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STI SPD01 Annual Inspection Checklist <br /> Generalins action Information. (asmonNsfrom inspection date) <br /> Inspection take: !�,—I,,.�i perRetain Until Dale: <br /> on Date: - 2g-1� Inspector Name: <br /> Prior lnspedl �—� <br /> ,rooks Inspected OD pis): <br /> Inspection Guidance: <br /> D For equipment not included In this Standard,follow the manufacturer recommended mspectipnttest ng schedules nt structure. hisand visual <br /> is procedures. hot <br /> Y The periodic AST Inspection is intendedafners insuectormwho 5 external <br /> iamillller with the site and can identify ST condition and its changes andeveloping inspection blemstlo� require a Cerlifletl <br /> Inspector.It shelf be performed by Pment <br /> envove ironment, nsYPect n discod ry standing water or regulated products oriother contaminantsprimary <br /> an and tlisposed of it property. <br /> Interstice,or spill cbntainer. 8ekre discharge to the <br /> D In order to mpN with EPA SPCC(Spill Prevention,Control and Countermeasure)rulas,a facility must regularly testliquid level sensing devices to ensure proper <br /> operation(4D CFR i t2.8(c)(B)(v)). or a tank <br /> Y (')designates an item In a nonconformance status.This indicates that action istequiretl to address a Droblem. <br /> Y Nonconforming items'moorta tto t k ta'nment integrhy require evaluation by en enginontlirgpcortectve�action in Hre commenfiecfionector, <br /> manufacturer who will determine the cortadlve acton.Note the noocordormanceand corresp <br /> Y Retain the completed checklists far 36 months. <br /> D Complete this rhecidist on an annual basis supplemental to fhe ownermonNly-partortred inspeCion che�scondition sM1ould beevalusted against the eunent <br /> D Note:ha change has occurred to the tank system or containmentthat may affect the SPCC plan, <br /> plan requirement by a Professional Engineer knowiedgeahle in SPCC tlevNopment antl Implementation. <br /> hem Task <br /> Status Comments <br /> 1.g Tank Containment Yes' <br /> 1.t Containment Check foc <br /> structure • Holein <br /> s <br /> uumentcv`all <br /> met <br /> or floor YV <br /> • Washout <br /> • Linerdegmdaton <br /> • Corrosion <br /> • Leakage <br /> Paintfailure <br /> • Tanksetdin <br /> 2.g Tank Foundation and Su orfs Yes No <br /> 2.1 Foundation feu Ida.eDorion out? <br /> 22 Concrete Pad Cracking or spelling? Yes` N N/ <br /> AJ <br /> or ring wall <br /> SF3TEMeER 2011 <br /> AST INSPECTION STANDARD <br /> 8 <br /> COPYRIGHT®2011 Steel Tank Institute <br />