Aviation Fuel Quality Assurance Inspection - New to Brand Our goal is simple deliver clean, dry, on spec fuel every time. FBO Information EAST HAMPTON MYERS AERO FUEL (HTO) 200 DANIELS HOLE ROAD WAINSCOTT, NY 11975 Site ID Nbr: 883977 Customer Nbr: 883977 Marketer QA Representative ASCENT AVIATION GROUP INC Reed Fuller - NA OFFICE: 800-272-3681 CELL: 315-345-3443 rfuller@wfscorp.com FBO QA Inspection Contact JEMILLE CHARLTON - AIRPORT DIRECTOR OFFICE: 631-537-1130 CELL: jcharlton@ehamptonny.gov This inspection is for Phillips 66 internal use to confirm the existence of a safe level of compliance with industry standards. It does not constitute a full inspection of the customer's equipment for safety and other purposes. It is intended to identify equipment and/or procedural deficiencies that, if not corrected could contribute to fuel quality issues. It is the customer's responsibility to assure full compliance with local, state, federal and industry standards/regulations. Initial ------------------------------------------------------------------------------------------------------------------------------------------------------------------- 0 Critical Deficiencies 2 Deficiencies 1 Core issues identified Re-Inspection Required 0 Filtration information complete. 1 round spouts observed Duckbill spouts on jet overwing fueling nozzles are a required component of a misfueling prevention program. If local circumstances require the use of round spouts during fueling operations, then site specific policies and practices must be in place to ensure the correct fuel type is delivered into aircraft. Aviation Fuel Quality Assurance Requirements Received ------------------------------------------------------------------------------------------------------------------------------------------------------------------- 05/05/16 Inspection Date (version 10.8) Revision Date (if applicable) 05/13/16 New to Brand Approval Date (P66 use only) X 05/13/16 Process date (P66 use only) FBO Representative Title Airport Director FBO Representative Name Jemille Charlton Inspection Type New to Brand P66 Inspector Name Ascent Aviation Group, Inc. Critial deficiencies indicated by red cell color and hatch patterned box to left of cell. Deficiencies indicated by yellow cell color and black box to left of cell.
Aviation Fuel Quality Assurance Requirements Our goal is simple deliver clean, dry, on spec fuel every time. Version 10-28-2015 X ALL PHILLIPS 66 BRANDED FBOs MUST ADHERE TO THE FOLLOWING REQUIREMENTS Records & Documentation Develop and maintain a site specific operations and maintenance manual covering facility policies and procedures Maintain, at a minimum, the following records: Receipt of fuel Quality assurance test results Equipment maintenance Filter element model numbers and last change dates for all filter vessels Line Service Technician Training Retain records and documentation as needed to satisfy customers, suppliers or applicable authority having jurisdiction Fixed & Mobile Equipment Storage Tanks Dedicated to a single type and grade of product Placarded properly for fuel type and grade Sump drain or sump pump required on all tanks Filtration Particulate and water filtration required downstream of the fuel farm, on refuelers and on dispensers Coalescer/Separator Monitor Jet A Jet A with FSII Avgas Water defense system (float or probe) required on coalescer/separators into aircraft Sump drain required on all filter vessels Differential pressure gauges required on all filter vessels Placards on or near filter vessel indicating: Element model numbers Date elements last changed and next change due date Fueling Hoses & Nozzles Fuel hoses must be Energy Institute (EI) 1529 compliant Duckbill spouts on jet overwing fueling nozzles are a required component of a misfueling prevention program. If local circumstances require the use of round spouts during fueling operations, then site specific policies and practices must be in place to ensure the correct fuel type is delivered into aircraft. Nozzle screens required on all nozzles Dust covers or other protective devices required on all nozzles
Aviation Fuel Quality Assurance Requirements Our goal is simple deliver clean, dry, on spec fuel every time. Version 10-28-2015 X Procedures Receipt of Fuel Prior to accepting fuel delivery: Sump storage tanks and filter vessels Confirm correct fuel type and grade Confirm bill of lading (BOL) date is within 6 months of certificate of analysis (COA) date Perform white bucket test to confirm fuel is free of particulate and water, and check for unfamiliar odor or color Perform API gravity (corrected to 60 F) test to confirm within +/- 1 of BOL gravity Confirm FSII concentration is within 0.10 to 0.15 volume % After accepting fuel delivery: Allow storage tanks to settle (Jet A: 1 hour per foot : Avgas: 15 minutes per foot) Sump storage tanks and filter vessels prior to dispensing fuel Fuel Inventory Manage so inventory does not exceed maximum shelf life of 9 months with no fuel added Defueled Product Must remain segregated from branded fuel and cannot be stored or sold as branded fuel Fuel Sampling & Testing Perform white bucket test to confirm fuel is free of particulate and water, and check for unfamiliar odor or color Recommended Required Storage tanks... Daily*... Weekly Refueler tanks... Daily*... Daily* Filter vessels... Daily*... Daily* Overwing nozzle samples... Weekly... Weekly Perform FSII Additive Test... Monthly... NA Filtration Monitor differential pressure (consider flow rate correction)... Daily*... Weekly Confirm water defense systems shut down properly... Quarterly... Annually Replace elements per manufacture s guideline... Annually or if... Annually or if Performance Issues Perform Free Water Test (jet only)... Monthly... NA Perform Filter Membrane Test (jet only)... Monthly... NA Performance Issues Fueling Hoses & Nozzles Check hose condition... Daily*. Daily* Flush hoses if in sporadic or occasional use... As Needed.. Weekly Nozzle Screens: Inspect, clean, and replace if damaged Overwing... Monthly... Monthly Single Point... Monthly.... Quarterly * Prior to first fueling of the day
Aviation Fuel Quality Assurance Requirements Our goal is simple deliver clean, dry, on spec fuel every time. Version 10-28-2015 X Training Line service technicians shall, at a minimum, receive on the job training and complete the required training listed below, prior to performing unsupervised line service operations and in any event, no later than 30 days after hire date. Recurrent training shall be completed as prescribed below. Recommended Required TrustedFuel.com Online View QC Training Videos... Annually... Annually White Bucket Test API Gravity Test Free Water Test (jet only) Filter Membrane Test (jet only) Fuel System Icing Inhibitor (FSII) Test (jet only) Nozzle Screen Inspections Review Documents... Annually... Annually Phillips 66 Aviation Fuel Quality Assurance Requirements Energy Institute (EI) 1597 Procedures for Overwing Fueling to Ensure Delivery of the Correct Fuel Grade to an Aircraft Misfueling Prevention NATA Safety 1st and ACE LinePro Training NATA: Refueling Training... Annually... Annually or ACE: Aviation Fuel Quality Control NATA: Professional Line Service Training... Every 2 Years... NA or ACE: Line Fuel Service Training NATA: Line Service Supervision & Training Management... Every 2 Years... NA or ACE: Fuel Safety Supervisor Training
EAST HAMPTON MYERS AERO FUEL (ASCENT AVIATION GROUP INC) WAINSCOTT, NY Insp Date: 05/05/16 Phillips 66 Aviation Fuel Quality Assurance Program Quality assurance requires ongoing activity to monitor/manage aviation fuel from the time it is received at the airport until delivered into the aircraft. Please acknowledge compliance of the following by checking the boxes at the right. Aviation Fuel Quality Assurance Requirements I have reviewed and agree to adhere to the Phillips 66 Aviation Fuel Quality Assurance Requirements. Corrective actions (2) on the following page(s) have been resolved. Round Jet Nozzle Spouts Observed (1) Duckbill spouts on jet overwing fueling nozzles are a required component of a misfueling prevention program. If local circumstances require the use of round spouts during fueling operations, then site specific policies and practices must be in place to ensure the correct fuel type is delivered into aircraft. FBO Contact Signature Marketer/Account Rep Signature Print Name Date Print Name Date
RECURRING CORE RECURRING CORE EAST HAMPTON MYERS AERO FUEL (ASCENT AVIATION GROUP INC) WAINSCOTT, NY Insp Date: 05/05/16 Summary of Corrective Actions 1 Jet - Receipt of Fuel (Presence of FSII) - Bill of Lading & Certificate of Analysis Ensure the bill of lading indicates the presence of FSII additive. 2 Jet Refuelers - Filtration (Non Compliant) - Truck 1 - jet Install a coalescer/separator with float or probe water defense. Ensure sufficient capacity and appropriate appurtenances (sump drain, differential pressure gauge, etc). WARNING: NO FILTER MONITORS ARE TO BE USED WITH JET A CONTAINING FSII.
Master Data Manual Input Data Used for Cover Page Facility Information Ship To # 883977 Ship To Name East Hampton Myers Aero Fuel EAST HAMPTON MYERS AERO FUEL Sold To # 10099134 10099134 Physical Address 200 Daniels Hole Road 200 DANIELS HOLE ROAD City Wainscott WAINSCOTT State NY NY ZIP 11975 11975 Airport ID HTO HTO Type AVMD AVMD Marketer Name Ascent Aviation Group, Inc. ASCENT AVIATION GROUP INC P66 Account Rep Dennis Stafford DENNIS STAFFORD P66 QA Rep Ross Gregson ROSS GREGSON FBO QA Inspection Contact Same As Name Jemille Charlton JEMILLE CHARLTON Title Airport Director AIRPORT DIRECTOR Office Phone (631) 537-1130 (631) 537-1130 Cell Phone Email jcharlton@ehamptonny.gov jcharlton@ehamptonny.gov QA Compliance Contact same as Name Ascent Aviation Group, Inc. Reed Fuller Title Manager, QA&PI Office Phone (800) 272-3681 800-272-3681 Cell Phone 315-345-3443 Email aviationqc@wfscorp.com rfuller@wfscorp.com TrustedFuel.com Website Same As Name Aarond Lora AAROND LORA Title Supervisor SUPERVISOR Office Phone (631) 537-3737 631-537-3737 Cell Phone (631) 902-1855 631-902-1855 Email aarondlora@gmail.com aarondlora@gmail.com NATA Safety 1st Contact Name Aarond Lora AAROND LORA Title Supervisor SUPERVISOR Office Phone (631) 537-3737 631-537-3737 Cell Phone (631) 902-1855 631-902-1855 Email aarondlora@gmail.com aarondlora@gmail.com
Tab/Section/Sub Section General Comments Receipt of Fuel Records Jet A with FSII B2 Test by Sound Aviation at time of delivery 0.13 vol. % Jet Fuel Farm 1 Storage Tank(s) Water Management New tank sampler sent Field Tests FSII concentration from field test on 5/6. Avgas Fuel Farm 1 Storage Tank(s) Water Management tank sampler sent Jet Refuelers Filtration Elements Ascent will work with Myers to convert to be pre-mix compliant.
Equipment Inventory Tab Complete Insp Complete Tab Defic 0 / 0 Fuel Farm 1 Jet Avgas Product Jet A with FSII Avgas # Tanks 1 1 Refuelers Aircraft Fueling Dispenser 0 0 FSII Injection Equip Filtration / Relaxation Vessels Transport to Storage No Note: Mobile storage tanks should be recorded as both tanks and refuelers. If 1 Mobile Tank: Record as 1 tank and 1 refueler on Farm 1. If 2 Mobile Tanks: Record as 1 tank and 2 refuelers on Farm 1 and 1 tank on Farm 2. Vessel Count 1 Storage to Refueler TransStor Vessel Count 1 Storage to Aircraft Vessel Count Note: Look for additional filtration inside cabinet.
Documents Available Revised Date "Aircraft Accident Reporting" placard Jun 2015 Aviation Fuel Quality Assurance Requirements Oct 28, 2015 Receipt of Fuel Records Tab Complete Insp Complete Tab Defic 0 / 1 Jet A with FSII B2 Test by Sound Aviation at time of delivery 0.13 vol. % Jet A with FSII Bill of Lading Certificate of Analysis Date (most recent bill of lading) 04/29/16 04/19/16 Product is 0.5 mths old (shelf life is 9 mths). API Gravity Gravity on BOL 43.7 A Observed Temperature 50.0 Observed Gravity 42.6 Observed Gravity Corrected to 60 0 F 46 43.5 B Gravity Validations Gravity on BOL vs Observed Gravity OK A vs B White Bucket Particulate Rating Moisture Rating Fuel System Icing Inhibitor (FSII) Presence of FSII Indicated on BOL BOL: Fuel Gross Gallons BOL: FSII Gallons No Not Available Not Available FSII quantity should be noted on the BOL. Please contact your fuel supplier. Computer FSII Calculation (vol%) Not Available Acceptable range:.10 to.15 vol% Avgas Avgas Bill of Lading Certificate of Analysis Date (most recent bill of lading) 02/08/16 01/15/16 Product is 3.1 mths old (shelf life is 9 mths). API Gravity Gravity on BOL 72.3 A Observed Temperature 45.0 Observed Gravity 70.1 Observed Gravity Corrected to 60 0 F 72.2 B Gravity Validations Gravity on BOL vs Observed Gravity OK A vs B White Bucket Particulate Rating Moisture Rating
Fuel Farm 1 - Jet A with FSII Tab Complete Insp Complete Tab Defic 0 / 0 Storage Tank(s) Tank Information Identification # Single Product / Labeled Fixed or Mobile Type Tank 1 Jet Single Prod/Labeled Fixed UST Size (gallons) 12,000 Water Management New tank sampler sent Determination Method Removal Method Field Tests Stick & Paste Portable Pump FSII concentration from field test on 5/6. FSII Concentration (vol%) 0.100 Confirm FSII (vol%) "WB" 2nd Particulate Rating "WB" 2nd Moisture Rating
Fuel Farm 1 - Jet A with FSII Tab Complete Insp Complete Tab Defic 0 / 0 Transport to Storage/Refueler Filtration Elements Vessel 1 Vessel at Dispenser Element Type 1 - Model # I [C] Element Type 2 - Model # SO [S] Element Type 3 - Model # Compliant Filtration Configuration Element Changed - Month NA JUN Element Changed - Year 2015 Date Posted on Vessel Appurtenances Sump Drain Functional DP Gauge Water Defense Equipment Funct - Direct Read No Field Tests
Fuel Farm 1 - Avgas Tab Complete Insp Complete Tab Defic 0 / 0 Storage Tank(s) Tank Information Identification # Single Product / Labeled Fixed or Mobile Type Tank 1 Avgas Single Prod/Labeled Fixed UST Size (gallons) 8,000 Water Management tank sampler sent Determination Method Removal Method Field Tests Stick & Paste Portable Pump "WB" 2nd Particulate Rating "WB" 2nd Moisture Rating
Fuel Farm 1 - Avgas Tab Complete Insp Complete Tab Defic 0 / 0 Storage to Refueler Filtration Elements Vessel 1 Vessel at Dispenser Element Type 1 - Model # I [C] Element Type 2 - Model # SO [S] Element Type 3 - Model # Compliant Filtration Configuration Element Changed - Month NA JUN Element Changed - Year 2015 Date Posted on Vessel Appurtenances Sump Drain Functional DP Gauge Water Defense Equipment API 1529 Hose Funct - Direct Read No Field Tests
Select Count Jet Refuelers 1 Start Tab Complete Insp Complete Tab Defic 0/1 Refueler(s) ID-Gal jet-3000 Refueler Information Identification # Single Product / Labeled Refueler 1 jet Single Prod/Labeled Size (gallons) 3,000 Water Management Sump Drain Field Tests FSII Concentration (vol%) 0.130 Confirm FSII (vol%) 0.130 "WB" 2nd Particulate Rating "WB" 2nd Moisture Rating Refueler to Aircraft Filtration Ascent will work with Myers to convert to be pre-mix compliant. Elements Refueler 1 Element Type 1 - Model # FG [M] Element Type 2 - Model # Element Type 3 - Model # Compliant Filtration Element Changed - Month No JUN Element Changed - Year 2015 Date Posted on Vessel Appurtenances Sump Drain Functional DP Gauge Water Defense Equipment Field Tests Funct - Direct Read No
Select Count Jet Refuelers 1 Start Tab Complete Insp Complete Tab Defic 0/1 Refueler(s) ID-Gal jet-3000 Hoses/Nozzles Refueler 1 Single Point - Front API 1529 Hose Dust Cover/Protective Device Nozzle Screen Condition Free of Debris Over Wing - Front API 1529 Hose Dust Cover/Protective Device Nozzle Type Nozzle Screen Condition Free of Debris Additional Nozzle Good Round Good No API 1529 Hose Dust Cover/Protective Device Nozzle Type Nozzle Screen Condition Free of Debris
Select Count Avgas Refuelers 1 Start Tab Complete Insp Complete Tab Defic 0/0 Refueler(s) ID-Gal Avgas-1000 Refueler Information Identification # Single Product / Labeled Refueler 1 Avgas Single Prod/Labeled Size (gallons) 1,000 Water Management Sump Drain Field Tests "WB" 2nd Particulate Rating "WB" 2nd Moisture Rating
Select Count Avgas Refuelers 1 Start Tab Complete Insp Complete Tab Defic 0/0 Refueler(s) ID-Gal Avgas-1000 Refueler to Aircraft Filtration Elements Refueler 1 Element Type 1 - Model # ACO [M] Element Type 2 - Model # Element Type 3 - Model # Compliant Filtration Element Changed - Month JUN Element Changed - Year 2015 Date Posted on Vessel Appurtenances Sump Drain Functional DP Gauge Water Defense Equipment Field Tests Funct - Direct Read No
Select Count Avgas Refuelers 1 Start Tab Complete Insp Complete Tab Defic 0/0 Refueler(s) ID-Gal Avgas-1000 Hoses/Nozzles Refueler 1 Over Wing - Front API 1529 Hose Dust Cover/Protective Device Nozzle Screen Condition Free of Debris Over Wing - Rear Good No API 1529 Hose Dust Cover/Protective Device Nozzle Screen Condition Free of Debris