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APPENDIX UNDERGROUND STORAGE SYSTEM INSPECTION <br /> Go to vvvvvvpei.org1RP900 for an electronic version of this form. <br /> Category Description P113Rt"0e N/A Taak1 Tank Tae,3 Tark4 <br /> Ball float can be removed and inspected 8.10.2.1 <br /> Ball Float Valve Ball float valve passes inspection EVALUATION DATE: 8.10.2.2 <br /> For ball float valves in diesel tanks,excessive corrosion not present 8.10.2.3 <br /> Overfill Alarm Overfill alarm passes inspection EVALUATION DATE: 8.10.3.1 <br /> Leak Detection 8.11 <br /> ATG passes annual inspection EVALUATION DATE: 8.11.1.1 <br /> Console has no active warnings or alarms 8.11.1.2 <br /> Alarm history shows no recurring leak alarms 8.11.1.3 <br /> ATG Console Verify in-tank leak detection tests are being completed(if used for leak detection) 8.11.1.4 <br /> Verify correct set-up parameters for electronic line leak VERIFICATION DATE: 8.11.1.5 <br /> detector if resent <br /> Verify piping leak detection tests are being completed(if used for leak detection) 8.11.1.6 <br /> Electronic Leak Leak monitoring console is operational and has no active warnings or alarms 8.11.2.1 <br /> Detection Monitor <br /> If pressurized piping has been tested in the last year,review TEST DATE: 8.11.3.1 <br /> the resultsand verify that the test passed <br /> Line Tightness If suction piping has been tested within the last 3 years, <br /> Testing review the results and verify that the test passed TEST DATE: 8.11.3.2 <br /> ELLD has conducted a 0.1 gph test in the last year TEST DATE: 8.11.3.3 <br /> Under Pump Belaw-grade piping operates at less than atmospheric pressure 8.11.4.1 <br /> Check Valve Below-grade piping slopes continuously back to the tank 8.11.4.2 <br /> (Suction Pump) There is only ane check valve,and it is located as close as practicable to the suction pump 8.11.4.3 <br /> Tank Tightness Tank is 10 years old or less 8.11.5.1 <br /> Testing If a tank test has been conducted within the last 5 years, TEST DATE: 8.11.5.2 <br /> review the results and verify that the testpassed <br /> Statistical <br /> Inventory SIR results for the previous 12 months are"pass' 8.11.6.1 <br /> Reconciliation <br /> (SIR) <br /> PEI RP 900 Annual Inspection Checklist Page_of <br />