLIST <br />- status <br />Inspection Item (circle one) <br />Ventin <br />-- — <br />Comments <br />---� <br />1 Vents free from obstructions? <br />NO <br />NA <br />s'l <br />2) Emergency vent in working condition? <br />NO <br />NA <br />YES NO <br />NA <br />;�+✓i <br />Insulated Tanks <br />1 All insulation resent? <br />ES NO <br />NA <br />_ <br />2) Are there any noticeable areas of moisture <br />on the insulation? <br />YES N <br />NA <br />J, = <br />C,j <br />E5 6 <br />3 Is there any mold on the insulation? <br />YES Cba <br />NA <br />4 Any visible damage to insulation? <br />N <br />NA <br />r <br />5 Insulation protected from water intrusion? <br />YE O <br />NA <br />Level and Overfill Prevention of Shop -Fabricated <br />Tanks <br />1) Liquid level sensing devices have been <br />tested to ensure operation? <br />YE NO <br />NA <br />2 Liquid level devices operate as re uired? <br />NO <br />NA <br />3) Overfill prevention devices in proper <br />workingcondition? <br />ES NO <br />NA <br />Electrical Equipment <br />1 Tank grounding lines in good condition? <br />S NO <br />NA <br />2) Electrical wiring for control boxes and lights <br />in good condition? <br />E NO <br />NA <br />Tanks Inspected: <br />Additional Comments: <br />Inspection Date: �.-/ Inspector Name: <br />Signature: <br />Tracy Truck and Auto Sto; <br />