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STI SP009 Monthly Ins action Checklist <br /> General his coon information: <br /> Inspection Date: <br /> l� n <br /> —c— Prior inspection Date: <br /> inspector Name(print): Retain until date: <br /> � <br /> Inspector's Slgnahxe <br /> Tanks)inspected ID <br /> Regulatory iradtity name and ID number(if applicable) <br /> �— <br /> InSiPection Guidance. <br /> This checklist is Intended as a model. Locally developed <br /> tanks may be captured on one fiorm as long as the tanks are su l�am astable as long as they are substantial <br /> For equipent not included In this Standard,follow the s are substantially the same. iY equivalent(as aPpUcable).Inspections of multiple <br /> The periodic AST Inspection Is intended for monitoring the external ASer Tc condition and�� eRg schedules and <br /> Inspector.It shall be performed b an P�edures. <br /> D Upon discovery of water in the Y owner's aispector per paragraph 4.12 of the standard. structure.This visual ins <br /> P►imary tank.secondary containment area,interstice,or spill container,remove inspection does not require a Certified <br /> for regulated products or other contaminants and di <br /> Non-conforming items i tank contain ��Of properly. Promptly or take other c�rrertive action. <br /> manufacturer who will dete►mine the co rnertt in require evaluation inspect the liquid <br /> Retain the completed checklists for at lea �Note the non-co by c engineer experienced in AST design,a Certified <br /> niorrnance and corresponding corrective Inspector,or a tank <br /> After severe weather(snow,lce,wind storm$)or maintenance such as action in the comment section. <br /> errrergency vents,valves an ins ( coating)that could <br /> c Pectlon of these comp�pnts is required as soon as hfiahoranof c� nnonnal andq nt is sty�safter �� <br /> *M- <br /> tank <br /> Tank and Piping <br /> lea ?erderior(mot,shell,heads.bottom,connections,tltlings,valves, <br /> eta)free of visible <br /> Moet/f"No".-bnhfy&v*and do-Wbs Teak and acbons taken. es ❑No <br /> Z Is the tank liquid level <br /> gauge legible and in good working condition? <br /> S Is the area around the tank oo ii Yes ❑ A <br /> signs of leakage? ( ncre;e ���g1O ,contalnmeM eta)free of visible <br /> es ❑No <br /> Monthly Checklist <br /> Page 1 of 3 <br />