Appendix A - Inspection Forms and Checklists 2.pdf

The document is a set of inspection forms and checklists for Underground Storage Tank (UST) systems, specifically designed for quarterly and annual inspections in accordance with Michigan Underground Storage Tank Rules (MUSTR) and Petroleum Equipment Institute (PEI) recommended practices. The forms are comprehensive, covering multiple inspection categories including:

1. Leak Detection and Recordkeeping: Requires checks on automatic tank gauges, monitoring systems, statistical inventory reconciliation, and manual groundwater/soil vapor monitoring. 2. Tank Infrastructure Inspection: Details checklist items for grade-level covers, spill-containment manholes, drop tubes, tank gauge sticks, and tank vents. 3. Corrosion Protection: Includes verification of impressed-current cathodic protection system readings. The forms are intended for use by Class B operators conducting inspections on underground storage tank facilities, with sections for documenting tank conditions, identifying potential issues, and recording compliance with regulatory requirements. These forms are specifically referenced in a VA Medical Center contract for inspecting six underground fuel storage tank systems located in Detroit, Michigan.