Attachment B - STI-SP001-Monthly-Inspection-Chec.pdf

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Attached to
H999--Inspect, Clean, and Maintain Fuel Storage Tanks at the Overton Brooks VA Medical Center Amend 3
Solicitation number
36C25625Q0843
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The document is an STI SP001 Monthly Inspection Checklist for aboveground storage tanks (ASTs), designed to provide a standardized monthly visual inspection process. The comprehensive three-page checklist covers multiple inspection categories including tank and piping condition, equipment on tank, containment, concrete exterior AST specifics, and other operational conditions. Key inspection points include checking for leaks, verifying equipment functionality, examining containment integrity, and assessing overall tank system safety, with each item requiring a "Yes", "No*", or "N/A" status and an option to add comments. The checklist emphasizes prompt identification and correction of potential issues, with a requirement to retain completed checklists for at least 36 months and conduct additional inspections after severe weather or maintenance events.

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S02 - 36C25625Q0843 Updated 08.05.2025.pdf PDF
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Monthly Checklist Page 1 of 3

STI SP001 Monthly Inspection Checklist

General Inspection Information:

Ø This checklist is intended as a model. Locally developed checklists are acceptable as long as they are equivalent and meet all applicable inspection checklist items.

Inspections of multiple tanks may be captured on one form as long as the tanks are substantially the same.

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

Ø 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 per paragraph 4.1.2 of the standard.

Ø 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 for regulated products or other contaminants and dispose of properly.

Ø * designates an item in a non-conformance status. This indicates that action is required to address a problem. Note that some 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.

Ø If the inspection finds the integrity of the spill control system and/or the CRDM, such as items 13 and 14, is compromised the tank category and inspection time table should be re-evaluated by someone knowledgeable about the SP001 standard.

Ø Retain the completed checklists for at least 36 months.

Ø After severe weather (snow, ice, wind storms) or maintenance (such as coating) that could affect the operation of critical components (normal and emergency vents, valves), an inspection of these components is required as soon as the equipment is safely accessible after the event.

ITEM STATUS COMMENTS / DATE CORRECTED

Tank and Piping

Is tank exterior (roof, shell, heads, bo4om, connec7ons, fi9ngs, valves, etc.) free of visible leaks?

Note: If "No", iden-fy tank and describe leak and ac-ons taken. Yes No*

2 Is the tank liquid level gauge legible and in good working condi7on? Yes No* N/A

3 Is the area around the tank (concrete surfaces, ground, containment, etc.) free of visible signs of leakage? Yes No*

Inspector’s Signature

Tank(s) inspected ID

Regulatory facility name and ID number (if applicable)

Title: Inspector Name (print):

Retain until date: Prior Inspection Date: Inspection Date:

February 2024, 7th Edition

Monthly Checklist Page 2 of 3

4 Is tank shell or supports free of soil, vegeta7on, water, or foreign material collected or covering the grade line (tank chime or bo4om projec7on)? Yes No* N/A

Is the primary tank free of water or has another preventa7ve measure been taken? NOTE: Refer to paragraphs 6.10 and 6.11 of the standard for alterna7ves for Category 1 tanks. N/A is only appropriate for these alterna7ves.

Yes No* N/A

6 For double-wall or double bo4om tanks or CE-ASTs, is inters77al monitoring equipment (where applicable) in good working condi7on? Yes No* N/A

7 For double-wall tanks or double bo4om tanks or CE-ASTs, is inters7ce free of liquid? Remove the liquid if it is found. If tank product is found, inves7gate possible leak. Yes No* N/A

Equipment on tank

8 If overfill equipment has a “test” bu4on, does it ac7vate the audible horn or light to confirm opera7on? If ba4ery operated, replace ba4ery if needed. Yes No* N/A

9 Is overfill preven7on equipment in good working condi7on? If it is equipped with a mechanical test mechanism, actuate the mechanism to confirm opera7on. Yes No* N/A

10 Is the spill container (spill bucket) empty, free of visible leaks and in good working condi7on? Yes No* N/A

Are piping connec7ons to the tank (valves, fi9ngs, pumps, etc.) free of visible leaks?

Note: If “No”, iden-fy loca-on and describe leak. Yes No*

12 Do the ladders/plaWorms/walkways appear to be secure with no sign of severe corrosion or damage? Yes No* N/A

Containment (Diking/Impounding)

13 Is the containment free of excess liquid, debris, cracks, corrosion, erosion, fire hazards and other integrity issues? Yes No* N/A

14 Are dike drain valves closed and in good working condi7on? Yes No* N/A

15 Are containment egress pathways clear and any gates/doors operable? Yes No* N/A

Concrete Exterior AST (CE-AST)

16 Inspect all sides for cracks in concrete. Are there any cracks in the concrete exterior larger than 1/16”? Yes* No N/A

17 Inspect concrete exterior body of the tank for cleanliness, need of coa7ng, or rus7ng where applicable.

Tank exterior in acceptable condi7on? Yes No* N/A

Visual inspect all tank top openings including nipples, manways, tank top spill containers, and leak detec7on tubes. Is the sealant between all tank top openings and concrete intact and in good condi7on?

Yes No* N/A

Other CondiNons

19 Is the system free of any other condi7ons that need to be addressed for con7nued safe opera7on?

Yes No*

Monthly Checklist Page 3 of 3

Additional Comments:

undefined: Off
Yes No:
undefined_2: Off
Yes No NA:
undefined_3: Off
Yes No_2:
undefined_4: Off
Yes No NA_2:
undefined_5: Off
Yes No NA_3:
undefined_6: Off
Yes No NA_4:
undefined_7: Off
Yes No NA_5:
undefined_8: Off
Yes No NA_6:
undefined_9: Off
Yes No NA_7:
undefined_10: Off
Yes No NA_8:
undefined_11: Off
Yes No_3:
undefined_12: Off
Yes No NA_9:
undefined_13: Off
Yes No NA_10:
undefined_14: Off
Yes No NA_11:
undefined_15: Off
Yes No NA_12:
undefined_16: Off
Yes No NA_13:
undefined_17: Off
Yes No NA_14:
undefined_18: Off
Yes No NA_15:
undefined_19: Off
Yes No_4:
Inspection_Date:
Inspector_Name:
Prior_Inspection_Date:
Retain_Date:
Inspector_Title:
Tanks_Inspected_ID:
Facility_ID:
Additional_Comments_1:
Additional_Comments_2:
Additional_Comments_3:
Additional_Comments_4:
Additional_Comments_5:
Additional_Comments_6:
Additional_Comments_7:
Additional_Comments_8:
Additional_Comments_9:
Additional_Comments_10:
Additional_Comments_11:
Additional_Comments_12:

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