Laserfiche WebLink
rap 2019 Equipment Survey <br /> lI <br /> y Site# Address <br /> r' <br /> Date Contractor name!Tech name <br /> Petroleum Storage Tanks <br /> Tank t Product GPaclty, USTor AST AST 6npact Barrier Split Tank Striker Plata Auxiliary Marslfoksed/Siphoned NY Only Tank No. <br /> R-Regular Unleaded Nommal Galens What type of Impact bamer o c Please orter the <br /> Spin/ TSP-TankStriker Plate <br /> M-Mid Grade Nearest(00es <br /> 0) pfenl7(Nave blank for US-1s) Compartment <br /> I Siphoned tank number as <br /> Order P Prem.'um Compartment OSP=Drop Tubo Cape Aunkary Tank <br /> UST=Underground Tank B=BO/ants F�Fenrng Tank printed on this lank s <br /> per tank D Diesel (—rest tenth nor 4ST=Aboveground Tank I=Insae Service Bays Tank tank tag <br /> monrorN•None Yrs dr No <br /> ..-Waste lel tanks lass than L=Lor ted away tmm traffK Yes or No L NK Lnknoval IN so,to what other tank! INY Only;all others <br /> N Heating 0. 00 <br /> 51+10-1 N=AST present.no banner = rna rk Na) <br /> Yes ',N_° t✓t,'`�. <br /> Yes <br /> \J � <br /> Yes !No) <br /> Yes No <br /> 4 <br /> 5 Yes No <br /> Yes No <br /> 6 <br /> Petroleum storage Tank. vent Cape <br /> Tank a Mate flat of Construction Corrosion Protection Lkmd Tank ktterstnW Spates Riser Grounding Manufaetwr Modal 0 <br /> Internally Lined Is the riser grounded'(If no fd OPW <br /> D)iVF DouWeral Fiberglass uvwr,eh e.w.l w.s <br /> Order SWF-Slnplevgl Fitxrplass IC=Impressed Current err,Fwm$sssa tar B-Brine sump is present it may be H=Husky <br /> SAG-Sac Anode ossa•"O1tl ei"i•^" D=Dry unknovvn M=Morrison Bras Write Model Number <br /> per tank DWS i ublevrall Steel not in spam provded <br /> mondcr DWSP DOublewal STP NM--Non.metaec N-None Yes or No NA=No Vent mandolded <br /> -LD Steel w/Fbrgb Coating Yes or No <br /> UNK Unknown NO=No Vent Present <br /> UNK=Unknown <br /> f <br /> a <br /> s <br /> 6 <br /> Product Piping Vapor Recovery System <br /> Tank a Siphon BarlPkAN <br /> Construction Corrosion Protection Stege i Type I�s� Pressure Mgmt System VM System <br /> Does this tank It no the product must leave DWF=DW Fiberglass BL=Balance CAS Heaty Clean Air Separator EBW EBtV VP <br /> Doc <br /> Cason nave as own the lank thru a Whon SF=SW Fiberglass IC•Impmssed Current VA-Vacuum assist VR VR Carbcn--anuster PT-PHIL TITE <br /> ar tank pumpo SWS=SW Steel SAC=Sac Anow -PT Tvio Poem VST Vapor Systems Twin VST-VST Vaper Prorssor GPV!-CPW V7 <br /> p <br /> ur tank <br /> SV-Siphon pion w9We DWFLX=DW Flexible CP _oa.Foppeted <br /> He VR=Healy wl EVR <br /> It yes mark Piping SNV=Soho,not visible SWFLX=SW Flexible NM=Non•metalkc <br /> Ono mark Siphon NA=Tank has a pump UNK=Unknown <br /> =No Stage II NA-Outside of Cakfomia NA=No EVR <br /> 1,. -2 U�'[ `�j�-- r�oV', <br /> Vapor Pot Does the see have a vapor pot(drop out tank)'Yes or No <br /> t UST Mordlmhtg System <br /> 3 r I 1 NV.I r ManuhMCar Model Nurlber Tank Priebe Location <br /> Write m Model Number F=Fill Sump <br /> 4 R-Veeder Rool Ire TLS 050 TLS 750 Plus T Turbme Sump <br /> TLS 7508) Other Write In <br /> 5 <br /> 6 <br /> issued 01/1212019 Page 1 of 4 <br />