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Site Number Date <br /> BASEMENT SUREY if there is no basement;leave this page blank <br /> rEDIUD(Cs <br /> �'�� 9- YesrNotNA' CommordaUSTs have water-tight sumps to capture and contain any releases? <br /> y verified) <br /> have UDC sensors tied into the FLS? <br /> Are the UST High Level Alarms set at 95%and Max Level Alarms set at 140%in <br /> e TLS?Is there a visualfaudible overfill alarm at the tank pad and an audible <br /> overfill alarm set on the TLS? <br /> Are the storm drains in fr t of the C-store clear of debris and do they carry away <br /> liquids to prevent pooling? <br /> Has the site drainage syst been modified in the past 12 months? <br /> Have any new strictures or equ ment been addedtinstalled within 10 m of the <br /> basement walls? <br /> Is there any bulk storage of chemical or products in the basement? <br /> Are service entries in basement walls adl cent to forecourt areas fully sealed with <br /> no visible ground water ingress <br /> Do Electrical conduit/ducts from the forecou area enter the c store building <br /> hove ground,or provisions shall be provided f6K an intermediate containment. <br /> If basement is NOT normally vented to atmosphe (closed walls and ceiling)then <br /> is there a forced ventilation system that starts if the EL limits are reached. <br /> Is the tank pad surface in good/tight condition?Padould be liquid fight <br /> paving/concrete to prevent spilled fuel from migrating th ugh soil and into the <br /> basement <br /> Are all rooms in basement open for shared ventilation? <br /> Are emergency lights EX Rated? <br /> Does the basements have Flammable Gas Detection systems:Wi functioning <br /> audible and visual alar indication? U l <br /> 1 st Alar Point set at 20%LEL:Triggers evacuation of any occupants i <br /> FNTAL <br /> basement and investigation of the alar source ,- <br /> Alar Point set at 40%LEL:Triggers Emergency Shutdown(ESAre-co <br /> n r Tj e a, lhfl R P����T <br /> electrical equipment in the basement area,a complete shutdown of th <br /> el system,and evacuation of the site. <br /> Verify the Detectors are: <br /> -located in areas of potential ingress of vapors&close to floor I el <br /> (usually 10-24 inches above floor) <br /> -linked to a visual&audible alarm located in the basement at a <br /> manned location on sites(e.g.Cashier station) <br /> Does the CStore have signs pasted with instructions to at dents on what to do <br /> In case of LEL Alar? <br /> Are sources of ignition in basement either be isolated 1#and Emergency <br /> Shutdown or shall be removed from basement areas?/ <br /> Are all non-essential electrical equipment by autom tically isolated by the ESD? <br /> Are(here any gas-fired equipment with pilot Ilg ? <br /> Is essential electrical equipment-gas de ,emergency lighting and any <br /> ventilation must be EX rated for use in pot tialty explosive atmospheres? <br /> Is all other non rated/enremov or tied into the shut down on ESD,this <br /> includes: <br /> -Gas and electricv tilating equipment <br /> -Incoming electrices,fuses and meters <br /> -Electrical controlnels-Electrical(mains /diesel powered motors for generators or <br /> compressors <br /> -Standby power b <br /> Have the detectors been tested per manufacturers guidance by a certified <br /> Technician and did everything pass or were repairs made?Where are the <br /> inspection records retained? <br /> Has testing confirmed that Emergency Lighting works are required and non- <br /> Essential ignition sources tum off? <br /> In the past 12 months,has there been any instances of the LEL Detector <br /> activating either due to actual release or false alar? <br /> Is there any other indication(stain,odor,damage to equipment,etc.)in the <br /> basement that hydrocarbons may or could be accumulating in the basement? <br /> 'sued 12rz712017 Page 9 of 10 <br />