SOW_-_20_Jan_16.pdf

STATEMENT OF WORK

FOR

INSPECTION AND REPAIR OF

UNDERGROUND AND ABOVE GROUND

BULK FUEL STORAGE TANKS

AT

MCCONNELL AIR FORCE BASE

20 January 2016

McConnell Air Force Base

STATEMENT OF WORK

FOR

INSPECTION AND REPAIR OF

UNDERGROUND AND ABOVE GROUND BULK FUEL STORAGE TANKS

AT

MCCONNELL AIR FORCE BASE, KANSAS

1.0. DESCRIPTION OF SERVICES. The contractor shall provide all management, tools, supplies, equipment, and labor necessary for the Inspection and repair of above ground bulk fuel storage tanks (ASTs) and Underground bulk fuel storage tanks (USTs) located at McConnell Air Force Base, Kansas. The scope of work includes but is not limited to the Inspection of Ten (10) UST’s and fifteen (15) AST’s, and the troubleshooting and repair of ten (10) underground storage tanks and fifty-nine (59) above ground storage tanks as required. The contractor shall provide written documentation and reports concerning all inspections, maintenance and repairs performed on all storage tanks. All work shall be completed n accordance with (IAW) all applicable federal, state, local laws, manufacturer’s recommendations, and this Statement of Work (SOW).

1.1. BASIC SERVICES.

1.1.1. Annual Inspection. The contractor shall conduct complete annual inspections to include visual inspections of all ASTs/USTs identified with “Yes” on the attached appendix, Ten (10) USTs and fifteen (15) ASTs. Any issues or required repairs shall be documented and submitted to the QAE, prior to repairs being accomplished. Inspection items shall include but not be limited to the items on the checklists located in Appendix C.

1.1.2. Rainwater Removal. Upon notification from the QAE, the contractor shall empty all rainwater from sumps and/or interstitial tanks IAW Para. 1.5.

1.1.3. Service Calls. The QAE shall notify the contractor of tanks requiring service IAW Para.

1.4.

Historical Data of service calls can be located in Appendix E

1.1.4. Repairs. Repairs will be identified in two ways, either during the annual inspection by the contractor, or by the government QAE. The contractor shall complete all repairs, whether identified by the contractor, or in response to a service call/QAE request. A repair cost estimate report shall be submitted by the contractor and approved, prior to any repairs being accomplished.

1.1.5. Reports. The contractor shall provide a written report and documentation for all annual inspections, each service call, and each repair/maintenance. Reports shall be provided to the QAE after completion as follows:

Annual Inspection Reports shall include but not be limited to the items on the checklists located in Appendix C. The annual report shall include each tank, and any findings for each.

Service Call Reports: The report shall include all assessment results, findings, nature of the call, and actual hours/time on site. The contractor shall also include a repair cost estimate report if applicable, or as requested in response to a service call based on findings.

Repair Cost Estimate Reports: The written repair cost estimate shall include, at a minimum, the following: the estimated cost of material, the specified time needed to complete repairs, and the projected time the equipment will be out of service/completion date of repair.

Repair Completion Report/Maintenance Report: The contractor shall provide a written repair completion report to include but not limited to: deficiencies found, actual parts replaced, parts cost, and actual worked hours per repair. A copy of the repair report shall be provided to the QAE and Contracting Officer (CO).

1.2. UST ANNUAL INSPECTION AND MAINTENANCE. Perform annual inspection on UST’s to include Tightness Test, Line Leak Detection, and thorough inspection of the Fuel Pump as required by state and federal mandates. An annual inspection report shall be submitted after completion of inspections. Any repairs must be submitted in writing to the QAE for Contracting Officer’s approval

1.2.1. VEEDER-ROOT AUTOMATIC TANK GAUGE (ATG) SYSTEM. The contractor shall inspect the ATG system to ensure all components of the Veeder-Root Automatic Tank Gauge (ATG) System are in working order. If repairs are necessary, the contractor shall respond within two (2) business day of notification from the QAE. The contractor shall identify the repairs in writing to the QAE for Contracting Officers approval prior to repair.

Note: The ATG’s are regulatory mandated systems that monitor the tanks for leaks as well as produce and faxes daily warning and required monthly reports.

If the system fails to complete a monthly report the base is out of regulatory compliance with the state UST management program and/or the mandated USEPA Spill Prevention Controls and Countermeasures Plan.

1.3. AST ANNUAL INSPECTION. Perform annual inspection on AST’s. Contractor shall calibrate the liquid level detection systems in accordance with manufacturer’s recommendations and as required by state and federal mandates. An annual inspection report shall be submitted after completion of inspections.

Any repairs must be submitted in writing to the QAE for Contracting Officer’s approval.

1.4. REPAIR SERVICE CALLS FOR ABOVE GROUND STORAGE TANKS (ASTS) AND

UNDERGROUND STORAGE TANKS (USTS). The initial response includes travel to the installation, assessment of repair needed, a quote for estimated cost of repair and any repair or corrective action that may be completed within one hour. The contractor shall provide the COR with an estimated cost of parts, labor and special rental equipment within one business day from the time the contractor reports to the work location and surveys the required repairs. The Service Call price shall be priced separately from the actual repair work. The contractor will not receive payment for Service Calls for repair service identified in the annual inspections. NOTE: Routine Service Calls shall be invoiced using Price List Items X0001AB All repair work shall be in accordance with normal commercial practices.

The estimate will be reviewed and approved by the QAE, in writing, prior to service on the tank being performed. The contractor shall provide a Repair Completion Report/Maintenance Report, to include general itemized parts and costs upon completion of all work. A copy of each report will be given to the Quality Assurance Evaluator (QAE) within 7 days of the repair. The contractor shall comply with all local, State, and Federal regulations

1.4.1 REPAIRS. Repairs shall be identified either by the contractor during the annual inspection or by the government as required. If identified during an annual inspection, the contractor shall provide a written repair cost estimate to the QAE and Contracting Officer (CO) within two (2) business days of finding the deficiency. The written repair cost estimate shall include, at a minimum, the following: the estimated cost of material, the specified time needed to complete repairs, and the projected time the equipment will be out of service. At no time shall work in excess of $2,500.00 be completed without CO approval. The contractor shall ensure all repair work commences within two business days of approval. The contractor shall ensure that all repair work is completed within three days of its commencement; however, the contractor is encouraged to keep equipment downtime to a minimum. The contractor shall provide a written repair completion report to include but not limited to: deficiencies found, actual parts replaced, parts cost, and man hours per repair. A copy of the repair report shall be provided to the Quality Assurance Evaluator (QAE) and Contracting Officer (CO). All estimates and repairs shall be completed within the allotted timeframes 100% of the time, unless otherwise coordinated with the QAE.

NOTE: Repair Service labor hours to include Sub-Contract expenses shall be invoiced using Price List Items X0001AE. Parts, and Special Rental Equipment for repair work shall be reimbursed under designated contract Price List Item X0001AD Submission of receipts for parts and special rental equipment shall be submitted with all invoices.

1.5. SUMP PUMP AND INTERSTITIAL SPACE PUMPING SERVICE CALLS. In the event that an underground or above ground storage tank’s sump or interstitial space is filled with rainwater or condensation the contractor shall respond and empty them as well as clean any debris within one (1) day of notification by the Quality Assurance Evaluator (QAE) Prior to pumping, the contractor shall perform a visual inspection of the contents. If the water has a sheen or a petroleum odor, the contractor will not pump the water and must contact the Tank Program Manager , 22 CES/CEAN, 759-4446 and wait for guidance on appropriate disposal. All tanks shall be emptied within the allotted time frame 100% of the time.

1.6 SPOT CORROSION CONTROL. Contractor shall remove corrosion and prepare, prime, and paint tanks as required. Tanks with corrosion shall be identified by the QAE. The contractor shall not be responsible for performing corrosion control on an entire tank. The contractor shall prepare an estimate for approval prior to beginning corrosion control. (NOTE: Parts/Materials for corrosion control shall be reimbursed under designated contract CLIN, X0001AC).

1.6.1. SURFACE PREPARATION. The Contractor shall be wholly responsible for the final results of his work and shall not commence any part of the work until surfaces to be painted are in proper condition. It is the responsibility of the Contractor to inspect the existing surfaces prior to application of paint or other coating and to properly prepare the surfaces to be painted or coated.

1.6.2. PROTECTION OF EXISTING WORK. All existing building surfaces, utilities, equipment, fixtures, furnishings, landscaping, sprinkler irrigation systems and adjacent vegetation shall be protected by the Contractor from damage during work under this contract, and any damage to such items due to work under this contract shall be promptly repaired by the Contractor at his own expense.

1.7. REPORTS/DOCUMENTATION. All maintenance performed on tanks will be documented.

A copy of each report will be given to the Quality Assurance Evaluator (QAE) upon completion of the annual Inspection and repair of each above ground and underground storage tank. The annual report shall include each tank, and any findings for each. Service calls shall be documented by written report. The report shall include all repairs; to include general itemized parts and costs In order for services to be acceptable, all reports/documentation shall be accurate and submitted to the QAE 100% of the time.

2.0. GOVERNMENT FURNISHED PROPERTY AND SERVICES. Utilities will be available to the contractor without charge. Any temporary lines and connections that may be required shall be installed, maintained and removed by the contractor at his expense and in a manner satisfactory to the Quality Assurance Evaluator (QAE).

3.0. GENERAL INFORMATION

3.1. HOURS OF OPERATION. The normal hours of operation for the Contractor to perform the services required under this contract are 7:30 AM to 4:15 PM, Monday through Friday. The Contractor is not required to provide normal service except for emergencies on the following days:

New Year’s Day, Martin Luther King’s Birthday, President’s Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, and Christmas Day. The Quality Assurance Evaluator (QAE) or Contracting Officer (CO) must approve in advance, excluding legal holidays, any exceptions to the negotiated work hours and designated workdays.

The Contractor shall submit their request to Quality Assurance Evaluator (QAE) and Contracting Officer (CO) no later than two (2) working days in advance of the requested change(s).

3.2. CONTRACTOR PERSONNEL.

3.2.1. The Contractor’s employees shall comply with all base regulations at all times and shall conduct themselves in a professional manner. Uniforms, badges, and good behavioral conduct will be mandatory. The manager or foreman must be able to read, write, speak, and understand English.

3.2.2. Contractor personnel shall be licensed to work on AST’s and UST’s by the state of Kansas Department of Health and Environment.

3.2.3. Contractor personnel shall be trained/certified to maintain Veeder-Root automatic tank gauge systems.

3.3. AIR FORCE TOBACCO POLICY. The Contractor shall ensure that all Contractor employees do not use tobacco products within any base facility, around fuel tanks and generators, within any clearly marked “No Smoking” areas or within any flight line aircraft parking areas.

3.4. SAFETY AND ACCIDENT REPORTING. The Contractor shall be responsible for all base, local, state and Federal occupational safety requirements. The Contractor shall ensure that all services are conducted safely at all times. The Contractor shall ensure that all Contractor employees are issued and properly use all required safety protection equipment. The Contractor shall use mechanically sound and safe vehicles and equipment in the performance of services under this contract. The Contractors shall take necessary corrective actions if Contractor’s employees are conducting operations in an unsafe manner. In the event of an accident, the Contractor shall contact the base emergency 911 service and the Quality Assurance Evaluator (QAE) immediately.

Additionally, the Contractor and contractor’s personnel will be knowledgeable of and comply with all other base incident-reporting procedures.

3.5. HIRING GOVERNMENT PERSONNEL. The Contractor is restricted from hiring the Quality Assurance Evaluator (QAE), inspectors, monitors or any other Government employees whose employment could result in conflict of interests in accordance with DOD 5500.7R

3.6. BASE ACCESS. The contractor shall obtain personal identification passes for all employees and vehicle passes for all contractor and personal vehicles requiring entry onto McConnell AFB.

The contractor must complete McConnell AFB Form 114, Contractor/Vendor Access List, and submit it through the Contracting Officer to the Security Forces and Pass and Registration. Vehicle registration, proof of insurance, and a valid driver’s license must be presented for all vehicles to be registered.

3.6.1. PERFORMANCE OF SERVICES DURING CRISIS DECLARED BY THE

PRESIDENT OF THE UNITED STATES OR THE SECRETARY OF DEFENSE OR

LOCAL INSTALLTION COMMANDER. At the Government’s discretion, there may be times during a crisis period that the Contractors may be restricted from entering or leaving the base. This will be kept to an absolute minimum whenever possible and the Contractor shall be kept informed by the Quality Assurance Evaluator (QAE) or Contracting Officer (CO). The Contractor shall use all means at their disposal to continue to provide refuse collection and disposal services, in accordance with Department of Defense Instruction (DODI) 3020.37 and Air Force implementation thereof and the terms and conditions of the contract during periods of crisis, until appropriately released or evacuated by the local military authority. If any base entry/closure action is taken by the Government while acting in its sovereign capacity, no compensation or relief of any type, other than possibly extension to the performance completion date where warranted, will be provided to the Contractor.

4.0. ENVIRONMENTAL COMPLIANCE. The Contractor is required to comply with all applicable State and Federal laws and regulations. The laws and regulations include, but are not limited to: environmental and occupational safety and health. The Contractor shall be responsible for compliance and liable for penalties, fines, or natural resource damage claims that may be required or assessed by the State of Kansas, Federal or Local Governments resulting from Contractor performance, or failure to perform, during the course of this contract. The Government will inspect for environmental compliance at their discretion, and will notify the Contracting Officer (CO) of any discrepancies found. In addition, the Contractor may be subject to contractual sanctions including, but not limited to, termination, suspension, debarment and adverse past performance assessment.

4.1. SOLID WASTE. The Contractor is responsible for the proper handling and disposal of solid waste. The Contractor shall also be responsible for any enforcement action that may be taken by the State of Kansas, other State or the Federal Government related to handling, transportation and the proper disposal of solid waste materials. If notification, certifications, documentation, manifests, permits or any other written materials are required by law to be obtained, prepared and/or submitted, the Contractor shall prepare same and provide a written copy to the Contracting Officer (CO), and a copy to the Environmental Flight (22 CES/CEAN). Materials subject to regulatory control must be reviewed by CEAN prior to removal from MAFB. Any action, which violates permit requirements for compliance, must be reported to the Environmental Flight immediately.

4.2. NOTIFICATION OF ENVIRONMENTAL SPILLS. In the event that the Contractor spills or releases any un-permitted substance, hazardous substance or hazardous waste into the environment, the Contractor shall immediately report the incident to the Fire Department, the Civil Engineering Quality Assurance Evaluator (QAE), and the Contracting Officer (CO). The Contractor shall be liable for the costs of clean up and remediation of any spills or the release of such substance into the environment.

4.3. MATERIALS. All materials used in the performance of the identified services on the installation shall be incompliance with industry standards, local, State, and Federal laws and will be used in accordance with manufactures’ recommendations. No materials shall be stored on MAFB.

4.3.1. Material Safety Data Sheets (MSDS): The Contractor shall submit Material Safety Data Sheets for all chemicals proposed for use under this contract

5.0. APPENDICES

A. Estimated Workload Data B. Maps

APPENDIX A

ESTIMATED WORKLOAD DATA

This is the estimated workload based upon the total number of actual Underground and Above Ground Storage Tanks located at McConnell Air Force Base. The below are estimates only and do not represent or guarantee the exact quantities or workload to be performed under any resultant contract. Actual quantities may vary during contract performance due to the dynamic nature of the base’s mission. There will no additional costs to either party due to these variances.

ABOVE GROUND STORAGE TANKS

Bldg.

Cap.

(Gals) Type of Tank Product Tank Use Organization

Annual Inspection?

01* 800/200 Steel w/no liner Heating Oil/ Diesel Fuel

Boiler/Power Generator HVAC/Power Pro No

70 50 Steel w/no liner Diesel Generator Tank (Day Tank) Power Pro No

70 250 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

340 6000 Steel w/no liner

Heating Oil Heating Oil Tank (Stand Alone)

HVAC Yes

342 8000 Steel w/no liner

Heating Oil Heating Oil Tank (Stand Alone)

HVAC Yes

408 1000 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

412 50 Steel w/no liner Diesel Generator Tank (Day Tank) Power Pro No

412 250 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

424 600 Steel w/no liner Used Oil Used Oil Storage Tank 22d Services Yes

515 2000 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

643 500 Steel w/no liner Diesel Stand Alone Power Pro No

672 600 Steel w/no liner Diesel Generator Power Pro No

695 120 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

710 500 Steel w/no liner Used Oil Used Oil Storage Tank 22d Transportation Yes

714 396 Steel w/no liner Used Oil Used Oil Storage Tank 22d Transportation Yes

739 50 Steel w/no liner Diesel Generator Tank (Day Tank) Power Pro No

739 1000 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

952 500 Steel w/no liner Used Oil Used Oil Storage Tank Supply Fuels Yes

955 500 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

968** 1000 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

969 50 Steel w/no liner Diesel Generator Tank (Day Tank) Power Pro No

969 1000 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

971* 20 Steel w/no liner Diesel Generator Tank (Day Tank) Power Pro No

971* 6000 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

1104* 4000 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

1104* 150 Steel w/no liner Diesel Generator Tank (Day Tank) Power Pro No

1112 50 Steel w/no liner Diesel Generator Tank (Day Tank) Power Pro No

1112 500 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

1115 500 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

1127 284 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

1151 4000 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

1151 600 Steel w/no liner Diesel Generator (Belly Tank) Power Pro No

1170* 500 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

1171* 1500 Steel w/no liner Used Oil Used Oil Storage Tank AGE Yes

1171* 1200 Steel w/no liner Jet Fuel Aircraft Fuel AGE Yes

1171* 1100 Steel w/no liner Jet Fuel Used Fuel Storage AGE Yes

1176 25 Steel w/no liner Diesel Generator Tank (Day Tank) Power Pro No

1178* 2500 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

1178* 100 Steel w/no liner Diesel Generator Tank (Day Tank) Power Pro No

1200 25 Steel w/no liner Diesel Generator Tank (Day Tank) Power Pro No

1200 500 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

1210 3000 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

1212 500 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

1219 459 Steel w/no liner Diesel Generator Comm Yes

1220 200 Steel w/no liner Diesel Generator (Belly Tank) Power Pro No

1220 1000 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

1270 1000 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

1270 50 Steel w/no liner Diesel Generator (Day Tank) Power Pro No

1332* 400 Steel w/no liner Gasoline Motorized Vehicle Fuel Tank 22d Services Yes

1332* 400 Steel w/no liner Diesel Motorized Vehicle Fuel Tank 22d Services Yes

1339 162 Steel w/no liner Diesel Generator (Belly Tank) Utilities Yes

1348 400 Steel w/no liner Gasoline Fuel Storage Outdoor Rec Yes

1348 400 Steel w/no liner Diesel Fuel Storage Outdoor Rec Yes

1560 50 Steel w/no liner Diesel Generator Tank (Day Tank) Power Pro No

1707* 300 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

20036* 300 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

20037* 300 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

20039* 300 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

20040* 300 Steel w/no liner Diesel Generator Tank (Stand Alone) Power Pro No

The AST at building 1 is a separated dual compartmented AST.

APPENDIX A (Continued)

ESTIMATED WORKLOAD DATA

UNDERGROUND STORAGE TANKS

Building Number Cap. (Gals) Type of Tank

Product Tank Use Organization Annual Inspection?

314 12,000 Fiberglass Gasoline Vehicle Fueling AAFES Yes

314 12,000 Fiberglass Gasoline Vehicle Fueling AAFES Yes

314 12,000 Fiberglass Gasoline Vehicle Fueling AAFES Yes

708* 10,000 Fiberglass Diesel Vehicle Fueling POL Yes

708* 10,000 Fiberglass Gasoline Vehicle Fueling POL Yes

964* 10,000 Fiberglass Diesel Vehicle Fueling POL Yes 1169* 10,000 Fiberglass Heating Oil Boiler HVAC Yes

1171 2,000 Steel Aviation Fuel Aviation AGE Yes

1171 5,000 Steel Aviation Fuel Aviation AGE Yes

1171 2,000 Steel Gasoline Vehicle Fueling AGE Yes

* - Denotes ASTs and USTs that will require an escort.

APPENDIX B

MAPS OF UST’S AND AST’S

Figure 1: USTs Building 314

Figure 2 – USTs Building 708

Figure 3 - USTs Building 964

Figure 4 - USTs Building 1115

Figure 5 - USTs Building 1171

Figure 6 - ASTs

Figure 7 - ASTs

APPENDIX C

ANNUAL INSPECTION CHECKLIST ABOVE GROUND STORAGE TANKS SYSTEM

ANNUAL INSPECTION CHECKLIST

SHOP FABRICATED AND ORGANIZATIONAL TANKS (AFI 32-7044)

This checklist is to be completed annually to comply with 40 CFR 112.8 requirements andAFI 32-7044for periodic inspections of Shop Fabricated Aboveground Storage Tanks (ASTs) and Organizational ASTs.

Tank No.

Tank Location

Type Fuel Stored

Tank capacity (gallons)

Inspector Name

Organization

Inspector Duty Phone

Date of Inspection

No ITEM YES NO N/A 1 Tank Containment

-Inspect secondary containment. Are there water accumulations, debris, vegetation, cracks, fire hazards or holes?

-Are containment drain valves in working order and closed.

2 Tank Foundation and Supports -Is there evidence of tank settlement, foundation washout, or foundation cracking?

-Is there any cracking, spalling or severer corrosion of tank supports and/or saddles?

-Are ladders, platforms, handrails, stairs secure with no indication of severe corrosion and/or damage?

3 Tank and Appurtenances -Is the Normal Vent clear and free of obstructions?

-Is vent located five feet or more from adjacent buildings?

-For class I fuels (ie MOGAS, AVGAS), are normal vents located at least 12 feet above grade?

-Are there emergency vents for the primary tank?

— Is emergency vent operable (vent cover can be lifted by hand)?

-Are there emergency vents for the secondary tank if a double wall tank?

« Is emergency vent operable (vent cover can be lifted by hand)?

-Are all valves in working order?

DRAFT 1/13/16

4 Corrosion Control -Is there evidence of paint coating failure or severe corrosion of tank and piping surfaces?

-Is there evidence of corrosion at pipestand and piping interfaces (undercutting of pipe) including underside of piping?

-Is there cathodic protection for underground metallic piping?

—Is cathodic protection working and being checked regularly?

5 Level and Overfill Prevention -Has the tank level indicating device been tested and is in working order?

-Is tank level gage viewable from the filling point?

-Has the overflow shutoff mechanism (shut off valve or float valve) been tested and is in working order?

-Is the High Level Alarm present and in working order?

-Are anti-siphon valves operable (if present)?

6 Electrical Wiring and Equipment -Is tank grounded?

—Are grounding straps secure and in good order?

-Are wiring, wiring conduit, junction boxes in good condition? Are electrical components in classified conduit and enclosures as required?

7 Tank Site -Are traffic bollards and/or protection from vehicle traffic in place where required?

8 Any other items of note:

9 Address/correct any found deficiencies or submit AF Form 332 for further action

Inspector Signature Date

APPENDIX D

ANNUAL INSPECTION CHECKLIST UNDERGROUND STORAGE TANK SYSTEM

Tank No.

Tank Location Type Fuel Stored Tank Capacity (gallons)

Inspector Name Organization Inspector Duty Phone Date of Inspection

DISPENSER AREA Date Initials Dispenser Sumps Test Leak Detector Sensor

Product Shear Valve Test for proper operation.

LEAK DETECTION EQUIPMENT Date Initials Automatic Tank Gauge Proper clearance between manhole lid and probe

Inspected per manufacturer recommendations.

Interstitial Monitoring Monitoring ports properly identified.

Inspected per

Manual Inventory Control Product dispensers properly calibrated.

Automatic Line Leak Detector Function tested.

Soil Vapor Monitoring Inspected per

Groundwater Monitoring Inspected per

ANNUAL INSPECTION CHECKLIST UNDERGROUND STORAGE TANK SYSTEM

(CONT)

TANK AREA Date Initials Containment Sump Proper clearance between manhole lid and submersible pump.

Sump Sensors Test sensor.

Ball Float Valves Verify in place.

or Overflow Prevention Valves (Flapper Valves)

Verify in place.

or

Overfill Alarms Functioning properly. (If present.)

Impressed Current Cathodic Protection

Proper operation verified by qualified person.

or

Galvanic Cathodic Protection System

Proper operation verified by qualified person.

APPENDIX E

HISTORICAL DATA

Historical Data

Building Service Provided

1 Performed CPU board, software, and fax board upgrades for TLS-350 UST monitor.

Responded to probe out alarm. Found water in sump probe wiring junction box and defective sump probe. Wiring in the junction box was dried and the junction box resealed. A replacement sump ordered.

1 Sump sensor installation of backup generator tank.

1 Self help. Installed flow meter on supply line to backup generator.

1 Repair leaking bulkhead seals for both UST systems.

1 Performed tank tightness test on heating oil tank.

Replaced both the heating oil and diesel tank UST sumps, replace concrete pads, rewired probes, reprogrammed VR unit.

Installed surge protection for phone and electrical line connections to TLS-350 UST monitor.

1 Replace sump sensor to Power Pro tank.

314 Performed yearly line leak detector test.

PLLD test failed. Found all functions normal, checked diagnosis was ok on lines.

Unwired and disabled interstitial sensors. Found wrong line type entered into programming; corrected.

314 Fixed faulty check valves in fuel dispensing pumps.

314 Retro test product lines and line leak detector equipment for all three tanks.

314 Problem with premium gas sensor for tank. Called PB to take a look.

Installed caps to interstitial probes to all tanks. Wire connects ere loose and allowed water to enter the tank interstitial and mix with the tank brine fluid.

314 Repaired leaking bulkhead seals in all the UST sumps.

314 Installed new seals around lids.

314 Installed surge protection for VR unit phone and electrical connections.

314 Performed annual line and line leak detection equipment test.

Pumped water from all three UST sumps. Sumps flooded due to high groundwater levels.

314 Tightness tested all three tanks and lines as part of the sump replacement project.

314 Three tanks precision tested

314 Tested sensors on #2 and #3.

4 pumps down, pump3 replaced breakaway, pump 8 found paper jam, cleared and reloaded

314 Water in Sump/ emptied, left on site in barrel

314 High water alarm at building 314. Programmed out sump and interstitial sensors

340 Pulled new wired from tan gauge to tank for sensor and probe

Found sump and interstitial probe lines incorrectly labeled. Correct and found interstitial sensor was defective.

352 Upgraded CPU board and software for TLS-350 UST monitor.

Installed surge protection for phone and electric line connections to TLS-350 UST monitor.

408 Performed CPU board and software upgrade for VR-TLS-350 UST monitor.

408 Replaced defective sump probe.

Installed surge protection for phone and electric line connections to TLS-350 UST monitor.

408 Repaired leaking UST sump bulkhead seals.

Inspected VR system to determine cause of malfunction. Barrier board was knocked out due to an electrical surge. Ordered new board.

515 Replaced barrier board. Also ordered junction board.

Replaced barrier board, interstitial modules, expansion module, and printer. Unit is now operational.

515 Replaced CPU board, barrier board, fax board, and upgraded software.

515 Reprogrammed VR unit to fax alarm conditions to CEV.

515 Checked out VR unit, fax modem is not working.

515 Unit Not faxing.

515 Fax board bad in TLS-350 unit, gave ok to order replacement board.

515 Replace fax modem board to TLS-350 UST monitoring unit.

Installed surge protection for phone and electrical line connections to TLS-350 UST monitor.

708 Performed tightness test on conventional suction lines for both tanks.

708 Disabled interstitial sensors to tanks.

708 Performed line tightness test to confirm pump island flex hose upgrade.

Upgraded pump island fuel dispensers. Flex hose located at the bottom of dispensers were upgraded to meet EPA specs for corrosion control protection.

708 Installed discriminating sump sensors.

708 Terminated VR wiring.

708 Replaced dual float sensor, also needed discriminating sensor. Placed and tested.

708 Adjusted fluid levels for tank interstice for leak detection probes for both tanks.

708 Adjusted interstitial fluid levels to clear alarm for diesel UST.

708 Repair leaking bulkhead seals.

Checked our VR unit, cleared alarms, reprogrammed VR to do static tests and set to fax

CEV.

708 Diesel sump interstice probe is bad, gave Brad ok to order new probe.

708 Installed new sump sensor

708 Replaced diesel tank insterstice probe.

708 Replaced gasoline tank sump probe.

Installed surge protection for electrical and phone line connections for TLS-350 monitor.

708 Replaced sump probe.

708 Adjusted interstice fluid level for diesel tank.

Adjusted fluid level in diesel tank interstice. Took out approximately 5-gallons of water. Instructed Ray's to send me a quote to have tank interstice tightness tested for leaks.

708 Performed annual line leak detection test.

708 Performed tank tightness test for diesel fuel tank.

708 Tested product lines at 964, 1171, 314, and 708.

Relocated VR TLS-350 unit from inside Building 708 to Hoffman box mounted on the outside of building for easier access and maintenance.

708 Converted lines for both diesel and gasoline tanks to safe suction.

708 Adjusted interstitial fluid levels for diesel tank.

708 Adjusted interstice brine levels.

708 Replaced defective check valve under mogas pump.

708 Fixed leaking product line.

708 Sensor level set low and cord grip was loose. Reset sensor, VR all functions normal.

708 Reprogrammed VR Units At Buildings 708 and 964

708 Reprogram Veeder-Root

708 Water in sump, tank intestice needed adjusting, and defective sump sensor.

708 Installed sensor in sump.

708 Resent interstitial sensor.

708 Replace bad battery on CPU board.

708 Checked Veeder root, CPU lost programming, replaced battery and reprogrammed

708 Adjusted fluid lever, cleared alarm

708 Silicone sealed crack on connector. Removed fluid in interstitial riser

708 Replaced the interstitial sensor cable on diesel tank

708 High liquid interstitial alarm. Checked veeder root, no current alarm

708 Moved sensor for tank 1 interstitial from L1 to L5 channel, reconnected modem

708 Found L1 programmed back in. Removed L1 to channel 5, channel 1 no longer in use

708 Bldg 708 has T-2 leak alarm. Checked Veeder Root tank 2 for leak alarm

708 High liquid interstitial alarm. Removed liquid to proper level and reinstalled

708 Veeder Root problems, Replaced Diesel Float

708 Installed heater to keep system warm at building 708

710 Adjusted interstitial fluid levels.

710 Replace CPU board, software upgrade (version 20) and replaced fax modem.

710 Installed discriminating sump sensor.

Installed surge protection for phone and electrical line connections to VR TLS-350 UST monitor.

710 Replace flapper valve.

710 Install new drop tube and overflow valve in tank

964 Performed annual line tightness test for pressurized line.

964 Line leak test.

Upgraded pump island fuel dispenser. Rubber cover was placed over metal flex hose at bottom of dispenser to provide corrosion control.

964 Retro test lines and line leak detector equipment.

964 Checked line leak detector.

964 Installed discriminating piping sump sensor.

964 Repaired leaking bulkhead seals to both the diesel and deicing fluid tanks.

964 Checked out VR unit and found that cable conduit had been cut bay paving contractor.

VR not working. Ray's determined CPU board is bad, gave ok to order replacement board.

964 Replaced defective CPU board.

Installed surge protection on phone and electric line connection for VR TLS-350 UST monitor.

964 Performed annual line leak detection test.

964 Adjusted UST interstice fluid levels.

964 Adjusted UST fluid levels and put new roll of paper in VR TLS printer

964 Reprogram Veeder-Root

Repaired severed VR probe conduit, moved VR unit from 968 to hoffman box SW corner of UST basin.

964 TLS needs reprogramming. Replaced battery

964 Installed heater to keep system warm at building 964

Performed CPU board replacement and software upgrade (vrs 20) for VR TLS-350 UST monitor.

Performed CPU board replacement and software upgrade (vrs 20) for VR TLS-350 UST monitor.

Replaced printer and LCD board light bulbs. Also, disconnected discriminating sump sensor to thaw ice from end of probe. Instructed POL personnel to pump UST sump out. Prove was reinstalled.

971 Rewired VR monitor to comply with VR dedicated monitor requirements.

971 Self Help. Installed flow meter on supply line to backup generator.

Installed surge protection on phone and electrical line connections for VR TLS-350 UST monitor.

971 Replaced defective sump sensor.

971 Veeder Root is in alarm with probe problem, Ohmed out wires

973 Self Help. Installed flow meter on fuel line to backup generator

Installed surge protection for phone and electric line connection for TLS-350 UST monitor.

Installed 6 input type B module in TLS-350 system, wire the mat probe and discrimination sum sensor to the TLS-350 system, programmed VR unit, run wires from sump to VR unit.

984 Installed 4" cap and ring kit on riser containing the tanks magnestrictive probe.

984 Self Help. Installed flow meter on fuel line to backup generator.

Installed surge projection of phone and electrical line connections to TLS-350 UST monitor.

Performed CPU, software, and fax modem board upgrade for VR TLS-350 UST monitor.

1115 Self Help. Installed flow meter on fuel line to backup generator.

Installed surge protection for phone and electrical line connection to VR TLS-350 UST monitor.

Replaced CPU board, software upgrade (vrs 20) and installed fax modem in VR TLS- 350 UST monitor.

1166 Installed discriminating piping sensor in UST sump.

1166 Repaired leaking bulkhead seals.

Installed surge protection on phone and electric line connections for VR TLS-350 UST monitor.

1166 Adjusted UST interstice fluid levels.

Replaced CPU board, upgraded software (vrs 20) and replaced fax modem in VR TLS- 350 UST monitor.

1169 Install discriminating piping sump sensors.

Replace buried electrical conduit extending from edge of building to UST. Addendum to overall UST system upgrade.

1169 Repaired leaking UST sump bulkhead seals.

1171 Performed line lead detector test and replaced defective sensor.

1171 Performed line leak detector test.

1171 Replaced cap to UST fuel drop tube.

1171 Replaced defective liquid sump sensor.

1171 Cracked lid to sump. Gave PB ok to order replacement lids.

Performed preventive maintenance on the sump manhole covers. Covers extended too far down into sumps and were damaging the underlying fiberglass sump covers. Used cutting torch to shorten sump covers

1171 Programmed VR unit to recognize new liquid sump sensor.

1171 PLLD problem.

1171 Sensor fuel alarm for JP-8.

1171 Sensor fuel alarm for MOGAS tank.

Rerun wires for the groundwater, pump sump, and tank interstice sensors and magnestrictive probes for all three tanks.

1171 Installed piping sump sensor for all tanks.

Installed replacement sump probes, disconnected shorted groundwater probes, rewired ATG probes, programmed VR unit to fax directly to CEV, and reprogrammed unit to measure fuel levels correctly.

1171 Retro tight product lines and line leak detector equipment for all three tanks.

1171 Installed interstitial sensor.

Tech to correct "Vent Condition:" so that line leak detection test can be performed for the large JP-8 tank.

1171 Tank reading wrong level so recalibrated VR unit to read correct level.

1171 Replaced conduit for all probe sensors.

Installed surge protection for phone and electrical line connections to VR TLS-350 UST monitor.

1171 Line and line leak detector test.

1171 Replaced defective ATG probe, cable, and scotch cast.

1171 Checked out fuel dispenser.

1171 Replaced cable, probe, and scotch casts.

1171 Sludge Debris in North JP-8 Tank

1171 Calibrated four nozzles at bldg 1171

1171 Cleared alarm, tank now showing 11.75 inches

1171 Invalid fuel alarm. Levels too low

1176 Powered up VR unit and programmed.

1176 Found replacement tank chart for Reese.

1176 Replaced float to VR ATG tank probe.

1176 Repaired connection to ATG probe.

1176 ATG probe is out. Ordered replacement probe.

1176 VR Unit Maintenance

1176 Replaced magneostrictive probe for ATG.

1176 Replaced mother board and performed software upgrade for VR TLS-350 UST monitor.

Installed surge protection for phone and electrical line connections for VR TLS-350 unit.

1176 Tracer test to determine if tank is leaking.

1200 South JP8 computer is INOP

1707 Performed CPU, software, and fax modem upgrade for VR TLS-350 UST monitor.

1707 Self Help. Installed flow meter on fuel line to backup generator.

1707 Checked Out VR Unit.

1707 VR Unit Repair

Installed surge protection for phone and electric line connection to TLS-350 UST monitor.

1707 Relocated VR unit to hoffman box outside building.

20036 Performed CPU and software upgrade (Vrs 20) for TLS-350 UST monitor.

20036 Self Help. Installed flow meter on fuel line to backup generator.

20036 Interstitial alarm condition. Gave Ray's ok to perform tightness test.

20036 Interstitial alarm.

20036 Performed tank tightness test.

20036 Installed surge protection of phone and electric line connections to TLS-350 UST monitor.

20036 Defective interstice probe. Gave ok to install replacement probe. Probe on order, will be installed in approximately 2-weeks.

20036 Performed tightness test to see if outer wall is leaking.

20037 Replace modem board.

20037 VR unit is down all warning lights are on.

20037 Inspected VR unit. Power surge from phone line knocked out modem board and power board. Replace power board and gave ok to order replacement modem board.

20037 Performed CPU, software, and fax modem upgrade for TLS-350 UST monitor.

20037 Self Help. Installed flow meter on fuel line to backup generator.

20037 Installed surge protection for phone and electric line connections for TLS-350 UST monitor.

20039 Performed CPU, software, and fax modem upgrade for TLS-350 UST monitor.

20039 Self Help. Installed flow meter on fuel line to backup generator tank.

20039 Installed surge protection for phone and electric line connections for TLS-350 UST monitor.

20040 Replaced existing unit with TLS-350 UST monitor salvaged from Building 317 building demolition project.

20040 Performed CPU, software, and fax modem upgrade for TLS-350 UST monitor.

20040 Self Help. Under the guidance of Ray's Petroleum, Power Pro personnel installed flow meters on the fuel lines to backup generator UST systems to comply with KDHE inventory control requirements.

20040 Installed surge projection for phone and electric line connection for VR TLS-350 UST monitor.