X hits on this document

55 views

0 shares

0 downloads

0 comments

10 / 24

Section 7: Stage I and II Inspection

____

Note: Stage I and II vapor recovery inspections also include completing and submitting

Section 7c. forms to MDE’s Air and Radiation Management Administration.

  • 7.

    a. Stage I Vapor Recovery

    • #

      Complete 1 & 2 Answer (P)ass, (PC),

1

(F)ail or (NA) for 3 6a. for each tank Is tank equipped with vapor recovery? (Yes) / (No) or (N/A). (If Yes for any tank, complete 2 through

Tank

Tank

Tank

#____

#____

#____

[ ] Applicable [ ] Not Applicable

Tank #

Tank #

____

____

6a. and section 7c.). Stage I required Statewide

2

Type of vapor recovery:

A – Coaxial

3 4

5

5a.

B – 2 point system Dry break vapor cap and gasket in good condition?

Poppet valve in dry break moves easily and closes tight? Vapor recovery connection equipped with minimum 5-gallon catchment basin. (If installed after July 1, 1998). (If 5 is N/A complete 5a. & 5b.). There are no petroleum vapors or staining in soil or pea gravel around vapor recovery riser pipe.

5b. 6

6a.

ote all field readings if taken.

Catchment basin tested within the past year with passing results. Date of last test.

Stage I Passes Inspection. Question 1 is Y or NA and Questions 3 – 6a. are (P) or Stage I not applicable or (PC)

Comments:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Answer for each tank

Tank #_____

Tank #_____

Tank #_____

Tank #

Tank #

____

____

Does the storage system have Stage II? Yes or No. (If Yes, complete the sections below and 7c).

(Circle one)

(Circle one)

(Circle one)

(Circle one)

(Circle one)

Y/N

Y/N

Y/N

Y/N

Y/N

1

[ ] Applicable [ ] Not Applicable

Comments: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

7.b. Stage II Vapor Recovery

#

Stage II Passes Inspection. Question 1 is (Y) complete 2 or Stage II not applicable

Y/N

Y/N

Y/N

Y/N

Y/N

2

Type of vapor recovery: Balance System -(BS)

3

Vacuum Assist -(VA) UST system equipped with pressure control system and continuously monitors tank pressures.

Form Number: MDE/WAS/COM.055 Date: April 3, 2007 TTY Users: 800-735-2258

Facility I.D.

_________________

Page 10 of 24 Recycled Paper

Document info
Document views55
Page views55
Page last viewedWed Dec 07 15:05:02 UTC 2016
Pages24
Paragraphs1161
Words17459

Comments