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STI SP001 Portable Container Monthly Inspection Checklist <br /> General Inspection Information: <br /> Inspection Date: Prior Inspection Date: Retain until date: <br /> Inspector Name(print): Title: <br /> Inspector's Signature O: <br /> Container(s)inspected 1D <br /> Regulatory facility name and ID number(if applicable) <br /> Inspection Guidance: <br /> ➢ This checklist is intended as a model. Locally developed checklists are acceptable as long as they are substantially equivalent(as applicable). <br /> ➢ This periodic Inspection is intended for monitoring the external condition and its containment structure.This visual inspection does not require a <br /> Certified Inspector. It shall be performed by an owner's inspector who is familiar with the site and can identify changes and developing problems. Note <br /> the non-conformance and corresponding corrective action in the comment section. <br /> ➢ Retain the completed checklists for at least 36 months. <br /> Item Area: Area: Area: Area: <br /> Portable Container ContainmentfStorage Area <br /> 4 Are all portable container(s)within designated <br /> story a area? []Yes ❑No ❑Yes CNo ❑Yes ❑No ❑Yes ❑No <br /> 2 Is the containment and storage area free of excess <br /> liquid,debris,cracks or fire hazards? ❑Yes ❑No F—,Yes ❑No ❑Yes 11 No ❑Yes ❑No <br /> 3 Are drain valves closed and in good working <br /> condition? ❑Yes ❑ No ❑NIA ❑Yes ❑ No ❑NIA ❑Yes © No ❑NIA ❑Yes ❑ No ❑NIA <br /> a Are containment egress pathways clear and any <br /> gates/doors operable? ❑Yes ❑ No ❑NIA ❑Yes ❑ No ❑NIA ❑Ye�Ij ❑NIA �F] n No ©NIA <br /> Container <br /> 5 Is the container free of leaks? <br /> Note:If"No", identify container and describe IjYes E!No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> leak, <br /> s Is the container free of distortions,buckling, <br /> denting or bulging? ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes riNo <br /> Portable Container Checklist Page 1 of 2 <br />