WPC /Q!!6O2j-b4g! HF"g>(f5*n6DeyZޢ X:x)Ϻ-IX39d  Z )4&3y!phd{UI5g]#d |5]lz>L浫>ReFth=ͩm-r6+ &G}1`j@R{*J1_W<h3 ORc[^g;N΁ s= [ P]/Tۇ=rzM*8T# UN % 0() 0PH U: w" 4  U: U:Q # f a U: # h! {Y: { {$ hSU@: 0DJU*:f 0 N Ba5555 0DIIIIIIIIIIIIIIIIIII B C C A B*]HP LaserJet 5/5M PostScriptADOBEPS40nL(9 Z 6Times New Roman RegularX($  '  XX@1 1 1  XXXX X XԀABASICCHECKLISTFORUSTsZ Z Z % K  ChecklistPage  1  ((3/Q$ !   d ,cAZ"Arial RegularEEweh&3|x,cAZ"Arial Regular,cAZ"Arial Regular  '  XX@1 1 XXXXX XԀABASICCHECKLISTFORUSTs @%K ChecklistPage  1  TABLE B,cAZ"Arial Regular  '  XX@1 1 1  XXXX X XԀABASICCHECKLISTFORUSTs % K ChecklistPage  1  (1#$j0XX (i2%$OOV \VXX$(iq$,,,,yXXn!@!!!! @!@!@!@!!!!!H@! D@! $@! ! ! &@!&@!&@!!&@!&@!!&@!@!&@!;@!?!@!@!!0@!?!@!@!@!!!! !!!"!#0@!$!%!&!'!(4@!)@!*N@!+(@!,!-,@!.!/!0!1!2@!3;@!49@!59@!6@!7TABLE H!,yAZ"Arial Regular(3$ !  ,cAZ"Arial Regular>$"Small Circle"0   dTABLE H(3$ !    dZddd)y  <<= 8C&0 d d !  XXXXXXXX ֛&&XXTheinformationandchecklistthatfollowcanhelpyouevaluateyourundergroundstoragetank  systems(USTs).YoucanusethechecklisttoseehowcloselyyoumeettheFederalregulationsforUSTs(40CFRPart280).ThechecklistcanalsohelpyouprepareforofficialinspectionsofUSTs.#&&&&׈#&&&&PleasenotethatthischecklistcoversonlyFederalregulationsforoperatingUSTsproperly.The @ checklistdoesnotcoverrequirementsforcorrectiveactioninresponsetoUSTleaks. Besureyou  checkwithyourStateandlocalagenciestoseeiftheyhaveadditionalordifferentrequirementsforyourUSTs. Statesandindustryorganizationsmayprovideyouwiththeirown r  checklists.Youcanusethishotlinktoidentify Statecontacts" orcallEPAsHotlineat8004249346 H  toidentifyappropriateStatecontactsortoaskquestionsabouttheUSTrequirements.#XX&&##XXXX#XXXX&&XX  h   #XX&&#@* *w#ddd Xdd Xdd X$$w, dd +  !B    ! d &&XXPleasenotethatusingthischecklistdoesnotguaranteethatyouareinfactincompliance 8  withUSTrequirements.Onlyanofficialsiteinspectioncanconfirmyourcompliancestatusandrevealpotentialviolationsandpenaltyfees.d &.  B &#&&&&ע#  &&&&FillingOutTheChecklist    ThechecklistprovidescolumnsforuptofourUSTs.MakeasmanyadditionalcopiesofthechecklistasyouneedtocoverallyourUSTsasyouperiodicallyevaluatetheircompliancestatus.#&&& &׀#&&&&  ` UseTheChecklistPeriodically ManyofthefollowingitemsneedtobereevaluatedperiodicallytoensureyourUSTsthatmaybein & complianceatonepointintime STAYincomplianceovertime . #&&&&װ #&&&&Donotfilloutthechecklistonce  andthenforgetaboutit. #&&&& #&&&&Ataminimum,youshouldupdateyourchecklistresponseatleastoncea  yearorwheneveryourmakechangestoUSTs,repairequipment,orrespondtoanyoperationalproblems.YouneedtomakesureyoufollowalloperationandmaintenanceproceduresthatcankeepyourUSTsincompliance,protectyourinvestment,andprotecthumanhealthandtheenvironmentfromcostlyleaks. AvoidviolationsandpenaltyfeesbyconstantlykeepingUSTsincompliance.   #&&&&ע #&&&& NeedMoreInformationToAnswerQuestions?  n Youmayfindyouneedmoreinformationasyoufilloutthechecklist.Youmayneedtoknowmoreaboutreleasedetectionchoicesandtheirrestrictions,forexample.EachsectionofthechecklistrefersyoutoacorrespondingsectioninEPAs MustsForUSTs:ASummaryOfFederal . Regulations (July1995).#&&&& # &&&&ԀYoumayalsowanttorefertootherEPApublicationsonreleasedetection   requirements,suchas#&&& &# &&&& StraightTalkOnTanks,DoingInventoryControlRight , ManualTank  ! Gauging ,and IntroductionToStatisticalInventoryReconciliation .#&&& &׊# &&&&AllEPApublicationsonUSTs f!" areeasilyretrievedwithoutcostfromthishotlinkto USTpublications" orcallEPAsHotlineat800 <"# 4249346orpublicationsdistributorat8004909198.#&&& &׊# #\$ SomebasicinformationonFederalUSTrequirementsfollowsbelow. ImplementingAgency  R&!( Someitemsreferto theimplementingagency.The implementingagencyissimplytheagencythathasjurisdictionoveryourUSTs.Thestateenvironmentalagencyisusuallytheimplementingagency"usethishotlinktofind Stateimplementingagencies .IfyourUSTsareinIndianCountry, ($+ contactyourRegionalU.S.EPA"youcanusethishotlinktofind RegionalEPAcontacts . )$,  ReleaseDetection  D+&.  &&&&"  'hpXX'""0    Longterm MonthlyMonitoringmethods:Thesemethodsincludeinterstitialmonitoring,automatic ,d'/ tankgaugingsystems,groundwatermonitoring,vapormonitoring,andothermethodsapprovedbyanimplementingagencytoworkequallywell,suchasstatisticalinventoryreconciliation(SIR).Besureyoucheckpages811in MustsForUSTs (ortheotherpublicationsnotedaboveonrelease .)2 detection)tomakesureyouunderstandthevariousrestrictionsandlimitationsofeachmethodwhenusedatyourUST.#&&& &#"H݌00z+4$$ Ќ  "  "3"0    Temporaryreleasedetectionmethods:For10yearsfollowinginstallationofanewUSTorthe  upgradingofanoldUST,youcanoftenuseacombinationofperiodictanktightnesstestingwitheitherinventorycontrolormanualtankgauging.Besureyoucheckpages811in MustsForUSTs  V (ortheotherpublicationsnotedaboveonreleasedetection)tomakesureyouunderstandthevariousrestrictionsandlimitationsofeachmethodwhenusedatyourUST."3N݌ $$ Ќ  "  ""0    DontforgetabouttheadditionalrequirementsforyourUSTspiping.Pressurizedpipingand  suctionpipinghavedifferentrequirements(page11in MustsForUSTs )."݌ $$ Ќ  CorrosionProtection  B  Alltanksandpipingmustbeprotectedfromcorrosion,butUSTsinstalledbeforeDecember22,1988canusesomeretrofitapproachesnotallowedforUSTsinstalledonorafterDecember22,1988.BesureyouknowthecorrosionprotectionrequirementsforeachofyourUSTs. SpillProtection  X   &&&&AllUSTsmustbeprotectedfromspillsbyhavingdevicessuchas spillbucketsorcatchmentbasins .x  thatcancontainspilledproduct.#&&& &׀# H   OverfillProtection     &&&&AllUSTsmustbeprotectedfromoverfillsbyusingsuchdevicesasautomaticshutoffdevices,overfill t alarms,orballfloatvalves.#&&& &צ# D  Recordkeeping  . Asaruleofthumb,keeprecordsofreports,tests,repairs,andotheractionsorknowwheretheserecordsarekeptatanoffsitelocation.Insomecases,suchasclosuresiteassessments,recordsmaybekeptbyimplementingagencies. Notification  D YoushouldhavefiledanotificationformwithyourimplementingagencyforallUSTsatyourfacility.NotificationformsforUSTsinstalledafterDecember22,1988mustincludeacertificationofcorrectinstallation. ClosingUSTs  Z YoucantemporarilycloseanUSTbymeetingtherequirementsfortemporaryclosure(page25in MustsForUSTs ),whichataminimumcaninvolvecontinuingoperationofreleasedetectionand ! corrosionprotectionmethods.PermanentclosureofanUSTrequiresseveralstepsintendedtoensurethesafetyofthoseclosingorremovingtanksandtodetermineifcontaminationfromyourUSTispresentinthesurroundingenvironment(page25in MustsForUSTs ). ,"v$  FinancialResponsibility  #& Youmustdemonstrateyourfinancialresponsibilityforthecostofcleaningupaleakandcompensatingotherpeopleforbodilyinjuryandpropertydamage.FinancialresponsibilitylevelsdependinpartonthenumberofUSTsyouhaveandifyouareamarketerornonmarketer.PleaserefertoEPAs DollarsAndSense forafullexplanation.AllEPApublicationsonUSTs&&&&areeasily 'b"* retrievedwithoutcostfromthishotlinkto USTpublications" orcallEPAsHotlineat8004249346or '8#+ publicationsdistributorat8004909198.#&&&&׏&# &&&& ($,  CorrectiveAction  d*%. ThischecklistdoesnotaddressrequirementsforreportingandrespondingtoanUSTleak.ThestepsyouneedtotakeinrespondingtoanUSTleakareusuallydictatedbysitespecificconditionsandtheproceduresestablishedbytheimplementingagency.Besureyoucheckwithyour State ,$(1 implementingagency or U.S.EPARegionalcontact onstepstotake.#&&& &׶'#&&&&  -(2 #&&&&i*#XXIfyoucannotansweranyofthefollowingquestionsorfindthatyouaremissingsomething,youmusttake  actionquicklytoremedythesituation.Ifnot,youmaybecitedforviolationsandsubjecttopenaltyfeesduringofficialUSTinspections.&&&&AllpagereferencesinthechecklistaretoEPAs MustsForUSTs:ASummaryOf N FederalRegulations (July1995).#&&&&.,# Note:ThischecklistcoversmostFederalregulations,butbesureto p checkwithState/localagenciesthatmayhaveadditional/differentrequirementsortheirownchecklists.XXX&&ԀAnswerbyentering:4 Zd forYesdZ.ԀorNA Zd forNotApplicabledZ.   *U!#%dd dd #%%U,}dd ,dd ,dd ,dd ,dd +  %B r  % d KXXPleasenotethatfillingoutthischecklistdoesnotguaranteethatyouareinfactincompliancewithUST  (  requirements.Onlyanofficialsiteinspectioncanconfirmyourcompliancestatus. KKd=0 )  B ) FacilitynameorID#:#KK@1#KKԀDateoftodaysevaluation: #KK1#KK 'B  H  ' d UKKUYourUSTshave RELEASEDETECTION ?#UK2#d2Ԁ 6  d ԀKUԀ Needatleastonecheckineachcolumndy3#UKɾ3# 0BP B 0 d KU(Seepages811forallowablemethodsandtheirrestrictions):d4#UKɛ4# +! B +#UU2#UUUST#1 '  'UST#2 '  'UST#3 '  'UST#4   USTusesInterstitialMonitoringatleastmonthly?  N    N    N    N    N  USTusesAutomaticTankGaugingatleastmonthly?  :   :   :   :   : #UUy5# UUUSTusesVaporMonitoringatleastmonthly?#U U7#UU  x   x   x   x   x  #UU(8# UUUSTusesGroundwaterMonitoringatleastmonthly?#U U8#UU  !   "   #   $   % USTusesManualTankGaugingalone(onlyfortanks<1001gallons)?  F&   F'   F(   F)   F* USTusesManualTankGauging&TankTightnessTesting(onlyfortanks<2001gallonsand#UUF9# UU10yearmaximumuse#U U4;#UU)?  .,   2-   2.   2/   20 USTusesInventoryControlandTankTightnessTesting(10yearmaximumuse)?  l1   l2   l3   l4   l5 Specifyanyotherreleasedetectionmethod,suchasSIR:  T7   X8   X9   X:  $B X; $ d KUIfUSThas PRESSURIZEDPIPING : 򀀀񀀀Needatleastonecheckineachcolumn#UKɅ=#dy= %@<B %Pipinghasautomaticflowrestrictor(seepage11)?  =   >   ?   @   A Pipinghasautomaticshutoffdevice(seepage11)?  *B   *C   *D   *E   *F Pipingusescontinuousalarmsystem(seepage11)?  hG   hH   hI   hJ  $B hK $ d KUIfUSThas PRESSURIZEDPIPING :񀀀 Needatleastonecheckineachcolumn#UKɥ@#d@ %T LB %Pipingusesannuallinetightnesstesting(seepage11)?  !M   !N   !O   !P   !Q Pipingusesmonthlymonitoring(seepage11)?  "> R   "> S   "> T   "> U  $B "> V $ d KUIfUSThas SUCTIONPIPING : 򀀀񀀀Needatleastonecheckineachcolumn#UK+C#dC %*$|!WB %Pipingusesmonthlymonitoring(seepage11)?#UU;#UU  %"X   %"Y   %"Z   %"[   %"\ Pipinguseslinetightnesstestingevery3years(seepage11)?  &$]   &$^   &$_   &$`   &$a Pipinghasnoreleasedetectionrequirements(seepage11)?  (R%b   (R%c   (R%d   (R%e  $B (R%f $ d KUYoukeep RECORDSOFRELEASEDETECTION? (Seepage27):񀀀 Respondinallcolumns&rows#UKɢF#dF %>)&gB %Youkeeprecordsatleast1yearshowingtheresultsofrepairsandofmonthlysampling,testing,andmonitoringofreleasedetection(exceptfortanktightnesstestingrecords,whichyoukeepuntilthenexttest)?  +>)j   *'k   *'l   *'m   *'n Youkeeprecordsatleast5yearsofcalibrationandmaintenanceofreleasedetectionequipment?Put NA intheboxifyouusemanualtankgauging,inventorycontrol,ortank -&+p tightnesstesting.  .+q   *-|*r   *-|*s   *-|*t #UUD#UU  *-|*u Youkeepvendorsperformanceclaimsandresultsofthirdpartyevaluationsfor5yearsforinterstitialmonitoring,automatictankgauging,vapormonitoring,groundwatermonitoring,tanktightnesstesting,orotherapplicableapprovedmethods?  1l.x   /-y   /-z   /-{ $B /-| $X d KUYourUSTshave CORROSIONPROTECTION?񀀀Needatleastonecheckineachcolumn#UK$M#dM 9B$dB 9 d KU(Seepages1617and2021oncorrosionprotectionforTANKS):#UKoN##UUK#UUdcN 4*B 4UST#1 ' 'UST#2 ' 'UST#3 ' 'UST#4  Tankisfiberglass?  N   N   N    N    N  Tankiscoated&cathodicallyprotectedsteel?  N    N    N   N   N Tankissteelclad(orjacketed)withnoncorrodiblematerial?                    Tankretrofittedwithcathodicprotection?                    Tankretrofittedwithinteriorlining?  F    F    F    F    F  Specifyanyothermethodusedtoachievetankscorrosionprotection:  . !    F "    F #    F $  $B  F % $ d KU(Seepages16and21oncorrosionprotectionforPIPING):#UKS# 񀀀KUNeedatleastonecheckineachcolumn #UKzT##UUO#UU %l. &B % d Pipingisfiberglass?   '    (    )    *    + Pipingiscoated&cathodicallyprotectedsteel?   ,    -    .    /    0 Pipingretrofittedwithcathodicprotection?#UUU#UU  B1   B2   B3   B4   B5 Specifyanyothermethodusedtoachievepipingscorrosionprotection:  *7   B8   B9   B:  $B B; $ d KUYouhave RECORDSFORCATHODICPROTECTION ?(Seepages2021)#UK X#:KU 򀀀񀀀Respondallcolumns&rowsdX #UKɤX# %h*<B %Ifyouhaveimpressedcurrentsystemsorsacrificialanodes,youhavethedocumentationofthelast2inspectionresultsconductedbyaqualifiedcathodicprotectiontesterwithin6monthsofinstallation,atleastevery3yearsthereafter,andwithin6monthsofarepair?  ?   @   A   B   C Ifyouhaveanimpressedcurrentsystem,youhavedocumentationofthelastthreerectifierreadingsthatneedtobetakenevery60daystoshowthattherectifierisworkingproperly?(MostUSTswillshareonerectifier.)  jF  'B TG ' d KUYourUSThas SPILLPROTECTION ?(Seepages1213): 򀀀񀀀񀀀Respondallcolumnsd\#UK\# %HB %USThasspillprotectionequipment,suchascatchmentbasin?  @I   @J   @K   @L  $B @M $ d KUYourUSThas OVERFILLPROTECTION ?(Seepages1415): 򀀀񀀀Needatleastonecheckineachcolumnd]#UK]# %~@NB %USThasautomaticshutoffdevice?   O    P    Q    R    S USThasoverfillalarm?  "T   "U   "V   "W   "X USThasballfloatvalve?  T#Y   T#Z   T#[   T#\  $B T#] $ d KU OTHERREQUIREMENTSforentirefacility#KKV# : 򀀀Respondineachrowforentirefacilityd`#UKɶ`# )$T ^B )Youhavefilednotificationformswiththeappropriateauthority(seepages7and26)?  %!_   %!` YoukeeprecordsofallUSTsystemrepairsfortheoperatinglifeoftheUSTsystem(seepage27)?  *'"a   *'"b IfyouhavepermanentlyclosedanyUSTs,yousatisfytherequirementsforpermanentclosure(seepages25and27)and UUԀkeep h(*$c siteassessmentresultsfor3years#U Uc#?  )$d   h(*$e IfyouhavetemporarilyclosedanyUSTs,yousatisfytherequirementsfortemporaryclosure(seepage25)?  P*&f   P*&g UUYouhaveevidenceof FinancialResponsibility(seepages2and5)?   > #UUd#  +P'h  $B +P'i $ d UUKUPleasenotethatfillingoutthischecklistdoesnotguaranteethatyouareinfactincompliancewithUST ,(j requirements.Onlyanofficialsiteinspectioncanconfirmyourcompliancestatus.BesuretocheckwithState/localagenciesthatmayhaveadditional/differentrequirementsortheirownchecklists. #KKe#  KKde)X.*l 7 B )#KKɅg# KK^h^K@,#K^^h(h##KK h#