Attachment_2_-_TE_2_-_Inspection_Checklist.xlsx

XLSX spreadsheet 14 KB Posted Aug 28, 2019

Attached to: Oil-Water Separator Maintenance
Solicitation number: W911S8-19-R-0022
Issued by: Department of the Army Materiel Command Mission and Installation Contracting Command Joint Base Lewis-McChord

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TE2 Attachment, Inspection Checklist.

File	Type	Posted
W911S8-19-R-0022_Questions_Submitted_And_Answered_28_Aug_2019.xlsx	XLSX spreadsheet	Aug 28, 2019
Attachment_07_-_TE-06_Contract_Deliverables_Schedule.pdf	PDF	Jul 31, 2019
Attachment_01_-_Performance_Work_Statement_-_JBLM_OWS_Maintenance_08_July_2019.docx	DOCX document	Jul 31, 2019
Attachment_02_-_TE-01_Performance_Requirements_Summary.pdf	PDF	Jul 31, 2019
W911S8-19-R-0022.pdf	PDF	Jul 31, 2019
Attachment_04_-_TE-03_Monthly_Summary_Report.xlsx	XLSX spreadsheet	Jul 31, 2019
Attachment_08_-_TE-_DOL_WD_2015-5539_(Rev_11)_-_16_July_2019.pdf	PDF	Jul 31, 2019
Attachment_09_-_Technical_Experience_Proposal_Form.docx	DOCX document	Jul 31, 2019
Attachment_06_-_TE-05_Map_of_JBLM_Catch_Basin_Zones.pdf	PDF	Jul 31, 2019
W911S8-19-R-0007_Questions_Submitted_and_Answered.pdf	PDF	Jul 31, 2019
Attachment_05_-_TE-04_Estimated_Workload_List_of_OWS.xlsx	XLSX spreadsheet	Jul 31, 2019
Attachment_10_-_Question_Submission_Form.xlsx	XLSX spreadsheet	Jul 31, 2019

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BLDG XXX

OIL/WATER SEPARATOR INSPECTION AND MAINTENANCE CHECKLIST

FACILITY:

LOCATION:

DATE:

NAME:

AMOUNT REMOVED FROM OIL/WATER SEPARATOR:

LOCATION DISPOSED:

SAMPLED?

LAST CLEANED?

1. PRETREATMENT				COMMENTS	ACTION NEEDED?
SEDIMENT HAS ACCULULATED	YES	NO	N/A		YES	NO
TRASH AND DEBRIS HAVE ACCUMULATED	YES	NO	N/A		YES	NO
2. INLETS
INLETS ARE IN POOR STRUCTURAL CONDITION	YES	NO	N/A		YES	NO
SEDIMENT, TRASH, OR DEBIRS HAS ACCULULATED AND/OR IS BLOCKING THE INLETS	YES	NO	N/A		YES	NO
3. OIL CONTAINMENT CHAMBER
OIL VOLUME THRESHOLD HAS BEEN REACHED	YES	NO	N/A		YES	NO
OIL-ABSORBING PADS SATURATED	YES	NO	N/A		YES	NO
4. SEDIMENT COLLECTION CHAMBER
SEDIMENT ACCUMULATION THRESHOLD HAS BEEN REACHED	YES	NO	N/A		YES	NO
SLUDGE ACCUMULATION THRESHOLD AT BOTTOM OF CHAMBER HAS BEEN REACHED	YES	NO	N/A		YES	NO
5. OTHER SYSTEM COMPONENTS
STRUCTURAL DETERIORATION IS EVIDENT	YES	NO	N/A		YES	NO
SPILLS OR LEAKS EVIDENT	YES	NO	N/A		YES	NO
6. OUTLETS
OUTLETS IN POOR STRUCTURAL CONDITION	YES	NO	N/A		YES	NO
SEDIMENT, TRASH OR DEBRIS IS BLOCKING OUTLET	YES	NO	N/A		YES	NO
EROSION IS OCCURING AROUND OUTLETS	YES	NO	N/A		YES	NO
7. COALESCING PLATES/BAFFLES/WEIR
CORRODED, CRACKED, WARPED, AND/OR SHOWING SIGNS OF FAILURE	YES	NO	N/A		YES	NO
8. VAULT STRUCTURE
CRACKS WIDER THAN 1/2 INCH OR EVIDENCE OF SOIL ENTERING THE STRUCTURE THROUGH THE CRACKS	YES	NO	N/A		YES	NO
CRACKS WIDER THAN 1/2 INCH AT THE JOINT OF ANY INLET/OUTLET PIPE OR EVIDENCE OF SOIL ENTERING THROUGH THE CRACKS	YES	NO	N/A		YES	NO
9. OTHER
EVIDENCE OF PONDING WATER ON AREA DRAINING TO SYSTEM	YES	NO	N/A		YES	NO
EVIDENCE THAT WATER IS NOT BEING CONVEYED THROUGH THE SYSTEM	YES	NO	N/A		YES	NO
10. ADDITIONAL NOTES

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