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Home My WebLink About04-1427 (3) vii._ Underground LPG Tank Inspection Form ,„!,,...: c ,„ � ,� California Department of Forestry and Fire Protection . i.G 4 r' Butte County Fire Department ‘,.;f--.- 176 Nelson Avenue,Oroville, CA 95965 • (530)538-7888 ,r`' Property OwnerN3. ici5 c roperty Location: lib.61-1 g,A & 1 City: 0'4 i r_iN, Inspector: Inspection Date: t-oia l Permit#: tjy-® I 1-1-a - APN: (i6.7--g,::2-6 643 A5ME Tank Infor tion:NFPA 58:2001 edition .seApproved underground tank installed with no vehicle traffic shall be at least 6 inches below grade.NFPA 58: 3.2.9.1(a). ❑Approved interchangeable aboveground/underground installation,maximum depth. 12 inches below grade NFPA 58:3.2.9.1(d) ❑Approved non-interchangeable underground installation shall have a minimum depth of 18 inches or provide adequate vehicle protection for all appurtenances. NFPA 58:3.2.9.1(b) Location of Tank: NFPA 58: 2001 edition ❑ YES ❑NO Tanks of 125-gallon water capacity and under at least 10 feet from all buildings and property lines.NFPA 58: S 3.2.2.2 ,,BYES ❑NO Capacity from 125 -2000 gallons is at least 10 feet away from all buildings and property lines? NFPA Table 58:3.2.2.2 Capacity from 2001 gallons and larger shall be 50 ft from buildings/property lines. NFPA Table 58:3.2.2.2 ❑YES ❑NO All sources of ignition at least 10 feet away from tank appurtenances.NFPA 58: appendix figure I: 1(c) Tank Installation:NFPA 58:2001 edition -.AYES ❑NO Underground tank installed upon a level surface.NFPA 58: 3.2.9.1. (i). ,YES ❑NO Adequate vehicle protection of tank appurtenances.NFPA 58 :3.2.9.1(b),(c)&NFPA 58:A-5.4.2.2. ;14ES ❑NO Minimum 14 AWG corrosion resistant tracer wire(entrenched)being visible at riser or building. NFPA 58: 3.2.16.9. ❑YES 4rNO Tanks shall be coated to protect against corrosion. NFPA 58 3.2.9.2(h),NFPA 58: 3.2.4,NFPA 58:A- 3.2.9.3(c)(d). Pr- )e sure Relief Devices: NFPA 58: 2001 edition DIYES ❑NO Adequate protection provided to prevent water or debris from entering the relief valve or discharge piping. NFPA 58:3.2.11.4. Uplerground tanks with less than 2000 gal. Capacity: ,tr,YES ❑NO If relief device discharges into manhole or protective shroud, the manhole shall be equipped with ventilated louvers or passive system to provide ventilation. NFPA 58: 3.2.11.6(See exceptions for � dispensing stations) "YES 0 NO If discharge piping has been installed has the relief valve capacity been verified as adequately meeting its discharge capacity.NFPA 58:3.2.11.8,2.3.2.4. (a). Underground tanks with more than 2000 gal.Capacity: ❑YES ❑NO Discharge from pressure relief is piped vertically and directly upward to a point at least 7 feet above the ground level. NFPA 58:3.2.11.7 (See exceptions for dispensing stations) Corrosion(Cathodic)Protection: NFPA 58: 3-2.24.58:A 3.2.9.3(d),58: A 3.2.2.4 Specify Type of Backfill Material: Backfill Material: ❑ Dry ❑Damp ❑Wet ❑YES Zr1•1O Additional coating materials applied to surface areas disturbed during installation or shipment of tank ❑YES FrNO After installation of anode and prior to backfilling the anode bag(s)was pre-soaked with water. ❑YES AO Installation site, anode bag, and backfill naturally wet due to weather or other conditions: /YES ❑NO An, hod bag lead wire accessible inside dome for testing. r o 4— Comments: ,412-f Q.t4 6'-it---Ta/144---- /, OK to Enter in Trakit Date: I 0 —o?/ — 0 Initials: ��. - Underground LPG Tank Inspection Form—Master 6/2/07 CAL Underground LPG Tank Inspection Form 'CAL F/RE California Department of Forestry and Fire Protection . Butte County Fire Department 176 Nelson Avenue Oroville, CA 95965 ■ (530)538-7888 � Property Owner: Q _� a`��' — Propeoc_aBon: e4 City: . ) Inspector: `L J\ Inspection Date: Sal i, cLXt5_- Permit#:,664¢—/Vq' APN: - 7�,J c�O-6 4. AME Tank Information: NFPA 58: 2001 edition Approved underground tank installed with no vehicle traffic shall be at least 6 inches below grade.NFPA 58: 3.2.9.1(a). ❑Approved interchangeable aboveground/underground installation,maximum depth. 12 inches below grade NFPA 58:3.2.9.1(d) ❑Approved non-interchangeable underground installation shall have a minimum depth of 18 inches or provide adequate vehicle protection for all appurtenances.NFPA 58:3.2.9.1(b) Location of Tank: NFPA 58: 2001 edition ❑YES ❑NO Tanks of 125-gallon water capacity and under at least 10 feet from all buildings and property lines.NFPA 58: 3.2.2.2 YES Q NO Capacity from 125 -2000 gallons is at least 10 feet away from all buildings and property lines? _51—,0 0 NFPA Table 58:3.2.2.2 Capacity from 2001 gallons and larger shall be 50 ft from buildings/property lines. NFPA Table 58:3.2.2.2 ❑YES ❑NO All sources of ignition at least 10 feet away from tank appurtenances.NFPA 58: appendix figure I: 1(c) Tagk Installation:NFPA 58: 2001 edition ES ❑NO Underground tank installed upon a level surface.NFPA 58: 3.2.9.1.eX,ES ❑NO Adequate vehicle protection of tank appurtenances.NFPA 58 :3.2.9.1(b), (c) &NFPA 58:A-5.4.2.2. DYES ❑NO Minimum 14 AWG corrosion resistant tracer wire(entrenched)being visible at riser or building. NFPA 58: 3.2.16.9. ❑YES 77;10 Tanks shall be coated to protect against corrosion.sizkmA ' NFPA 58 3.2.9.2(h),NFPA 58: 3.2.4,NFPA 58:A- 3.2.9.3(c)(d). 2 Pre re Relief Devices:NFPA 58: 2001 e tion 64_71 If YES ❑NO Adequate protection provided to prevent water or debris from entering the relief valve or discharge piping. NFPA 58:3.2.11.4. Ug 1'erground tanks with less than 2000 gal. Capacity: YES ❑NO If relief device discharges into manhole or protective shroud,the manhole shall be equipped with ventilated louvers or passive system to provide ventilation. NFPA 58: 3.2.11.6 (See exceptions for dispensing stations) 1 YES ❑NO If discharge piping has been installed has the relief valve capacity been verified as adequately meeting its discharge capacity.NFPA 58:3.2.11.8,2.3.2.4.(a). Underground tanks with more than 2000 gal. Capacity: LI YES ❑NO Discharge from pressure relief is piped vertically and directly upward to a point at least 7 feet above the ground level. NFPA 58:3.2.11.7 (See exceptions for dispensing stations) Corrosion(Cathodic)Protection: NFPA 58: 3-2.24. 58:A 3.2.9.3(d), 58:A 3.2.2.4 Specify Type of Backfill Material:')Q,1kAL Backfill Material: ry ❑Damp ❑Wet ❑YES O Additional coating materials applied to surface areas disturbed during installation or shipment of tank ❑YES ❑NO After installation of anode and prior to backfilling the anode bag(s)was pre-soaked with water. ❑YES IX(O Installation site, anode bag,and backfill naturally wet due to weather or other conditions: ZI4 ❑NO Anode bag lead wire accessible inside dome for testing. is I Comments: — •s- ✓i1..� -!� i ,�2 I _ i ir zr, 1 �0 ��,.•=!��..i .�IsLLa III%r�L� OK to Enter in Trakit 0 Date: itials: ��