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Automatic Tank Gauge Inspection Checklist

Use this checklist to help you conduct basic walkthrough inspections of the facility to make sure that all essential equipment is working properly and that there are fuel release response supplies on hand.
MaintainX
07/22/2022

Automatic Tank Gauge Inspection Checklist

Use this checklist to help you conduct basic walkthrough inspections of the facility to make sure that all essential equipment is working properly and that there are fuel release response supplies on hand.

    System Manufacturer:

    System Name and Model Number:

    Gauge system installed after 1994 - provide LG-113 listed system

    • Pass
    • Flag
    • Fail

    Correct the following conditions which did not comply with System spec in LG 113

    • Pass
    • Flag
    • Fail

    Waiting times between delivery and testing

    • Pass
    • Flag
    • Fail

    No dispensing between delivery and testing

    • Pass
    • Flag
    • Fail

    Test period

    Tank Size

    Investigate alarms

    Provide operation/maintenance manual on-site

    • Pass
    • Flag
    • Fail

    Repair/maintain the system

    • Pass
    • Flag
    • Fail

    Identify and repair indicated leak (calc. leak rate exceeds threshold, repeated water in tank)

    • Pass
    • Flag
    • Fail

    Provide hard copy report including the following:

    Tank identification

    • Pass
    • Flag
    • Fail

    Time and date of test

    • Pass
    • Flag
    • Fail

    Product depth

    • Pass
    • Flag
    • Fail

    Product volume

    • Pass
    • Flag
    • Fail

    Water Depth

    • Pass
    • Flag
    • Fail

    Product Temperature • Duration of the test

    • Pass
    • Flag
    • Fail

    Calculated leak rate (required for system installed after 1/1/95)

    • Pass
    • Flag
    • Fail

    Leak threshold required for system installed after 1/1/95)

    • Pass
    • Flag
    • Fail

    Test result ( PASS or FAIL)

    • Pass
    • Flag
    • Fail

    Correct past lack of maintenance of records for three years

    • Pass
    • Flag
    • Fail

    Correct test frequency - Test each tank at least once each month

    • Pass
    • Flag
    • Fail

    Correct product level during test within 10% of highest operating level and per manufacturer’s specifications

    • Pass
    • Flag
    • Fail

    Provide documentation of annual maintenance and service

    • Pass
    • Flag
    • Fail

    Received by: Signature of Facility Representative

    Click here to sign

    Printed Name

    Date of Inspection:

Source: MaintainX (Community Member)

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