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STI S2007 Annual Inspection Checklist <br /> j General Inspection Information: <br /> Inspection Date: A/ Retain Until Hate: 9 _ (36 months from inspection date) <br /> !V <br /> Prior Inspection Date: /'t Inspector Name: <br /> Tanks Inspected(ID#'s): <br /> Inspection Guidance: <br /> For equipment not included in this Standard,follow the manufacturer recommended inspection/testing schedules and procedures. <br /> ➢ The periodic AST Inspection is intended for monitoring the external AST condition and its containment structure.This visual inspection does not require a Certified <br /> Inspector.it shall be performed by an owner's inspector who is familiar with the site and can identify changes and developing problems. <br /> Remove promptly upon discovery standing water or liquid in the primary tank,secondary containment area,interstice,or spill container.Before discharge to the <br /> environment,inspect the liquid for regulated products or other contaminants and disposed of it properly. <br /> Y In order to comply with EPA SPCC(Spill Prevention,Control and Countermeasure)rules,a facility must regular,test liquid level sensing devices to ensure proper <br /> operation(40 CFR 112.8(c)(8)(v)). <br /> (")designates an item in a non-conformance status.This indicates that action is required to address a problem. <br /> Non-conforming items important to tank or containment integrity require evaluation by an engineer experienced in AST design,a Certified Inspector,or a tank <br /> manufacturer who will determine the corrective action.Note the non-conformance and corresponding corrective action in the comment section" <br /> ;- Retain the completed checklists for 36 months. <br /> r Complete this checklist on an annual basis supplemental to the owner monthly-performed inspection checklists. <br /> Note:If a change has occurred to the tank system or containment that may affect the SPCC plan,the condition should be evaluated against the current <br /> plan requirement by a Professional Engineer knowledgeable in SPCC development and implementation. <br /> Item I Task Status Comments <br /> 1.0 Tank Containment <br /> 1.1 Containment Check for_ E[Yee o❑1/A <br /> structure • Holes or cracks in <br /> containment wall <br /> or floor <br /> • Washout <br /> • Liner degradation <br /> • Corrosion <br /> o Leakage <br /> • Paint failure <br /> • Tank settlin <br /> 2.0 Tank Foundation and Supports <br /> 2.1 Foundation" Settlement or Yes*[]Na <br /> foundation washout? � <br /> 2.2 Concrete pad Cracking orspalling? ❑Y'es"` NOE]N/A <br /> or ring wall <br /> AST INSPECTION STANDARD PAGE 1 OF 6 SEPTEMBER 2011 <br /> i <br /> I <br />