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. ........... <br /> I <br /> STI SP001 Annual Inspection Checklist I <br /> General Inspection Information: <br /> Inspection Date: <br /> 1 _ 4 Retain Until Date: (36 mordhs from inspection date) <br /> 1, _�� _I (� <br /> Prior Inspection Data: { f� Irepeclor Name'. <br /> Tanks Inspected 8D k's): <br /> Inspection Guidance: <br /> D For equipment not included in this Standard,follow the manufacturer recommended Inspectionnesllng schedules and procedures. <br /> D The periodic AST inspection is intended for monitoring the exist"AST condition and is containmentstructule.This visual inspectlon does not require a Cadithd <br /> Inspector. It shall be performed by an owner's inspector who Is farran with the site and can identity changes and developing Problems. <br /> D Remove promDity Upon discovery standing waterer l'Iquid in the primary tank,secondarycentalnment area,IMentice,or spill wrdalher. Before discharge to the <br /> environment,inspect the liquid for regulated products or other contaminants and disposed of itpropedy. <br /> D In order b comply with EPA SPCC(Spill Prevention,Control and Countemleasure)Mies,a facility must regularly tastliqud level sensing devices to ensure proper <br /> cpermon(40 CFR 112.B(c)(8)(v)). <br /> D Odesignates an Item in a non-coMormenes status.This indicates that action is required to address a WWII <br /> D Nonconforming Items Imo rte tto t nk tente'nmenf irdegriN require evaluation by an engineer experienced inAST design,a Certi@ed inspector,ora tank <br /> manufacturer who will determine the corrective action.Note the nonconformance and corresponding conettive acgan in the comment section' <br /> Y Retain the completed checklists for 36 months. <br /> D Complete this checklist on an annual basis supplemental to the owner monthly-performed inspection checklists. <br /> OC <br /> plan-requi change has occurred to the tank by a Professional Engineer tem ortlgaa containment <br /> nPCCtdevelopmanaffect tendp p emerttatior,the ntligdn should Iw evaluated against the current <br /> Ham <br /> Task 6btua Commems <br /> 1.0 Tank Containment Yes. No N/A <br /> 1.1 Containment Cneok foe ^ / <br /> structure • coles or mainm nt wi it \ _x <br /> containment wall <br /> or floor c�_..C7u17 <br /> • Washout <br /> • Liner degradation <br /> • Corrosion <br /> • Leakage <br /> • Paintfeilure <br /> Tank settlin <br /> 2.0 Tank Foundatlnn and Su orts Y No <br /> 21 Foundation Settlement or <br /> foundation washout? <br /> 22 Concrete pad Cracking or spelling? Yes' No <br /> or ring wall <br /> $ SEPTEMBER 2Q11 <br /> INSPECWN STANDARD <br /> Co <br /> CCPYRIGHT®2011 Steel Tank lnseHtute - <br />