Sti Sp001 Ast Record Form PDF Details

The STI SP001 AST Record form is a comprehensive tool designed to assist owners and operators of Aboveground Storage Tanks (ASTs) in maintaining and documenting the condition and compliance status of their tanks. This form encompasses vital information including owner, facility, and installer details, alongside specifications regarding the tank's design, manufacturer, contents, dimensions, capacity, and construction material. It extends to cover the dates of key events such as installation, last repair or reconstruction, and any changes in service. The form lays out specifics about the tank's construction, whether it's bare steel, cathodically protected, coated steel, or made from concrete, plastic/fiberglass, among other materials, and details regarding containment features like earthen dikes, steel dikes, concrete synthetic liners, etc. Moreover, it includes a monthly inspection checklist to ensure ongoing compliance with safety standards, highlighting areas such as tank containment, leak detection, tank attachments, and other conditions crucial for safe operation and adherence to the Spill Prevention, Control, and Countermeasure (SPCC) plan. The meticulousness of the STI SP001 AST Record form underscores the seriousness with which tank integrity, environmental protection, and regulatory compliance are treated, serving as an essential document for responsible AST management.

QuestionAnswer
Form NameSti Sp001 Ast Record Form
Form Length10 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min 30 sec
Other namessti sp001 6th edition inspection checklist, sti sp001 6th edition pdf, SPCC, sti sp001 monthly inspection checklist

Form Preview Example

STI SP001 AST Record

 

 

OWNER INFORMATION

 

 

 

FACILITY INFORMATION

 

 

INSTALLER INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number and Street

 

 

 

 

 

 

 

Number and Street

 

 

 

Number and Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State, Zip Code

 

 

 

 

 

City, State, Zip Code

 

 

 

City, State, Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TANK ID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPECIFICATION:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Design:

UL

 

 

SWRI

 

 

 

Horizontal

Vertical

Rectangular

 

 

 

 

 

 

 

 

 

 

 

 

 

API

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Manufacturer:

 

 

 

 

Contents:

 

 

 

Construction Date:

 

 

Last Repair/Reconstruction Date:

 

Dimensions:

 

 

 

 

Capacity:

 

 

 

Last Change of Service Date:

 

 

 

Construction:

Bare Steel

 

 

Cathodically Protected (Check one: A. Galvanic or B.

Impressed Current) Date Installed: _______________

 

 

 

Coated Steel

 

 

Concrete

 

 

Plastic/Fiberglass

 

Other

 

 

 

 

 

Double Bottom

 

 

Double Wall

 

Lined Date Installed: _______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Containment:

Earthen Dike

 

Steel Dike

Concrete

 

Synthetic Liner

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CRDM:

 

 

Date Installed:

 

 

 

Type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Release Prevention Barrier:

Date Installed:

 

 

 

Type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TANK ID

SPECIFICATION:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Design:

UL

 

 

SWRI

 

 

 

Horizontal

Vertical

Rectangular

 

 

 

 

 

 

 

 

 

 

 

API

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Manufacturer:

 

 

 

 

Contents:

 

 

Construction Date:

 

 

Last Repair/Reconstruction Date:

Dimensions:

 

 

 

 

Capacity:

 

 

Last Change of Service Date:

 

 

 

Construction:

Bare Steel

 

 

Cathodically Protected (Check one: A.

 

Galvanic or B.

Impressed Current) Date Installed: _______________

 

 

Coated Steel

 

 

Concrete

 

 

Plastic/Fiberglass

 

Other

 

 

 

 

 

Double Bottom

 

 

Double Wall

Lined Date Installed: _______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Containment:

Earthen Dike

 

Steel Dike

Concrete

 

Synthetic Liner

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CRDM:

 

 

Date Installed:

 

 

 

Type:

 

 

 

 

 

 

 

 

Release Prevention Barrier:

Date Installed:

 

 

 

Type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TANK ID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPECIFICATION:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Design:

UL

 

 

SWRI

 

 

 

Horizontal

Vertical

Rectangular

 

 

API

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unknown

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Manufacturer:

 

 

 

 

Contents:

 

 

Construction Date:

 

 

Last Repair/Reconstruction Date:

Dimensions:

 

 

 

 

Capacity:

 

 

Last Change of Service Date:

 

 

 

Construction:

Bare Steel

 

 

Cathodically Protected (Check one: A.

 

Galvanic or B.

Impressed Current) Date Installed: _______________

 

 

Coated Steel

 

 

Concrete

 

 

Plastic/Fiberglass

 

Other

 

 

 

 

 

Double Bottom

 

 

Double Wall

Lined Date Installed: _______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Containment:

Earthen Dike

 

Steel Dike

Concrete

 

Synthetic Liner

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CRDM:

 

 

Date Installed:

 

 

 

Type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Release Prevention Barrier:

Date Installed:

 

 

 

Type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TANK ID

SPECIFICATION:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Design:

UL

 

 

SWRI

 

 

 

Horizontal

Vertical

Rectangular

 

 

API

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unknown

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Manufacturer:

 

 

 

 

Contents:

 

Construction Date:

 

 

Last Repair/Reconstruction Date:

Dimensions:

 

 

 

 

Capacity:

 

Last Change of Service Date:

 

 

Construction:

Bare Steel

 

 

Cathodically Protected (Check one: A.

 

Galvanic or B.

Impressed Current) Date Installed: _______________

 

 

Coated Steel

 

 

Concrete

 

 

Plastic/Fiberglass

 

Other

 

 

 

 

Double Bottom

 

 

Double Wall

Lined Date Installed: _______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Containment:

Earthen Dike

 

Steel Dike

Concrete

 

Synthetic Liner

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CRDM:

 

 

Date Installed:

 

 

 

Type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Release Prevention Barrier:

Date Installed:

 

 

 

Type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TANK ID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPECIFICATION:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Design:

UL

 

 

SWRI

 

 

 

Horizontal

Vertical

Rectangular

 

 

 

 

 

 

 

 

 

 

 

API

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unknown

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Manufacturer:

 

 

 

 

Contents:

 

Construction Date:

 

 

Last Repair/Reconstruction Date:

Dimensions:

 

 

 

 

Capacity:

 

Last Change of Service Date:

 

 

Construction:

Bare Steel

 

 

Cathodically Protected (Check one: A.

 

Galvanic or B.

Impressed Current) Date Installed: _______________

 

 

Coated Steel

 

 

Concrete

 

 

Plastic/Fiberglass

 

Other

 

 

 

 

Double Bottom

 

 

Double Wall

Lined Date Installed: _______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Containment:

Earthen Dike

 

Steel Dike

Concrete

 

Synthetic Liner

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CRDM:

 

 

Date Installed:

 

 

 

Type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Release Prevention Barrier:

Date Installed:

 

 

 

Type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STI SP001 Monthly Inspection Checklist

General Inspection Information:

Inspection Date:

 

Retain Until Date:

 

(36 months from inspection date)

Prior Inspection Date:

Inspector Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

Tanks Inspected (ID #’s):

 

 

 

 

 

 

 

 

 

 

 

Inspection Guidance:

ﾾ For equipment not included in this standard, follow the manufacturer recommended inspection/testing schedules and procedures.

ﾾ The periodic AST Inspection is intended for monitoring the external AST condition and its containment structure. This visual inspection does not require a certified inspector. It shall be performed by an owner’s inspector who is familiar with the site and can identify changes and developing problems.

ﾾ Upon discovery of water in the primary tank, secondary containment area, interstice, or spill container, remove promptly or take other corrective action. Before discharge to the environment, inspect the liquid for regulated products or other contaminants and disposed of it properly.

ﾾ (*) designates an item in a non-conformance status. This indicates that action is required to address a problem.

ﾾ Non-conforming items important to tank or containment integrity require evaluation by an engineer experienced in AST design, a certified inspector, or a tank manufacturer who will determine the corrective action. Note the non-conformance and corresponding corrective action in the comment section.

ﾾ Retain the completed checklists for 36 months.

ﾾ In the event of severe weather (snow, ice, wind storms) or maintenance (such as painting) that could affect the operation of critical components (normal and emergency vents, valves), an inspection of these components is required immediately following the event.

Item

 

Status

Comments

1.0 Tank Containment

 

 

 

1.1Water in primary tank,

Yes*

No

 

secondary containment,

 

 

 

interstice, or spill

 

 

 

container?

 

 

 

1.2 Debris or fire hazard in

Yes*

No

 

containment?

 

 

 

1.3 Drain valves operable

Yes

No*

 

and in a closed

 

 

 

position?

 

 

 

1.4Containment egress

Yes

No*

 

pathways clear

 

 

 

and gates/doors

 

 

 

operable?

 

 

 

2.0

Leak Detection

 

 

 

2.1

Visible signs of

Yes*

No

 

 

leakage around the tank,

 

 

 

 

concrete pad,

 

 

 

 

containment, ringwall or

 

 

 

 

ground?

 

 

 

3.0

Tank Attachments and Appurtances

 

 

3.1

Ladder and platform

Yes

No*

 

 

structure secure with no

 

 

 

 

sign of severe corrosion

 

 

 

 

or damage?

 

 

 

3.2

Tank Liquid level gauge

Yes

No*

 

readable and in good

 

 

 

condition?

 

 

 

3.3

Check all tank openings

Yes

No*

 

 

are properly sealed

 

 

 

 

 

 

 

 

4.0

Other Conditions

 

 

 

4.1

Are there other conditions

Yes*

No

 

 

that should be addressed

 

 

 

 

for continued safe

 

 

 

 

operation or that may

 

 

 

 

affect the site SPCC plan?

 

 

 

Additional Comments:

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