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^� STI SP00'1 Monthl Ins ection Checklist <br /> /-/�/ 2-(P <br /> (36 months from inspection date) <br /> General Inspection Information: Retain Until Date: to <br /> Finsper-tion Date: � <br /> C Z inspector Name: <br /> ection Date: J <br /> Tanks Inspected(ID#'s): <br /> Inspection Guidance: schedulesinspection does not require a Certified <br /> dition and its containment structure.Tdeveloping problems. Before <br /> Standard,follow the manufacturer recomp ended inspection/testing and procedures. <br /> changes an <br /> For equipment not included in this S promptly or take other corrective action <br /> The periodic AST Inspection is intended for monitoec orhwho is familiar with the site and can identify <br /> an owner's insp containment area, interstice,or spill container,remove P <br /> Inspector. It shall be performed by tank,secondary disposed of it properly <br /> ➢ Upon discovery of water in the primary problem. g Inspector, or a tank <br /> to the environment, inspect the liquid for regulated products or other contaminants and disp erienced in AST des' <br /> n,a Certified <br /> discharge ed engineer exp <br /> * tainment rote ri require evaluation byan <br /> onding corrective action in the comment section. <br /> designates an item in anon-conformance status.This indicates that action is required to ad dress <br /> nce and <br /> ( )r-co <br /> Non-conforming items im ortant to tank re ti <br /> checklists for c months. aiming)that could affect the operation afccescritical <br /> sible after the event. <br /> manufacturer who will hecrmine the corrective action.Note theme maintenance asp n as the equipment is safely <br /> q Retain the completed ch <br /> and emergency vents,valves),an in of these components is required as soon <br /> In the event of severe weather(snow,ice,wind storms or Comments <br /> (normal a <br /> item <br /> Task Status <br /> 1.0 Tank Containment <br /> 1Check for water, <br /> .1 Containment <br /> structure debris,cracks or fire ®Yes* El No f�N/A <br /> hazard ❑Yes* N <br /> 1.2 Primary tank Check for water N/A <br /> 1.3 Containment Operable and in a ❑Ye El No* <br /> drain valves dosed position <br /> s and Clear and as El No* <br /> ❑ N/A <br /> 1.4 Pathway gates/doors <br /> entry operable <br /> 2.0 Leak Detection Visible signs of ❑Yes* No <br /> 2.1 Tank leakage <br /> 2,2 Secondary Visible signs of <br /> Containment <br /> leakage from tank Yes* No <br /> into secondary <br /> containment <br /> soil Visibie signs of ❑Yes* No ❑ N/ <br /> 2.3 Surrounding ieaka e <br /> Visible signs of ❑Yes* ❑ No N/A <br /> 2.4 Interstice SEPTEMBER 20'I Aleakage <br /> AST INSPECTION STANDARD <br />