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Check Sheet for Gas Stations (Stage I and Stage II) With Permit Rule Mobile App

Every station which has a Permit By Rule must maintain records at the station. Use the Check Sheet for Gas Stations (Stage I and Stage II) With Permit Rule mobile app to help you stay in compliance. Complete a new form each year. Review it often. This check list is only a tool, it does not replace reading and complying with the rules. If your answer is NO, you are probably NOT in compliance. Remember, you must: maintain required records for at least 3 years, maintain complete and accurate records. Make records available to the inspector upon request.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Check Sheet for Gas Stations (Stage I and Stage II) With Permit Rule Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    Every station which has a Permit by Rule must maintain records at the station.

  • Ico statictext

    Review it often.

  • Ico statictext

    Remember, you must: maintain required records for at least 3 years, maintain complete and accurat...

  • Ico checkbox

    Have you submitted a completed Permit by Rule Notification form?

  • Ico date

    Date of submittal:

  • Ico checkbox

    Do you have results of Stage II testing?

  • Ico date

    Static Leak and A/L Ratio (Date of testing)

  • Ico date

    Dynamic Pressure (Date of testing)

  • Ico checkbox

    Do you have the Post-Test inspection forms?

  • Ico checkbox

    Have you submitted the Stage II testing results to the local air authority?

  • Ico checkbox

    Do you have proof of attendance and completion of training required by the EPA?

  • Ico date

    Date of training:

  • Ico checkbox

    Do you keep a log of the date and description of all repair and maintenance work performed on th...

  • Ico checkbox

    Do you keep a log of any modifications made to the Stage II system?

  • Ico checkbox

    Do you keep records of the amount of gasoline, diesel, and kerosene delivered to the station dur...

  • Ico textbox

    Name of Station

  • Ico multiline

    Address of Station

  • Ico date

    Date of Repair/Maintenance

  • Ico multiline

    Description of Repair/Maintenance

  • Ico textbox

    Name

  • Ico signature

    Signature

  • Ico textbox

    Name of Station

  • Ico multiline

    Address of Station

  • Ico date

    Date of Modification

  • Ico multiline

    Description of Modification

  • Ico textbox

    Name

  • Ico signature

    Signature

  • Ico textbox

    Name of Station

  • ...and More!

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