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• <br />CERTIFIED TANK INSPECTION REPORT <br />Date <br />• <br />Inspector Name <br />Company <br />Phone <br />Address FAX <br /> <br />Tank Owner's Name <br />Tank Location Phone <br />Tank Dimensions <br />Product(s) Stored Capacity gallons <br />Tank type (check all that apply): <br />? Single wall ? Double wall ? Secondary containment <br />? Horizontal ? Vertical ? Rectangular <br />? In contact with ground ? Not in contact with ground ? Cathodic protection installed <br />? Tank equipped with manway ? Tank not equipped with manway <br /> Yearly Inspection Requirements <br />Section Item to check Comments <br />4.2 Water in tank(s) <br />4.3 Tank interstice, <br />Leak detection <br />4.4 Pipe Connections <br />4.5 Exterior <br />4.6 Vents, <br />Emergency Vents, <br />Spill Containers <br />4.7 Site Drainage <br />4.8 Emergency Vents <br />o-rings or gaskets <br />4.9 Tank Supports <br />4.10 Tank Foundation <br />0 AST Inspection Standard 16 <br />September 2000