Negative Responses Date Found Date Found By Location Reason for Negative Response Resolved Resolved Resolution YES / NO YES / NO YES / NO YES / NO YES / NO B) UNDERGROUND FUEL OIL PIPING INSTALLATION CHECKS Questions (See details below) % Date Description of Work Performed Complete Initials 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details All pipe visually inspected for damage and all damaged areas cut out, repaired, or removed. Piping trenches deep enough to provide a minimum of of sand or pea gravel bedding between containment pipe and trench bottom and of sand or pea gravel backfill 4” 4” cover when below concrete or of sand or pea gravel backfill cover when below asphalt pavement. 8” Piping trenches sized to provide a minimum of one pipe diameter between containment pipe and trench side wall or adjacent containment pipes.
Negative Responses Date Found Found By Location Reason for Negative Response Resolved Date Resolved Resolution YES / NO YES / NO YES / NO YES / NO YES / NO B) UNDERGROUND FUEL OIL PIPING INSTALLATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details All pipe visually inspected for damage and all damaged areas cut out, repaired, or removed. Piping trenches deep enough to provide a minimum of 4” of sand or pea gravel bedding between containment pipe and trench bottom and 4” of sand or pea gravel backfill cover when below concrete or 8” of sand or pea gravel backfill cover when below asphalt pavement. Piping trenches sized to provide a minimum of one pipe diameter between containment pipe and trench side wall or adjacent containment pipes.
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