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STI SP009 Monthly inspection Checklist <br /> General Inspection Information: <br /> Inspection date: 10—/4 Prior Inspection Date: / 119-1 Retain until date: <br /> Inspector Name(print): Title: &�6 /Va ea�6 5!4d--d S <br /> Inspector's Signature <br /> Tanks)inspected 1D AST4AST-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 /> CD <br /> D For equipment not included in this Standard,follow the manufacturer recommended inspection/testing schedules and procedures. 0 <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 CD <br /> Inspector.It shall be performed by an owner's inspector per paragraph 4.12 of the standard_ G. <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 Q <br /> for regulated products or other contaminants and dispose of properly_ <br /> D Nan-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. CO <br /> CD <br /> ITEM -. ..: ::::..STATUS.:.....:... . COMMENTSLI)ATE CORRECTED ';:..` . <br /> :.... N <br /> Tank and Piping <br /> Is tank exterior(roof,shell,heads,bottom,connections,fittings,valves,eta)free of visible <br /> 1 leaks? /Yes ❑ No <br /> Nota:_!f'7Vo';identify tank and describe leak and actions faked. <br /> 2 Is the tank liquid level gauge legible and in good working condition? /Yes ii No ❑ IIIA <br /> __T <br /> 3 Is the area around the tank(concrete surfaces,ground,containment,etc.)free of visible o Na <br /> signs of leakage? <br /> Monthly Checklist page I of 3 <br />