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APPENDIX r - rR MONTHLY UNDERGROUND STORAGE SYSTEM INSPECTION <br /> Go to www.pei.orgIRP900 for an electronic version of this form. <br /> Category Description PURP9ee N/A Tank Tank Teric3 Tank <br /> Standard drop tube smooth, no ragged edges, in good condition 7.7.4.1 <br /> Drop Tube Top edge of coaxial drop tube smooth,round, slightly below the top edge <br /> of the fill a 7.7.4.2 <br /> Tank Gauge Stick Tank gauge stick can be clearly read, is not warped or broken 7.7.5.1 <br /> Check for Water No water present in the tank 7.7.8.1 <br /> Tank Vents Vent cap present,vent pipe solidly supported and vertical 7.7.7.1 <br /> Stage I Vapor Recovery 7.8 <br /> Cover present,colored orange,seated firmly at grade,not broken, 7.8.1.1 <br /> cracked or chipped <br /> If spill containment manhole is present, no dirt,trash,water or product 7.8.1.2 <br /> Two-point(Dual-Point) <br /> Vapor Recovery If spill containment manhole is present,no cracks, bulges or hales 7.8.1.3 <br /> Vapor recovery cap in good condition,seals tightly 7.8.1.4 <br /> Poppet of vapor recovery adaptor seals tightly 7.8.1.5 <br /> Observation and Monitoring Wells 7.9 <br /> Obsenvation well cover is properly identified and secured 7.9.1.1 <br /> Corrosion Protection 7.10 <br /> Impressed-Current Record volt and amp readings,readings consistent with premous months 7.10.1.1 <br /> Cathodic protection Record hour meter reading (if present);Reading increases by about 700 7.10.1.2 <br /> hours each month <br /> Unmonitored Dispensers and Submersible Turbine Pumps(STPs) 7.11 <br /> Unmonitored Dispensers All dispenser components are clean and dry 7.11.1 <br /> Un monitored STPs I No fuel detected in STP access manhole 7.11.2 <br /> DESCRIBE ANY DEFICIENCIES HERE: <br /> Instructions:Mark each tank where no problem is obsen,ed with a checkmark: q If certain equipment is not required and/or not present, mark checklist in the N/A <br /> column.If defect is found, mark the checklist with an'X,'describe the problem in the'DEFICI ENCIES'section,and notify the appropriate person.Refer to the <br /> section listed in the'PEI/RP900'column for add itionat information.Refer to PEI RP500,RaommerMed Practices for Inspection and Maintenance of Motor Fuel <br /> Dispensing Equipment, for inspection procedures that apply to fuel dispensing equipment. <br />