RFQ Attachment 1 - SOW.pdf
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- Solicitation number
- FA440725TW10
About this file
This is a Statement of Work (SOW) for inspection, maintenance, and repair of underground fuel storage tanks (USTs) at Scott Air Force Base, Illinois, dated 18 June 2025. The contract requires a contractor to perform annual inspections of 16 underground storage tanks, including visual inspections, leak detection testing, line leak detection, and comprehensive system checks. The scope involves inspecting tanks containing various fuel types such as Jet A/A-1, gasoline, diesel, and E-85, with tank capacities ranging from 1,000 to 20,000 gallons.
Key requirements include conducting annual and triennial testing of tank systems, performing repairs as needed, submitting detailed inspection and repair reports, and coordinating with the Program Manager and Illinois Office of the State Fire Marshall. The contractor must comply with state and federal regulations, use certified personnel, and ensure all tank monitoring systems (like Veeder-Root Automatic Tank Gauge systems) are fully operational. The contract includes provisions for emergency repairs, environmental compliance, safety protocols, and base access requirements. Inspection checklists in Appendix C provide comprehensive guidelines for examining various tank system components, including console and printer functionality, tank openings, sensors, leak detection systems, and dispensing equipment.
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STATEMENT OF WORK
FOR
INSPECTION AND MAINTENANCE/REPAIR OF
UNDERGROUND FUEL STORAGE TANKS AT
SCOTT AIR FORCE BASE, ILLINOIS
18 JUNE 2025
1.0. DESCRIPTION OF SERVICES. The contractor shall provide all management, tools, supplies, equipment, and labor necessary for the inspection, maintenance, and repair of underground bulk fuel storage tanks (USTs) located at Scott Air Force Base, Illinois. The scope of work includes but is not limited to the inspection of sixteen (16) USTs and the troubleshooting and minor repair of sixteen (16) underground storage tanks if deficiencies are found. The contractor shall provide written documentation and reports concerning all inspections, maintenance and repairs performed on all storage tanks. All work shall be completed in 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 periodic annual inspections to include visual inspections of all USTs identified on the attached Appendix A, sixteen (16) USTs. Any issues or required repairs shall be documented and submitted to the Program Manager (PM) 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 COR, the contractor shall empty all rainwater from sumps, spill buckets, and/or interstitial tanks that are found during the annual inspection IAW Para. 1.4.
1.1.3. REPAIRS. Repairs will be identified during the periodic annual inspection by the contractor or by the government PM. The contractor shall complete all minor repairs identified by the contractor during the inspection. A repair cost estimate report shall be submitted by the contractor and approved, prior to any repairs being accomplished.
1.1.4. REPORTS. The contractor shall provide a written report and documentation for all periodic annual inspections, each service call, and each repair/maintenance. Reports shall be provided to the PM after completion as follows:
Annual Inspection Reports: These reports shall include but not be limited to the items on the checklists located in Appendix C. Different checklists may be used as long as they meet the state
2 | P a g e and federal requirements for annual UST inspections. The annual report shall include each tank, and a description of any findings for each.
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 Reports: 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 PM 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, console, vents, probes, sensors, and equipment as required by state and federal mandates for annual UST inspections. An annual inspection report shall be submitted after completion of inspections. The annual report shall include, at a minimum, a summary of all inspections performed, all tests performed, and any repairs identified, as well as a State of Illinois Office of the State Fire Marshall (OSFM) Tank Testing Report or similar document that meets OSFM requirements (see Appendix C). Any repairs must be submitted in writing to the PM for Contracting Officer’s approval.
1.2.1. IL OSFM BIENNIAL INSPECTION. In option year 1 (FY26), and at the request of the Illinois OSFM, the contractor shall coordinate with 375 CES/CEIE (Base Environmental) and the Illinois OSFM to have a representative of the Illinois OSFM accompany the contractor during the annual inspections so that the Illinois OSFM may conduct their biennial inspections at the same time. The contractor shall give at least 2 weeks notice to 375 CES/CEIE with specific dates and times planned for the annual inspections in order to coordinate with Illinois OSFM.
1.2.2. VEEDER-ROOT AUTOMATIC TANK GAUGE (ATG) SYSTEM. The contractor shall inspect the Veeder-Root Automatic Tank Gauge (ATG) System for each UST to ensure all components of the ATG system are in working order. If repairs are necessary on the ATG, the contractor shall respond within two (2) business day of notification from the PM. The contractor shall identify the repairs in writing, with a proposal, and submitted to the PM for Contracting Officers approval prior to repair. An annual inspection report of the ATG system shall be submitted after completion of inspections.
Note: The ATG’s are regulatory mandated systems that monitor the tanks for leaks as well as produce and fax 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.
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1.2.3. TRIENNIAL TESTING. In Option Year 2 (FY27) perform overfill alarm function test, automatic shut off valve test, spill bucket leak test, STP sump test and dispenser sump test, as required by state and federal mandates. These tests will only be performed on all 16 regulated underground storage tanks at Scott AFB (reference appendix A: UNDERGROUND STORAGE TANKS). Tests will need to be performed by a certified contractor. If repairs are necessary, the contractor shall identify the repairs in writing with a proposal. Proposals will be submitted to the PM for Contracting Officers approval prior to repair. In the testing year this leak test report shall be added to the annual inspection report.
1.3 REPAIRS. The contractor shall provide the PM 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. Repairs shall be identified either by the contractor during the annual inspection or by the government. If identified during an annual inspection, the contractor shall provide a written repair cost estimate to the PM and Contracting Officer (CO) within two (2) business days of finding the deficiency. The estimate will be reviewed and approved by the PM, 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 Program Manager (PM) within 7 days of the repair. The contractor shall comply with all local, State, and Federal regulations. 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 a total of $2,500.00 be completed without Contracting Officer (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 PM and CO. All estimates and repairs shall be completed within the allotted timeframes 100% of the time, unless otherwise coordinated with the PM. All repair work shall be in accordance with normal commercial practices.
NOTE: Repair Service labor hours shall be invoiced using CLIN X002
1.4. SUMP PUMP AND INTERSTITIAL SPACE PUMPING. In the event that an underground or above ground storage tank’s sump or interstitial space is filled with rainwater or condensation during the annual inspection, the contractor shall respond and empty them as well as clean any debris within one (1) day of discovery. Prior to pumping, the contractor shall
4 | P a g e 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, 375 CES/CEIEC, 618-256-2387 to coordinate on the proper waste streams for appropriate disposal.
All tanks shall be emptied within the allotted time frame 100% of the time.
1.5. 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 their own expense.
1.6. REPORTS/DOCUMENTATION. All maintenance performed on tanks will be documented. A copy of each report will be given to the PM upon completion of the periodic annual inspection and repair of each underground storage tank. The annual report shall include each tank, and any findings for each (see Appendix C). Once annual inspections (or other work required by State regulations to maintain the permit for the tank) are completed, in addition to reports sent to Scott AFB, the contractor shall submit required reports to the Illinois Office of the State Fire Marshall (OSFM) using the forms required by OSFM. Copies of these completed forms will also be sent to Scott AFB.
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 their expense and in a manner satisfactory to the PM.
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 Program Manager (PM) 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 PM 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.
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3.2.2. Contractor personnel shall be licensed and registered to work on USTs by the Illinois Office of the State Fire Marshall. The Contractor shall ensure compliance with the Illinois Petroleum Equipment Contractor Licensing Rules (41 ILL. Adm. Code Part 172) for inspection, testing, and repairs on UST’s and associated systems.
3.2.3. Contractor personnel shall be trained/certified to maintain and inspect 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 PM 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 Program Manager (PM) 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 Scott AFB. The contractor must complete Scott AFB 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 Program Manager (PM) or Contracting Officer (CO). The Contractor shall use all means at their disposal to continue to provide refuse collection and disposal services, in
6 | P a g e 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.
3.7. AT/OPSEC REQUIREMENTS. Coordinate with the installation ATO/ATPM to ensure Level I - AT Awareness Training is completed by all contractors within 30 days of requiring access. (T-3) Coordination for training should be done by the requiring unit after contract award.
Contractor and all associated sub-contractors’ employees shall provide all information required for background checks to meet installation access requirements to be accomplished by the Dixon Visitor Center or security office. Contractor workforce must comply with all personal identification verification requirements as directed by DAFMAN 31-101v3 and the 375 AMW AT/IDP. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters. The vetting requirement for, Civilian employee and Contractor eligible CAC and non-CAC DoD credential holders includes a minimum Tier 1 or equivalent investigation. Fitness standards for these populations are listed in
AFMAN 16-1405.
3.7.1. EAGLE EYES. The Eagle Eyes program is a DAF AT initiative that enlists the eyes and ears of all DAF military, civilians, contractors, and dependents. The Eagle Eyes program is a reporting mechanism for the base community on how to report suspicious behavior or possible terrorist activity. Each installation shall outline procedures in the installation AT plan on how to receive and log suspicious activity reports and suspicious incident reports and to pass those reports expeditiously to their servicing Office of Special Investigations (OSI) detachment for appropriate action. (T-3) OSI provides threat data to the installation commander, the vice commander, and the DFC as appropriate to ensure an optimal common operating picture and an AT/Base Defense (BD) posture for the given installation’s area of responsibility (AOR) in accordance with Air Force Mission Directive (AFMD) 39, Air Force Office of Special Investigations (AFOSI) and Air Force Policy Directive (AFPD) 71-1, Criminal Investigations and Counterintelligence. This program implements the spirit and intent of DoDI 2000.26, DoD Use of the Federal Bureau of Investigation (FBI) eGuardian System.
3.7.2. OPSEC. The contractor shall meet Air Force standards for storing, processing, and handling all types of information and systems. Additionally, all resources (e.g. maps, publication/instructions, photos) provided by the government to assist the contractor in the performance of their contract will be surrendered upon termination of employment or the end of the contract performance period. While on the installation, if the contractor observes any of the critical (sensitive) information items listed below, the contractor will not photograph the event/item, post about the event on social media sites, blogs, etc., or discuss the critical information while off the installation. The critical information you may observe are:
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-Effects of adversarial activity, should it ever occur -Response times of security, fire, emergency management personnel, etc.
-Implemented antiterrorism/security measures and procedures -Specific number of aircraft and unusual flightline activity -Aircraft information such as tail numbers, etc.
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 Illinois, 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 Illinois, 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 the same and provide a written copy to the Contracting Officer (CO), and a copy to the Environmental Element (375 CES/CEIEC). Materials subject to regulatory control must be reviewed by CEIEC prior to removal from Scott AFB. Any action, which violates permit requirements for compliance, must be reported to the Environmental Element 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 Environmental Spills Program Manager (PM), 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 in compliance with industry standards, local, State, and Federal laws and will be used in accordance with manufactures’ recommendations. No materials shall be stored on Scott AFB.
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.
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5.0. APPENDICES
A. Estimated Workload Data B. Maps (furnished upon award) C. Annual inspection checklist for underground storage tank systems
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APPENDIX A
This is the estimated workload based upon the total number of actual Underground Storage Tanks located at Scott 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. However, changes to the actual workload are not expected to deviate from the estimated number listed below.
ESTIMATED WORKLOAD DATA: UST’s Tank ID Gallons Product Installed Tank/Pipe Material Manufacturer
99 2,500 Jet A/A-1 3-Jan-95 Fiberglass/Fiberglass O/C Tanks Corporation
100 1,000 Jet A/A-1 3-Jan-95 Fiberglass/Fiberglass O/C Tanks Corporation
108 10,000 Gasoline 3-Feb-99 Steel Jacketed/Fiberglass Modern Welding Company of Iowa, Inc.
109 10,000 E-85 3-Feb-99 Steel Jacketed/Fiberglass Modern Welding Company of Iowa, Inc
110 10,000 Diesel 3-Feb-99 Steel Jacketed/Fiberglass Modern Welding Company of Iowa, Inc
111 10,000 Diesel 3-Feb-99 Steel Jacketed/Fiberglass Modern Welding Company of Iowa, Inc
0750-01-UST #1 8,000 Diesel Jun-88 Fiberglass/Fiberglass Unknown
0750-02-UST #2 8,000 Diesel Jun-88 Fiberglass/Fiberglass Unknown
1575-01-UST 20,000 Diesel 1-Jan-89 Fiberglass/Fiberglass Unknown
1575-02-UST 12,000 Diesel 4-May-11 Fiberglass/Fiberglass Containment Solutions
104 12,000 Gasoline 5-Oct-98 Fiberglass/Fiberglass Fluid Containment Inc.
105 12,000 Gasoline 5-Oct-98 Fiberglass/Fiberglass Fluid Containment Inc.
106 12,000 Gasoline 5-Oct-98 Fiberglass/Fiberglass Fluid Containment Inc.
107 12,000 Gasoline 5-Oct-98 Fiberglass/Fiberglass Fluid Containment Inc.
1700-01-UST 8,000 Diesel 1-Jan-89 Fiberglass/Fiberglass Unknown
1900E-01-UST 15,000 Diesel 1-Dec-90 Fiberglass/Fiberglass O/C Tanks Corporation
* - Denotes USTs that will require an escort from installation personnel that operate the site.
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APPENDIX B
MAPS OF UST’S AND AST’S
Maps will be provided upon award
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APPENDIX C
ANNUAL INSPECTION CHECKLIST UNDERGROUND STORAGE TANK SYSTEM
Facility: Scott Air Force Base Contractor:
Address: Address:
Tank IDs #:
Date: Inspector:
Tank Leak Detection System Make & Model
Line Leak Detection System (Mech./Elect.)
Make & Model
Tank Capacity In Gallons
Product Type
Dispenser / Pump Make & Model
Console & Printer YES NO N/A Remarks
1. Inspect the system console for damage or wear.
2. Inspect the system printer for damage or
3. Is the printer using the correct size and type of paper roll?
4. Are extra paper rolls available for the printer?
5. Are the printed reports legible?
6. Check the battery backup by powering system down and back up again using only the circuit breaker.
7. Is the programming lost when system power is restored?
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Console & Printer YES NO N/A Remarks
8. Is the system console wired to a separate circuit breaker?
9. Is the console circuit breaker sized for correct load capacity?
10. Are the circuit breaker panel and electrical conduits mounted securely?
11. Is wiring terminated and grounded correctly?
Tank & Vent Openings YES NO N/A Remarks
12. Does the fill manhole cover identify the product type?
13. Is the spill catchment basin with a drain feature a minimum of 5-gallon capacity?
14. Is the spill catchment basin free of liquid or debris?
15. Is tank equipped with an overfill-prevention valve?
16. Is tank equipped with a ball-float valve?
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Tank & Vent Openings YES NO N/A
Remarks
17. Is tank construction a dual wall fiberglass-reinforced plastic?
18. Is Stage I Vapor Recovery adapter tightened securely?
19. Is tank equipped with a submerged loading pipe?
20. Inspect the vent riser and cap for damage or wear.
21. Is the correct vent cap in use for the product type?
22. Is a pressure/vacuum relief valve connected to each vapor vent pipe?
Tank Interstitial Sensor
YES NO N/A
23. Is tank interstitial sensor manhole free of debris?
24. Inspect electrical wiring for damage
25. Remove and inspect the tank interstitial sensor for damage or
26. Test tank interstitial sensor by placing sensor in liquid.
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Tank Interstitial Sensor YES NO N/A
27. Are audible and visual alarm indicators activated at the system console?
28. Print a liquid sensor status report and attach copy.
In-Tank Probe YES NO N/A
29. Is in-tank probe manhole free of
30. Inspect electrical wiring for damage
31. Remove the in-tank probe and inspect floats and shaft for damage or residue.
32. Are probe floats adjusted to activate both high and low product level alarms?
33. Are the audible and indicators activated at the system console?
34. Print an inventory report and attach copy.
35. Does product measurement using in-tank probe equal tank stick measurement?
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In-Tank Probe YES NO N/A
36. Print an in-tank leak test report and attach
37. Is the leak test programmed to perform weekly?
Tank Sump & Sensor YES NO N/A
38. Inspect the tank sump for damage or
39. Is the tank sump free of liquid or
40. Inspect the condition of submersible pump head and line leak detector.
41. Inspect the flexible hose fittings and connections at the pump and product line.
42. Inspect dual-wall product piping entry into the sump.
43. Will product leaking from the inner piping drain back to the tank sump properly?
44. Inspect tank sump sensor for damage
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Tank Sump & Sensor YES NO N/A
45. Is the tank sump sensor located near sump bottom?
46. Test the tank sump sensor by turning upside down.
47. Are the audible and indicators activated
Dispenser Sump & Sensor
48. Inspect the dispenser sump for damage or wear.
49. Is the dispenser sump free of liquid or debris?
50. Remove and inspect the dispenser sump sensor for damage
51. Test dispenser sump sensor by placing sensor in liquid.
52. Are the audible and indicators activated
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Mechanical Line Leak Detection
53. Turn on submersible pump and inspect pump head for damage or leakage.
54. Does the line leak detector alert the operator by restricting or shutting off flow?
55. Does the line leak operator by triggering an audible or visual alarm?
56. Perform 3 gallon-per-hour line leak test according to manufacturer’s instructions and attach results.
Electronic Line Leak
57. Turn on submersible pump and inspect pump head for damage or leakage.
58. Does the line leak operator by restricting or shutting off flow?
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Electronic Line Leak
59. Does the line leak operator by triggering an audible or visual alarm?
60. Print a 0.1 gallon-per-hour line leak test report and attach
Dispensing Equipment YES NO N/A Remarks
61. Inspect each hose, nozzle, and swivel assembly for damage or leakage.
62. Is a breakaway device installed on each hose?
63. Verify proper operation of each hose retractor or reel.
64. Inspect each emergency-shear valve and fuel filter for damage or leakage.
65. Is each dispenser securely anchored to fuel island?
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Dispensing Equipment YES NO N/A Remarks
66. Calibrate each dispenser meter and attach results.
Ancillary Equipment YES NO N/A Remarks
67. Inspect each fuel island form, light fixture, and bumper post for damage or
68. Is power terminated to pump when emergency-shutoff switch is activated?
69. Is emergency-shutoff switch properly identified by signage?
70. Does remote alarm and acknowledgement switch operate properly
File details come from the government source that posted it. Updated .