UNDERGROUND STORAGE TANK SYSTEM INSPECTION CHECKLIST.pdf

UNDERGROUND STORAGE TANK SYSTEM INSPECTION CHECKLIST

Facility Name: Tank Designation: _____ _ Facility Address: _______ _ Tank Type (Steel/FG): ___ _

Inspection Date: ________ _ Tank Size (gallons):, ____ _ Inspector Name: _______ _ Tank Contents:, ____ _

Category Description Yes No N/A

Fill/Spill Bucket Check for Liouid and Debris Product, water, or debris in bucket?

Color Code Color is correct and is not faded Cover Cover seals onto bucket & in aood condition lntearitv lntearitv is aood (no cracks or bulaes)

Cap / Adapter Fittings Fill cap tightly sealed; gasket in aood cond.

Adapter spins and is in good condition

Droo Tube Obstructions, cracks. or holes?

Tank Containment Sumps Check for Liauid and Debris Water, oroduct, or debris present in the sumo?

Manhole Cover I Skirt In aood condition

Properly seals onto sump Sump Lid Gasket in good condition

Cracks present?

Entrv Boot Fittinas In aaod condition?

Secondary Pipe Test Test boot fittings present?

Fittinas Air Stem and test boot fittinas in aood condition?

Flex Connectors In aood condition and not leakina

STP and LLD leaking?

STP and LLD in good condition?

Submersible Pump Junction Box & Conduit in aood condition and constructed orooerly?

Copper tubinQ in Qood condition?

Positioned at the bottom of the sumo?

Sump Sensor Positioned at bottom of sumo?

Automatic Tank GauQe Manhole Cover & Skirt In good condition?

Riser cap tightly sealed and aasket in aood condition?

Riser Cap & Adapter Adaoter soins? (should not) Adapter in good condition?

Wire Qrombit is tiQhtly sealed?

Communication Cable In Qood condition?

Junction Box & Conduit In aood condition & constructed orooerlv?

Interstitial Sensor Manhole Cover & Skirt In Qood condition

Riser cap tiahtly sealed?

Riser cao in aood condition?

Riser Cap & Adapter Adaoter spins? (should non Adapter in goad condition?

Wire Grombit is tiohtly sealed?

Communication Cable In aood condition?

Junction Box & Conduit In aood condition?

Overfill Alarms Panel Test Passed test?

Acknowledgement Switch Passed test?

Test Acknowledaement Switch Workina properly?

Papeiwork and Documentation Reaistration Certificate Displayed and current?

Insurance Policv Displayed and current?

Dailv lnsoection Loa Available and maintained?

Monitoring System Alarm Available and maintained?

Loa Release Detection Reports Available and maintained?

UST Inspection Reports Available and maintained?

Line leak detector testing Available and within a 12-month period?

results ATG System Certification Available and within a 12-month period?

Reoort

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