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<br />Monthly Checklist Page 1 of 3 <br />STI SP001 Monthly Inspection Checklist <br /> <br />General Inspection Information: <br /> <br />Inspection Date: __________________ <br /> <br />Prior Inspection Date: _________________ <br /> <br />Retain until date: __________________ <br /> <br />Inspector Name (print): _______________________________________________________________ <br /> <br />Title: _____________________________ <br /> <br /> <br />Inspector’s Signature ___________________________________________________________________ <br /> <br />Tank(s) inspected ID ___________________________________________________________________ <br /> <br />Regulatory facility name and ID number (if applicable) ____________________________________________________________ <br /> <br /> <br /> <br />Inspection Guidance: <br /> <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 /> <br />ITEM STATUS COMMENTS / DATE CORRECTED <br />Tank and Piping <br />1 <br />Is tank exterior (roof, shell, heads, bottom, connections, fittings, valves, etc.) free of visible <br />leaks? <br />Note: If "No", identify tank and describe leak and actions taken. <br />□ Yes □ No <br /> <br />2 Is the tank liquid level gauge legible and in good working condition? □ Yes □ No □ N/A <br />3 Is the area around the tank (concrete surfaces, ground, containment, etc.) free of visible <br />signs of leakage? □ Yes □ No