Rutgers, The State University of New Jersey

Underground Storage Tank Checklist

Answer by entering:     for Yes   

    or    

NA for Not Applicable

Please note that filling out this checklist does not guarantee that you are in fact in compliance with UST requirements. Only an official site inspection can confirm your compliance status.

Facility name or ID#:

Date of today's evaluation:

Your USTs have RELEASE DETECTION?
(See pages 8-11 for allowable methods and their restrictions):

Need at least one check in each column

UST #1

UST #2

UST #3

UST #4

UST uses Interstitial Monitoring at least monthly?

 

 

 

 

UST uses Automatic Tank Gauging at least monthly?

 

 

 

 

UST uses Vapor Monitoring at least monthly?

 

 

 

 

UST uses Groundwater Monitoring at least monthly?

 

 

 

 

UST uses Manual Tank Gauging alone (only for tanks <1001 gallons)?

 

 

 

 

UST uses Manual Tank Gauging & Tank Tightness Testing (only for tanks <2001 gallons and 10-year maximum use?)

 

 

 

 

UST uses Inventory Control and Tank Tightness Testing (10-year maximum use)?

 

 

 

 

Specify any other release detection method, such as SIR:
 

 

 

 

 

If UST has PRESSURIZED PIPING:

Need at least one check in each column

Piping has automatic flow restrictor (see page 11)?

 

 

 

 

Piping has automatic shutoff device (see page 11)?

 

 

 

 

Piping uses continuous alarm system (see page 11)?

 

 

 

 

If UST has PRESSURIZED PIPING:

Need at least one check in each column

Piping uses annual line tightness testing (see page 11)?

 

 

 

 

Piping uses monthly monitoring (see page 11)?

 

 

 

 

If UST has SUCTION PIPING:

Need at least one check in each column

Piping uses monthly monitoring (see page 11)?

 

 

 

 

Piping uses line tightness testing every 3 years (see page 11)?

 

 

 

 

Piping has no release detection requirements (see page 11)?

 

 

 

 

You keep RECORDS OF RELEASE DETECTION? (See page 27):

Respond in all columns & rows

You keep records at least 1 year showing the results of repairs and of monthly sampling, testing, and monitoring of release detection (except for tank tightness testing records which you keep until the next test)?

 

 

 

 

You keep records at least 5 years of calibration and maintenance of release detection equipment? Put NA in this box if you use manual tank gauging, inventory control, or tank tightness testing.

 

 

 

 

You keep performance claims and results of third-party evaluations for 5 years for interstitial monitoring, automatic tank gauging, vapor monitoring, groundwater monitoring, tank tightness testing, or other applicable approved methods?.

 

 

 

 

Your USTs have CORROSION PROTECTION?
(See pages 16-17 and 20-21 on corrosion protection for TANKS):

Need at least one check in each column

UST #1

UST #2

UST #3

UST #4

Tank is fiberglass?

 

 

 

 

Tank is coated & cathodically protected steel?

 

 

 

 

Tank is steel clad (or jacketed) with noncorrodible material?

 

 

 

 

Tank retrofitted with cathodic protection?

 

 

 

 

Tank retrofitted with interior lining?

 

 

 

 

Specify any other method used to achieve tank's corrosion protection:
 

 

 

 

 

(See pages 16 and 21 on corrosion protection for PIPING):

Need at least one check in each column

Piping is fiberglass?

 

 

 

 

Piping is coated & cathodically protected steel?

 

 

 

 

Piping retrofitted with cathodic protection?

 

 

 

 

Specify any other method used to achieve piping's corrosion protection:
 

 

 

 

 

You have RECORDS FOR CATHODIC PROTECTION? (See pages 20-21):

Respond in all columns & rows

If you have impressed current systems or sacrificial anodes, you have the documentation of the last 2 inspection results conducted by a qualified cathodic protection tester within 6 months of installation, at least every 3 years thereafter, and within 6 months of a repair?

 

 

 

 

If you have an impressed current system, you have documentation of the last three rectifier readings that need to be taken every 60 days to show that the rectifier is working properly? (Most USTs will share one rectifier.)

 

 

 

 

Your UST has SPILL PROTECTION? (See pages 12-13):

Respond in all columns

UST has spill protection equipment, such as catchment basin?

 

 

 

 

Your UST has OVERFILL PROTECTION? (See pages 14-15):

Need at least one check in each column

UST has automatic shutoff device?

 

 

 

 

UST has overfill alarm?

 

 

 

 

UST has ball float valve?

 

 

 

 

OTHER REQUIREMENTS for entire facility

Respond in each row for entire facility

You have filed notification forms with the appropriate authority (see pages 7 and 26)?

 

 

 

 

You keep records of all UST system repairs for the operating life of the UST system (see page 27)?

 

 

 

 

If you have permanently closed any USTs, you satisfy the requirements for permanent closure (see pages 25 and 27) and keep site assessment results for 3 years?

 

 

 

 

If you have temporarily closed any USTs, you satisfy the requirements for temporary closure (see page 25)?

 

 

 

 

You have evidence of "Financial Responsibility" (see pages 2 and 5)?