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
API
Unknown
SWRI Horizontal Vertical Rectangular
Other
Manufacturer: Contents: Construction Date: Last Repair/Reconstruction Date:
Dimensions: Capacity: Last Change of Service Date:
Construction: Bare Steel
Coated Steel
Double Bottom
Cathodically Protected (Check one: A. Galvanic or B. Impressed Current) Date Installed: _______________
Concrete Plastic/Fiberglass Other
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
API
Unknown
SWRI Horizontal Vertical Rectangular
Other
Manufacturer: Contents: Construction Date: Last Repair/Reconstruction Date:
Dimensions: Capacity: Last Change of Service Date:
Construction: Bare Steel
Coated Steel
Double Bottom
Cathodically Protected (Check one: A. Galvanic or B. Impressed Current) Date Installed: _______________
Concrete Plastic/Fiberglass Other
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
API
Unknown
SWRI Horizontal Vertical Rectangular
Other
Manufacturer: Contents: Construction Date: Last Repair/Reconstruction Date:
Dimensions: Capacity: Last Change of Service Date:
Construction: Bare Steel
Coated Steel
Double Bottom
Cathodically Protected (Check one: A. Galvanic or B. Impressed Current) Date Installed: _______________
Concrete Plastic/Fiberglass Other
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
API
Unknown
SWRI Horizontal Vertical Rectangular
Other
Manufacturer: Contents: Construction Date: Last Repair/Reconstruction Date:
Dimensions: Capacity: Last Change of Service Date:
Construction: Bare Steel
Coated Steel
Double Bottom
Cathodically Protected (Check one: A. Galvanic or B. Impressed Current) Date Installed: _______________
Concrete Plastic/Fiberglass Other
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
API
Unknown
SWRI Horizontal Vertical Rectangular
Other
Manufacturer: Contents: Construction Date: Last Repair/Reconstruction Date:
Dimensions: Capacity: Last Change of Service Date:
Construction: Bare Steel
Coated Steel
Double Bottom
Cathodically Protected (Check one: A. Galvanic or B. Impressed Current) Date Installed: _______________
Concrete Plastic/Fiberglass Other
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:
For equipment not included in this standard, follow the manufacturer recommended inspection/testing schedules and procedures.
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 owners inspector who is familiar with the site and can identify changes and developing problems.
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.
(*) designates an item in a non-conformance status. This indicates that action is required to address a problem.
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.
Retain the completed checklists for 36 months.
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, val ves), an inspection of these components is required immediately following the event.
Item Status Comments
1.0 Tank Containment
1.1Water in primary tank,
secondary containment,
interstice, or spill
container?
Yes* No
1.2 Debris or fire hazard in
containment?
Yes* No
1.3 Drain valves operable
and in a closed
position?
Yes No*
1.4 Containment egress
pathways clear
and gates/doors
operable?
Yes No*



































2.0 Leak Detection
2.1 Visible signs of
leakage around the tank,
concrete pad,
containment, ringwall or
ground?
Yes* No
3.0 Tank Attachments and Appurtances
3.1 Ladder and platform
structure secure with no
sign of severe corrosion
or damage?
Yes No*
3.2 Tank Liquid level gauge
readable and in good
condition?
Yes No*
3.3 Check all tank openings
are properly sealed
Yes No*
4.0 Other Conditions
4.1 Are there other conditions
that should be addressed
for continued safe
operation or that may
affect the site SPCC plan?
Yes* No
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:
Tanks Inspected (ID #s):
Inspection Guidance:
For equipment not included in this standard, follow the manufacturer recommended inspection/testing schedules and procedures.
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 owners inspector who is familiar with the site and can identify changes and developing problems.
Inspect the AST shell and associated piping, valves, and pumps including inspection of the coating for Paint Failure.
Inspect:
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.
Inspection 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.
Remove 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.
In 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)).
(*) designates an item in a non-conformance status. This indicates that action is required to address a problem.
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.
Retain the completed checklists for 36 months.
Complete this checklist on an annual basis supplemental to the owner monthly-performed inspection checklists.
Note: 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
satisfactory condition?
Yes No*
1.2 Drainage pipes/valves fit
for continued service
Yes No*
N/A
2.0 Tank Foundation and Supports
2.1 Evidence of tank
settlement or
foundation washout?
Yes* No
2.2 Cracking or spalling of
concrete pad or ring
wall?
Yes* No
2.3 Tank supports in
satisfactory condition?
Yes No*
2.4 Water able to drain
away from tank?
Yes No*
2.5 Grounding strap
secured and in good
condition?
Yes No*
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
failure?
Yes* No
5.0 Tank Shell/Heads
5.1 Noticeable shell/head
distortions, buckling,
denting or bulging?
Yes* No
5.2 Evidence of shell/head
corrosion or cracking?
Yes* No
6.0 Tank Manways, Piping and Equipment within Secondary Containment
6.1 Flanged connection
bolts tight and fully
engaged with no
sign of wear or
corrosion?
Yes No*
7.0 Tank Roof
7.1 Standing water on
roof?
Yes* No
7.2 Evidence of coating
cracking, crazing,
peeling, blistering?
Yes* No
7.3 Holes in roof? Yes* No







































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


































STI SP001 Portable Container Monthly Inspection Checklist
General Inspection Information:
Inspection Date: Retain Until Date: (36 months from inspection date)
Prior Inspection Date:
Containers Inspected (ID #s):
Inspector Name:
Inspection Guidance:
For equipment not included in this standard, follow the manufacturer recommended inspection/testing schedules and procedures.
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 owners inspector who is familiar with the site and can identify changes and developing problems.
(*) designates an item in a non-conformance status. This indicates that action is required to address a problem.
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.
Retain the completed checklists for 36 months.
Item Area: Area: Area: Area:
1.0 AST Containment/Storage Area
1.1 ASTs within designated
storage area?
Yes No* Yes No* Yes No* Yes No*
1.2 Debris, spills, or other fire
hazards in containment
or storage area?
Yes* No Yes* No Yes* No Yes* No
1.3 Water in outdoor
secondary containment?
Yes* No Yes* No Yes* No Yes* No
1.4 Drain valves operable
and in a closed
position?
Yes No* Yes* No Yes* No Yes* No
1.5 Egress pathways clear
and gates/doors
operable?
Yes No* Yes* No Yes* No Yes* No




























Item Area: Area: Area: Area:
2.0 Leak Detection
2.1 Visible signs of
leakage around the
container or
storage area?
Yes* No Yes* No Yes* No Yes* No
3.0 Container
3.0 Noticeable container
distortions, buckling,
denting or bulging?
Yes* No Yes* No Yes* No Yes* No
Comments: