Sti Sp001 Ast Record Form – Fill Out and Use This PDF

Sti Sp001 Ast Record Form – Fill Out and Use This PDF

Form Preview Example

Sti Sp001 Ast Record Form PDF Details

Form Preview Example

Sti Sp001 Ast Record Form isn’t the one you’re looking for?

Sti Sp001 Ast Record Form PDF Details

Form Preview Example

Sti Sp001 Ast Record Form isn’t the one you’re looking for?

Related Documents

STI SP001 AST Record

OWNER INFORMATION

FACILITY INFORMATION

INSTALLER INFORMATION

Name

Number and Street

City, State, Zip Code

TANK ID

SPECIFICATION:

Design:

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:

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:

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:

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:

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 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:

STI SP001 Annual Inspection Checklist

General Inspection Information:

Inspection Date:	Retain Until Date:	(36 months from inspection date)
Prior Inspection Date:	Inspector Name:
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 Inspect the AST shell and associated piping, valves, and pumps including inspection of the coating for Paint Failure.

ﾾInspect:

1.Earthen containment structures including examination for holes, washout, and cracking in addition to liner degradation and tank settling.

2.Concrete containment structures and tank foundations/supports including examination for holes, washout, settling, paint failure, in addition to examination for corrosion and leakage.

3.Steel containment structures and tank foundations/supports including examination for washout, settling, cracking, and for paint failure, in addition to examination for corrosion and leakage.

ﾾInspection of cathodic protection system, if applicable, includes the wire connections for galvanic systems and visual inspection of the operational components (power switch, meters, and alarms) of impressed current systems.

ﾾRemove promptly upon discovery standing water or liquid in the primary tank, secondary containment area, interstice, or spill container. Before discharge to the environment, inspect the liquid for regulated products or other contaminants and disposed of it properly.

ﾾIn order to comply with EPA SPCC (Spill Prevention, Control and Countermeasure) rules, a facility must regularly test liquid level sensing devices to ensure proper operation (40 CFR 112.8(c)(8)(v)).

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

ﾾNon-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.

ﾾRetain the completed checklists for 36 months.

ﾾComplete this checklist on an annual basis supplemental to the owner monthly-performed inspection checklists.

ﾾNote: If a change has occurred to the tank system or containment that may affect the SPCC plan, the condition should be evaluated against the current plan requirement by a Professional Engineer knowledgeable in SPCC development and implementation.

	Item		Status		Comments
1.0	Tank Containment
1.1	Containment structure in	Yes	No*
	satisfactory condition?

1.2	Drainage pipes/valves fit	Yes	No*
	for continued service	N/A

2.0	Tank Foundation and Supports
2.1	Evidence of tank	Yes*	No
	settlement or
	foundation washout?
2.2	Cracking or spalling of	Yes*	No
	concrete pad or ring
	wall?
2.3	Tank supports in	Yes	No*
	satisfactory condition?
2.4	Water able to drain	Yes	No*
	away from tank?
2.5	Grounding strap	Yes	No*
	secured and in good
	condition?
3.0	Cathodic Protection
3.1	CP system functional?	Yes	No*	n/a
3.2	Rectifier Reading:
4.0	Tank External Coating
4.1	Evidence of paint	Yes*	No
	failure?
5.0	Tank Shell/Heads
5.1	Noticeable shell/head	Yes*	No
	distortions, buckling,
	denting or bulging?
5.2	Evidence of shell/head	Yes*	No
	corrosion or cracking?
6.0	Tank Manways, Piping and Equipment within Secondary Containment
6.1	Flanged connection	Yes	No*
	bolts tight and fully
	engaged with no
	sign of wear or
	corrosion?
7.0	Tank Roof
7.1	Standing water on	Yes*	No

7.2	Evidence of coating	Yes*	No
roof?cracking, crazing,
	peeling, blistering?
7.3	Holes in roof?	Yes*	No

	Item		Status	Comments
8.0	Venting
8.1	Vents free of	Yes	No*
	obstructions?
8.2	Emergency vent	Yes	No*
	operable? Lift as
	required?
9.0	Insulated Tanks
9.1	Insulation missing?	Yes*	No
9.2	Are there noticable	Yes*	No
	areas of moisture on the
	insulation?
9.3	Mold on insulation?	Yes*	No
9.4	Insulation exhibiting	Yes*	No
	damage?
9.5	Is the insulation	Yes	No*
	sufficiently protected
	from water intrusion?
10.0 Level and Overfill Prevention Instrumentation of Shop-Fabricated Tanks
10.1 Has the tank liquid level		Yes	No*
	sensing device been
	tested to ensure proper
	operation?
10.2 Does the tank liquid		Yes	No*
	level sensing device
	operate as required?
10.3 Are overfill prevention		Yes	No*
	devices in proper working	N/A
	condition?
11.0 Electrical Equipment
11.1 Are tank grounding lines		Yes	No*
	in good condition?	N/A
11.2 Is electrical wiring for		Yes	No*
	control boxes/lights in	N/A
	good condition?

Additional Comments:

STI SP001 Portable Container Monthly Inspection Checklist

General Inspection Information:

Inspection Guidance:

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

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

ﾾ Retain the completed checklists for 36 months.

Item

Area:

1.0 AST Containment/Storage Area

1.1

ASTs within designated

Yes

No*

Yes

No*

Yes

No*

Yes

No*

storage area?

1.2

Debris, spills, or other fire

Yes*

hazards in containment

or storage area?

1.3

Water in outdoor

Yes*

secondary containment?

1.4

Drain valves operable

Yes

No*

Yes*

and in a closed

position?

1.5

Egress pathways clear

Yes

No*

Yes*

and gates/doors

operable?

Item

Area:

2.0

Leak Detection

2.1

Visible signs of

Yes*

leakage around the

container or

storage area?

3.0

Container

3.0

Noticeable container

Yes*

distortions, buckling,

denting or bulging?

Comments:

Question	Answer
Form Name	Sti Sp001 Ast Record Form
Form Length	10 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	2 min 30 sec
Other names	sti sp001 6th edition inspection checklist, sti sp001 6th edition pdf, SPCC, sti sp001 monthly inspection checklist

Inspection Date:

Retain Until Date:

(36 months from inspection date)

Prior Inspection Date:

Inspector Name:

Prior Inspection Date:

Inspector Name:

Tanks Inspected (ID #’s):