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ro Masze STI SP-001 <br /> POWERS aNi°0.CA P4510 <br /> TeVW 334 34M MID VALLEY AGRICULTURE SERVICES MID VALLEY AO <br /> FP%]°19I31]B< <br /> ENGINEERING&INSPECTION,INC. we'w-0owxseLcam Diesel Fuel Tank <br /> 2.3 Annual Inspection Checklist <br /> General Inspection Information <br /> 1. Inspection Date: 08/13/2019 <br /> 2. Retain Until Date(36 months from inspection date): 08/13/2019 <br /> 3. Prior Inspection Date: Unknown <br /> 4. Inspectors)Name(s): Dylan Macy <br /> 5. Tanks Inspected (ID#'s): Diesel Fuel <br /> 1.0 Tank Containment Status Comment <br /> 1.1 Containment structure in satisfactory condition? Yes <br /> 1.2 Drainage pipestvalves fit for continued service? Yes <br /> 2.0 Foundation and Supports Status Comment <br /> Evidence of tank settlement or foundation <br /> 2.1 washout? NO <br /> 2.2 Cracking or spelling of concrete pad or ring wall? Yes Minor Cracks(See Report) <br /> 2.3 Tank supports in satisfactory condition? Yes <br /> 2.4 Water able to drain away from tank? Yes <br /> 2.5 Grounding strap secured and in good condition? N/A <br /> 3.0 Cathodic Protection Status comment <br /> 3.1 CP system functional? N/A <br /> 3.2 Rectifier Reading: N/A <br /> 4.0 Tank External Coating Status comment <br /> 4.1 Evidence of paint failure? Yes Minor coating failure <br /> 5.0 Tank Shell/Heads Status Comment <br /> Noticeable shell/head distortions,buckling,denting <br /> 5.1 or bulging? No <br /> 5.2 Evidence of shell/head corrosion or cracking? No <br /> 6.0 Tank Manways, Piping and Equipment within Status Comment <br /> Secondary Containment <br /> 61 Flanged connection bolts tight and fully engaged Yes <br /> with no sin of wear or corrosion? <br /> 7.0 Tank Roof Status Comment <br /> 7.1 Standing water on roof? No <br /> ST WWI MG VALLEY AWNIXTUM SERVORS TIM DIESEL NEL MD V YAG REW Page 11 UNePn,kGBl3'iB <br />