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...... _......... . <br /> STI SP001 Annual Inspection Checklist <br /> General]mapaction Information: <br /> 5 _Ip _�a Retain llntll Date: (3amonlhsimminspedlondate) <br /> Irepection Date: II //__ _ <br /> prior Inspection Date: —`b -� l9 Inspector Name: / <br /> Tvtcs lmpectetl(ID Ws): <br /> Inspection Guidance: <br /> D For equipment not Included In this Standard,follow the manufacturer recommended lnspectioNtesting schedules and procedures. <br /> Y The periodic AST Inspection is intended for monitoring the external AST condition and its containment structure,This visual inspection close not require a Cert1fad <br /> Inspector. It shall be performed by an owners Inspector who Is familiar with the site and can identify changes and developing problems. <br /> Y Remove promptly upon discovery standing water or liquid In the primary tank,secondary containment area,Interstice,or spill container. Before discharge to the <br /> envimnmem,inspect the liquid for regulated products or other contaminants and disposed of it property. <br /> Y In order to comply with EPA SPCC(Spill Prevention.Central and Counlemreasure) rules,a facility must regularly test liqultl level sensing devices to ensure proper <br /> operation(40 CFR 112.8(c)(6 <br /> )(v)). <br /> Y I')designates an Ilam In a nooconformance status.This indicsles that action[a required to address a problem. a Codified Inspector, ore tank <br /> D Nonconforming items Important to tank or containment intgpdN require evaluation by an engineer experienced in AST design, <br /> manufacturer who will detegnine the selective action.Note the nonconformance and corresponding corrective action in the comment sateen. <br /> Y Retain the completed checklists for 36 months. <br /> Y Complete this checklist on an annual basis supplemental to the owner monthly-performed inspection checklists. <br /> Y Note:B a change has occurred to the tank system or containment that may affectthe SPCC plan,the condition should be evatuated against the current <br /> plan requirement by a Professional Engineer knowledgeable In SPCC development and implementation. <br /> Rem Task Status Comments <br /> 1.0 Tank Containment Yes' No NIA ` 1 <br /> 1.1 Containment Check for <br /> structure Holes or cracks in <br /> contsinmentwall <br /> or floor <br /> • Washout <br /> • Linardegmdation <br /> • Corrosion <br /> • Leakage <br /> • Paintfailure <br /> • Tanksettlin <br /> 2.0 Tank FoundatloIt and so orts <br /> 2,7 Foundation <br /> Sediment or Y No <br /> foundation washout! <br /> 2.2 Concrete pad CrackingorspallingT Yes' No <br /> bW <br /> or ring well <br /> AST INSPECTION STANDARD 8 SEPTEMBER2011 <br /> COPYRIGHT902011 SteelTanklnstitute <br />