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1400 E. Victor Rd, Lodi, CA 95240 PR0529108 <br /> 10/14/2021 Program: APSA <br /> PHOTO 4: <br /> The 01/07/2021 monthl ins ection checklist was incom lete (page 1 of 2) <br /> STI SP001 Monthly Inspection Checklist <br /> General Inspection <br /> information: <br /> Inspection Date: Prior Inspection Date: 2u Retain until date: <br /> Inspector Name(print): � xu Jlrtl,pg Title: Fl*'(— (11444M+_ <br /> Inspector's Signature 1 <br /> y <br /> i Tank(s)inspected ID AST-1,AST-2 <br /> Regulatory facility name and ID number(if applicable) Dart Container Lodi <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).Inspections of multiple <br /> tanks may be captured on one form as long as the tanks are substantially the same. <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 per paragraph 4.1.2 of the standard. <br /> ➢ Upon discovery of water in the primary tank,secondary containment area,interstice,or spill container,remove promptly or take other corrective action.Inspect the liquid <br /> for regulated products or other contaminants and dispose of properly. <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 at least 36 months. <br /> ➢ After severe weather(snow,ice,wind storms)or maintenance(such as coating)that could affect the operation of critical components(normal and <br /> emergency vents,valves),an inspection of these components is required as soon as the equipment is safely accessible after the event, <br /> ITEM [I STATUS COMMENTS I DATE CORRECTED <br /> Tank and Piping <br /> Ulleaks* <br /> tank exterior(roof,shell,heads,bottom,connections,fittings,valves,etc.)free of visible <br /> te.•if No",identify tank and describe leak and actions taken. " 'es ❑No <br /> he tank liquid level gauge legible and in good working condition? la�es ❑No VN/A <br /> e area around the tank(concrete surfaces,ground,containment,etc.)free of visibles of leakage? :�v�`(e:sC)�No <br /> Monthly Checklist Page 1 of 3 <br /> VICKY VANG-LEE, EHS Page 4 of 5 <br />