New UST Installation Inspection Checklist

Transcription

1 Nebraska State Fire Marshal Fuels Division - FLST Section 246 South 14 TH Street - Lincoln, NE (402) New UST Installation Inspection Checklist (Petroleum or Hazardous Substances) Inspection In Use Owner/Operator Site Name Facility ID#: Address Street Address (or directions, if rural) City State Zip City State Zip Application Verification Information New/Replaced Tank(s) New Piping 10% or more Piping Replacement List the tank ID numbers of piping being replaced: Tank/Compartment Number # # # # # # Tank Type Tank/Compartment Capacity (Gallons) Substance Stored In Tank/Compart. UL, Pr, E-10, E-85, E-95, #1D, #2D, #1, #2, K, WO, NO, DD (Dyed Diesel), (Specify) Specify Type of Tank (Material of Construction) Brand: Steel with CP FRP Jacketed Composite ACT100 Installation Method PEI RP100 API 1615 Bedding and Backfill Manufacturer s Instructions Specify Application Verification Continued Anchoring Method Bedding Depth (inches) Backfill Material (specify grade) (If FRP, attach current sieve analysis) Alternate Backfill Method used? (If yes, attach Alternate Backfill checklist) 1 Deadmen Overburden Both ne

2 Secondary Containment ne Double Walled Excavation Liner Release Detection: Tanks Brand/Model/Test Method Brand/Model/Test Method Ground Water Monitoring ATG Interstitial Monitoring Tightness Testing --- Daily Inventory Control Soil Vapor Monitoring Manual Tank Gauging (SIR) Corrosion Protection: Tanks Internal Internal Lining ne Unknown External Impressed Current Cathodic Protection Galvanic/Sacrificial Cathodic Protection Fiberglass/Epoxy Resin Clad ne (specify) Spill Prevention Method Spill Containment Basin (specify) Overfill Prevention Method Ball Float Valve in Vent High Level Alarm Drop Tube Shut-Off (specify) Piping Material Brand Steel w/ CP FRP Flexible Plastic Corrosion Protection for Piping Release Detection for Piping (mark all that apply) Impressed Current Cathodic Protection Ground Water Monitoring Galvanic/Sacrificial Cathodic Protection Interstitial Monitoring ne (made of non-corrodible materials) Electronic Leak Detectors (specify) Tightness Testing -Every 3 Yrs (Conventional Suction) Soil Vapor Monitoring Manual Leak Detectors Tightness Testing Annual (Pressurized) ne (Safe Suction) (SIR) Piping System Pressurized Conventional Suction Safe Suction If a pressurized system, will shear valve be rigidly anchored to dispenser island in accordance with manufacturer s installation instructions? If no, explain Secondary Containment ne Double Walled Excavation Liner 2

3 General Site Plan Show buildings on property, approximate location of tanks and piping, distances from tanks and piping to property lines/building and location of dispensers. rth Distance from tank(s) to nearest property line (feet). ft. Distance from tank(s) to nearest structure (feet). ft Distance from tank(s) to nearest public water supply system (feet). ft Depth to groundwater (feet). ft Electrical Permit obtained? Does building have plastic water supply lines? Was ONE-CALL Properly tified? Unknown 3

4 Field Compliance Check Tank Inspection Tanks Tank Condition Tank # Tank # Tank # Tank # Tank # Tank # Free from Exterior Damage Excavation Proper size Adequate depth Stable soil (if unstable soil conditions exist, consult with tank mfg.) Cathodic Protection (Steel Tanks) Anodes in acceptable condition CP test station installed and lead wires labeled Coating damage repaired Initial CP readings in mv Adequate spacing between tanks General Tank Information Acceptable air and/or vacuum test conducted using appropriate soaping procedures (if necessary) Appropriate gauges used Working pressure relief valve used 4

5 Tanks Continued Spill Containment installed Overfill mechanism installed Anchoring straps properly installed Deadmen or pad properly installed FRP Tanks--Have tank deflection measurements been taken? Deflection Measurements Before During (1) During (2) After Tank Section Comments Inspector s Signature Contractor s Signature Certification# EXP. Date 5

6 Piping Inspection Piping General Tank # Tank # Tank # Tank # Tank # Tank # Trenches properly sloped Appropriate air test conducted If Steel with cathodic protection Anodes in acceptable condition Anodes wires attached with Appropriate clamps or welding procedures All coating damage repaired Are proper swing joints or flex connectors installed Tank # Tank # Tank # Tank # Tank # Tank # Piping continued Tank # Tank # Tank # Tank # Tank # Tank # Are appropriate dielectric fittings installed Are check/emergency valves installed in appropriate locations If FRP (fiberglass) Tank # Tank # Tank # Tank # Tank # Tank # Joints properly prepared and joined Stainless steel flex connectors protected from corrosion 6

7 FRP (fiberglass) continued Tank # Tank # Tank # Tank # Tank # Tank # If double walled Is excess joint cement appropriately cleaned from surfaces Is interstitial space tested per Manufacturer s specifications If Flexible Plastic Tank # Tank # Tank # Tank # Tank # Tank # Is piping UL listed Is piping run free of sumps Are fittings properly attached in accordance with Manufacturer s specs Piping Section Comments Inspector s Signature Contractor s Signature Certification# EXP. Date 7

8 Piping Inspection Vent Piping Is piping run free of sumps All coating damage repaired Are appropriate di-electric fittings installed Proper extension above grade level Tank # Tank # Tank # Tank # Tank # Tank # Electrical Are conduit runs equipped with seal offs where appropriate Are emergency shut offs installed where necessary Fill Piping Are fill pipes equipped with lockable caps Are drop tubes installed Inspector s Signature Contractor s Signature Certification# EXP. Date 8

9 General UST Installation Comments/Corrections Facility Name: Facility ID #: Facility Address Number of UST s Comments/Corrections Required Deputy s Signature: Contractor s Signature: Certification# EXP. 9