UST System Inspection Checklist - NWGLDE

1 DMADateInitialsClean and Empty - No water, product, Integrity - No leaks, cracks, bulges, Detection Sensor - Correct position and Leak Detector SensorXNo abnormal appearance of piping or components. (Rust, discoloration, delamination, swelling, disintegration, etc.)XTest boot (if applicable) pulled back so interstice is not blocked or secured and anchored. Installed at the proper level. No for proper (Stage II Vapor Recovery Systems Only)Properly secured and at the proper in contact with other components, soil (without corrosion protection) or clearance between manhole lid and probe equipment operational and no per manufacturer ports properly equipment operational and no per manufacturer Inspection if used for tank release measuring stick when gauging to be sure the increments are readable.

2 Ensure bottom end has not been worn or cut off and stick is not dispensers properly leaks in the leak reduced flow, no clearly marked and securedXMonitoring equipment per manufacturer clearly marked and present in evidence of product in equipment per manufacturer Line Leak DetectorGroundwater MonitoringManual Inventory ControlUST System Inspection ChecklistThe Petroleum Equipment Institute (PEI) Tank Installation Committee has produced this Checklist as a service to owners/operators of underground storage tanks (USTs). Items on the Checklist should only be inspected by individuals knowledgeable of and familiar with UST systems. The frequency of inspections is the minimum standard recommended by the committee.

3 Other factors affecting the frequency of Inspection could include such things as monthly throughput, climatic conditions, applicable environmental rules and regulations, manufacturers' recommendations, experience with component performance, or other extenuating circumstances. Some fuel-dispensing System components must be inspected according to requirements established by environmental, fire safety, and/or other authorities having jurisdiction over UST systems. The specific Inspection requirements can vary from jurisdiction to jurisdiction. Consult with the local authorities to determine applicable requirements. The Petroleum Equipment Institute hereby expressly disclaims any liability or responsibility for loss or damage resulting from the use of this Checklist and for the violation of any federal, state, or municipal regulation with which this Checklist may DETECTION EQUIPMENTKEY: D=Daily, M=Monthly, A=AnnuallyDispenser SumpsPiping ComponentsProduct Shear ValveSoil Vapor MonitoringVapor Shear ValveDISPENSER AREAFlex ConnectorsAutomatic Tank GaugeInterstitial MonitoringDMADateInitialsTanksInspect for is tightly sealed, properly identified and is water tight and Venting EquipmentPressure/ vacuum vent cap present (if required).

4 XCover is in good condition and properly , Empty and Dry - No water, product, dirt, Integrity - No cracks, bulges, caps tightly sealed & gaskets inspected. Fill adapter tight on tubes in place and no Sump ManholesCover is in good clearance between manhole lid and submersible sump lid and gasket in good , Empty and Dry - No water, product, dirt, Integrity - No cracks, bulges, abnormal appearance of piping. (Rust, discoloration, delamination, swelling, disintegration, etc.)XCorrect position and height, and in contact with other components, soil (without corrosion protection) or is in good condition and properly (if present) Integrity - No cracks, bulges, break poppet cap tightly seals tightly and moves freely when Float ValvesVerify in Prevention Valves (Flapper Valves)Verify in AlarmsFunctioning properly.

5 (If present.)XRectifier operating within normal operation verified by qualified Cathodic Protection SystemProper operation verified by qualified to photocopy this Checklist and/or download without making any changes to the content is granted by the Petroleum Equipment : D=Daily, M=Monthly, A=AnnuallySpill Containment ManholesContainment SumpStage I Vapor Recovery Manholes Two-Point (Dual-Point)Sump SensorsFlex ConnectorsObservation WellsCorrosion Protection (If present.)Overfill Protection DevicesImpressed Current Cathodic Protection TANK AREAD ailyDateInitialsAutomatic Tank GaugeATG equipment operational and no MonitoringMonitoring equipment operational and no measuring stick when gauging to be sure the increments are readable.

6 Ensure bottom end has not been worn or cut off and stick is not Line Leak DetectorNo reduced flow, no Vapor MonitoringMonitoring equipment MonitoringMonitoring equipment to photocopy this Checklist and/or download without making any changes to the content is granted by the Petroleum Equipment Inventory ControlDaily UST System Inspection ChecklistLEAK DETECTION EQUIPMENTThe Petroleum Equipment Institute (PEI) Tank Installation Committee has produced this Checklist as a service to owners/operators of underground storage tanks (USTs). Items on the Checklist should only be inspected by individuals knowledgeable of and familiar with UST systems. The frequency of inspections is the minimum standard recommended by the committee.

7 Other factors affecting the frequency of Inspection could include such things as monthly throughput, climatic conditions, applicable environmental rules and regulations, manufacturers' recommendations, experience with component performance, or other extenuating circumstances. Some fuel-dispensing System components must be inspected according to requirements established by environmental, fire safety, and/or other authorities having jurisdiction over UST systems. The specific Inspection requirements can vary from jurisdiction to jurisdiction. Consult with the local authorities to determine applicable requirements. The Petroleum Equipment Institute hereby expressly disclaims any liability or responsibility for loss or damage resulting from the use of this Checklist and for the violation of any federal, state, or municipal regulation with which this Checklist may and Empty - No water, product, Integrity - No leaks, cracks, bulges, Detection Sensor - Correct position and abnormal appearance of piping or components.

8 (Rust, discoloration, delamination, swelling, XTest boot (if applicable) pulled back so interstice is not blocked or Shear ValveProperly secured and anchored. Installed at the proper level. No secured and at the proper in contact with other components, soil (without corrosion protection) or MonitoringManual Inspection if used for tank release Inventory ControlInventory Line Leak DetectorNo leaks in the leak Vapor MonitoringCovers clearly marked and securedXCovers clearly marked and present in evidence of product in MonitoringMonthly UST System Inspection ChecklistLEAK DETECTION EQUIPMENTD ispenser SumpsPiping ComponentsFlex Connectors(Stage II Vapor Recovery Systems Only)The Petroleum Equipment Institute (PEI))

9 Tank Installation Committee has produced this Checklist as a service to owners/operators of underground storage tanks (USTs). Items on the Checklist should only be inspected by individuals knowledgeable of and familiar with UST systems. The frequency of inspections is the minimum standard recommended by the committee. Other factors affecting the frequency of Inspection could include such things as monthly throughput, climatic conditions, applicable environmental rules and regulations, manufacturers' recommendations, experience with component performance, or other extenuating circumstances. Some fuel-dispensing System components must be inspected according to requirements established by environmental, fire safety, and/or other authorities having jurisdiction over UST systems.

10 The specific Inspection requirements can vary from jurisdiction to jurisdiction. Consult with the local authorities to determine applicable requirements. The Petroleum Equipment Institute hereby expressly disclaims any liability or responsibility for loss or damage resulting from the use of this Checklist and for the violation of any federal, state, or municipal regulation with which this Checklist may Shear ValveDISPENSER AREAM onthlyDateInitialsTanksInspect for is tightly sealed, properly identified and is water tight and Venting EquipmentPressure/ vacuum vent cap present (if required).XCover is in good condition and properly , Empty and Dry - No water, product, dirt, Integrity - No cracks, bulges, caps tightly sealed & gaskets inspected.