Attachment A - Monthly Reporting Example.pdf

PDF 185 KB Posted

Attached to
AST, UST, Tank and Generator Inspection Services Federal contract opportunity
Solicitation number
36C26025Q0048
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20

About this file

This file is a monthly tank inspection report example showing inspections of multiple above-ground storage tanks (ASTs) at VA facilities, including detailed inspection checklists and leak test reports. The document includes inspection records for tanks at American Lake, including Building 200 Generator Tank, Golf Course Tanks, 12K Generator Tank, and Substation locations. Each inspection checklist covers key safety elements like visible leaks, tank/piping condition, vegetation control, and spill kit availability.

The leak test reports show detailed monitoring data from January 4, 2025, for two tanks: a 1000-gallon unleaded regular tank and a 1000-gallon diesel tank, including measurements of fuel levels, temperatures, and leak detection results. The inspection reports contain specific technical data like tank capacities, temperature readings, and leak test thresholds set at 0.100 G/H with a 99.0% confidence level. This appears to be a template or example document related to the solicitation for AST/UST inspection services at Puget Sound VA Medical Center.

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36C26025Q0048 0002.pdf PDF
36C26025Q0048 0001.pdf PDF
36C26025Q0048.docx DOCX document
Attachment B - Tank Specifications.pdf PDF

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Text version

Inspectors Name:

American Lake ASTs

14/e/i5 Date of Inspection: /

Yes No AST 1/Building 200 Generator Tank

No visible leaks, drips or discoloration.

V

Tank and piping is in good condition, no corrosion.

V No vegetation growing around tank.

Spill kit available and stocked.

Comments (for any "No" check marks):

?/er-ceci/ 1420T-11 7rc/0yr- 74'.0 rernofrel_

Yes No AST 2 & 3/Golf Course Tanks

V Tank and piping is in good condition, no corrosion.

V- No vegetation growing around tank.

. Z Spill kit available and stocked.

Comments (for any "No" check marks

AST 5/12K Generator Tank

Tank and piping is in good condition, no corrosion.

No vegetation growing around tank. -

/ Spill kit available and stocked.

Comments (for any "No" check marks):

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SLOPE 0.00 GAL/HR

SLOPE LOW 0.00 GAL/HR

SLOPE HIGH 0.03 - L/HR

TEST RE3,-

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VA HOSPITAL

mAI-TANCELOT

11147= WA

SITE 4 1

1/4/2025 01:59 AM

LEAK TEST REPORT

TANK NO. 1 1000 Gk.

UNLEADED REG

LEAK TEST 0.100 G/H

LEAK THRESHOLD 0.050 G/H

CONFIDENCE LEVEL 99.0%

TEST STARTED 12:00 AM

TEST STARTED 01/04/2025

LAST DELIVERY 10:02 AM

LAST DELIVERY 10/18/2024

% GROSS CAPACITY 86.05

BEGIN GROSS 863.0 GAL

BEGIN NET 868.1 GAL

BEGIN LEVEL 52.694 IN

BEGIN TEMP 51.628 F

BEGIN WATER 20.4 GAL

BEGIN WATER 0.104 IN

END TIME 1:59 AM

END DATE 01/04/2025

END GROSS 863.0 GAL

END NET 868.1 GAL

END LEVEL 52.692 IN

END TEMP 51.618 F

END WATER 20.4 GAL

END WATER 0.104 IN

HOURLY DATA

TIME DEG F GAL

12:59 AM 51.623 888.46

159 AM 51.618 888.45

SLOPE -0.00 GAL/MR

SLOPE LOW -0.00 GAL/HR

SLOPE HIGH -0.00 - -R

TEST RESOlIcl-

SLOPE EQUALS CALL -I-1i

LEAK RATE

VA HOSPITAL

MAINTANCELOT

TP.C44111-WA

SITE 4 1

1/4/2025 02:00 AM

LEAK TEST REPORT

TANK NO. 2 1000 GAL

DIESFL

LEAK TEST 0.100 G/H

LEAK THRESHOLD 0.050 G/H

CONFIDENCE LEVEL 99.0%

TEST STARTED 12:00 AM

TEST STARTED 01/04/2025

LAST DELIVERY 1:55 PM

LAST DELIVERY 11/26,2024

% GROSS CAPACITY 62.17

BEGIN GROSS 623.5 GAL

BEGIN NET 625.8 GAL

BEGIN LEVEL 38.157 IN

BEGIN TEMP 52.105 F

GEGIN WATER 0.0 GAL

BEGIN WATER 0.000 IN

END TIME 1:59 AM

END DATE 01/04/2025

END GROSS 621%5 GAL

END NET 625.8 GAL

END LEVEL :8.157 IN

END TEMP 52.095 F

END WATER 0.0 GAL

END WATER 0.000 IN

HOURLY DATA

TIME DEG F GAL

12:59 AM 52.101 625.76

1:59 AM 52.095 625.76

Leak Detection Test

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American Lake Tank 1/Substation

Inspectors Name: :re,64 (Ve /0 Date of Inspection: /.--.)-7.- -5

V/

Fill cover, fill pipe and spill bucket are in good condition. No cracks or other anomalies.

No water or fuel in the spill bucket.

V Pad area is in good condition, no significant cracks or destruction, I/

Spill kit available and stocked.

Y Day Tanks have no visual leaks; the secondary containment is free from cracks, dirt and debris. Note there are TWO day tanks for this tank.

I/

Impressed current voltmeter added to logbook, Alarm is functional.

Comments:

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