Laserfiche WebLink
APPENDIX I 1 DAILY UNDERGROUND STORAGE SYSTEM INSPECTION <br /> Go to II for an electronic version of this form. <br /> DAILY UST SYSTEM INSPECTION CHECKLIST <br /> Facility ID# Facility Name/Address Level I Qualified Person Signature Date <br /> If any problem is found, contact: Contact information: <br /> Category Description PEIIRP900 N/A Tank1 Tank2 Tank3 Tank4 <br /> Leak Detection 6.4 <br /> The power is on 6.4.1.1 <br /> There are no warning or alarm lights blinking or lit 6.4.1.2 <br /> Automatic Tank Gauge(ATG) <br /> There is a liquid measurement for each tank and the reading appears accurate 6.4.1.3 <br /> The printer has paper and is in working condition 6.4.1.4 <br /> Electronic Leak Detection The power is on 6.4.2.1 <br /> Monitor There are no warning or alarm lights blinking or lit 6.4.2.2 <br /> Mechanical Line Leak Detector No customers have complained about slow flow 6.4.3.1 <br /> Daily InventoryInventory records are reconciled daily and daily variance is within the guidelines 6.4.4.1 <br /> set by the facility owner <br /> Tank Fill Area 6.5 <br /> Fill Ca er Fill cover present,not broken or damaged 6.5.1.1 <br /> Fill covers are identified by color and located on the correct tank 6.5.1.2 <br /> No dirt,trash,water or product in the spill containment manhole 6.5.2.1 <br /> Spill Containment Manhole No cracks, bulges or holes in the spill containment manhole 6.5.2.2 <br /> (Spill Bucket) Below-grade containment manhole properly latched (if present) 6.5.2.3 <br /> Below-grade containment manhole contains oil-absorbent material 6.5.2.4 <br /> Fill <br /> Fill cap in good condition, seals tightly 6.5.3.1 <br /> Pipe <br /> No abs[mction inside the fill pipe 6.5.3.2 <br /> DESCRIBE ANY DEFICIENCIES HERE: <br /> Instructions:Mark each tank where no problem is observed with a checkmark:J If certain equipment is not required and/or not present, mark checklist in the <br /> N/A column. If a defect is found,mark the checklistwith an"X,°describe the problem in the'DEFICIENCIES"section and notify the appropriate person.Refer to <br /> the section listed in the'PEI/RP900°column for additional information.Refer to PEI RPSflfl,Recommended Practices for Inspection and Maintenance ofMctor <br /> Fuel Dispensing Equipment,for inspection procedures that apply to fuel dispensing equipment. <br />