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Annual Spill Bucket Integrity Test Mobile App

This is the Annual Spill Bucket Integrity Test app. This app can help you conduct a compliance test, test corrosion protection, and all other areas regarding the integrity of your spill bucket so you can take corrective action as soon as possible. This app is very easy to use and will send your information to the right people in real time as the tester is on site.

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

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Included Features

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Included Fields

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

  • Ico statictext

    This for is used to document annual testing of shear valves, UST Spill Buckets, UST Overfill Devi...

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    All testing is done by MDEQ state certified employees of PES&R IAW MDEQ regulation.

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    All testing within this document is required by MDEQ regulations to be conducted every 12 months ...

  • Ico date

    Date of Inspection

  • Ico textbox

    Facility Name

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    MDEQ Facility ID#

  • Ico multiline

    Facility Physical Address To Include City, State, County

  • Ico gps

    GPS

  • Ico textbox

    UST Owner

  • Ico textbox

    Facility Employee Verification (Name)

  • Ico signature

    Facility Employee Sigature

  • Ico textbox

    Tester's Name

  • Ico signature

    Tester's Signature

  • Ico date

    Date

  • Ico textbox

    MDEQ Certification #

  • Ico date

    Cert Expiration Date

  • Ico dropdown

    Select Test

  • Ico dropdown

    Result

  • Ico multiline

    Tester Comments

  • Ico camera

    Phot

  • Ico dropdown

    Reason For Test

  • Ico dropdown

    Type of Test

  • Ico statictext

  • Ico statictext

    MDEQ Hydrostatic Test Procedures

  • Ico statictext

    Clean out and properly dispose of all debris, soil and/or fluids from the spill bucket.

  • Ico statictext

    Visually examine and ensure there are no cracks, holes, or broken seals & fill cap seals properly.

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    Fill with water to within 1 1/2 inches of top & let stand 15 mins to allow water to reach ambien...

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    4. After 15 mins, carefully measure the water level to the nearest 1/6th inch

  • ...and More!

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