Fuel Tank Review - 20170905

• Site Name

• B Number (eg. B12345)

• Conducted on

  Date

• Prepared by

• Location
  Address

Fuel Tank Review

• How many Fuel Tanks are on site?

  1

  2

  3

  4

  5

Fuel Tank #1

• Above Ground Storage Tank (AST) / Underground Storage Tank (UST) / Integrated Storage Tank (Belly Tank) (IST)

  AST

  UST

  IST

• What type of fuel is being used?

  Diesel

  Fuel oil

  Propane

  Natural Gas

• What type of Fuel Oil?

  Fuel Oil #2

  Fuel Oil #3

  Fuel Oil #6

  Bunker C

• Is this a Main or Day tank?

  Main Tank

  Day Tank

• Tank Images

  Media

• Where is the tank located? (eg. Penthouse, Basement, North East corner parking lot, ect...)

• Indoor or outdoor

  Indoor

  Outdoor

• Is it fenced in with traffic deterring bollards?

  Select Fenced Bollards Neither

  • Fenced
  • Bollards
  • Neither

• Please provide a Satellite image of the tank

  Media

• Nameplate Images

  Media

• Manufacturer

• Serial Number

• Model Number

• TSSA - CRN number if available

• Date of Manufacture or age in years

• Tank Volume (Numerical Value)

• Volume Units (Litres or Gallons)

  Litres

  Gallons

• Construction Material

  Steel/Aluminium

  Composite/Fiberglass

  Other

• Other Construction Material type?

• Wall Type

  Single Wall

  Double Wall

• Is the Tank Insulated?

  Yes

  No

• Poor or Good condition?

  Poor

  Good

• Please explain

• Tank Diameter (Inches)

• Tank Height (inches)

• Tank Length (Inches)

• Is there Leak Detection?

  Yes

  No

• What type of Leak detection is present?

  Vacuum Break

  Liquid Hydrocarbon

  Water Sensor

• Is there Cathodic Protection for this tank?

  Yes

  No

• Is the Tank Bonded?

  Yes

  No

• What is the tank Bonded to?

• Is there a Secondary (Spill) Containment for this tank?

  Yes

  No

• Please comment on the Containment Integrity (eg. Cracks, holes, hoses/piping running through ect...)

• Does the Tank have a Man-Way?

  Yes

  No

• How many and what is the Diameter?

• Is the tank located in proximity to any of the following environmentally sensitive areas? (Please check all that apply)

  Select None Creek/Stream/River/Wetland Monitoring/Water Supply Well Storm/Sewer Drain Sanitary Drain Heritage Other

  • None
  • Creek/Stream/River/Wetland
  • Monitoring/Water Supply Well
  • Storm/Sewer Drain
  • Sanitary Drain
  • Heritage
  • Other

• Please specify the distance (in Metres) from the Tank to the Environmentally Sensitive Area

• Other? (and) Please specify the distance (in Metres) from the Tank to the Environmentally Sensitive Area

• Proximity to a sensitive water shed?

  Yes

  No

• Images

  Media

• Please describe

• Tank Responsibility

  Select CBRE IO OPP Ministry Landlord Other

  • CBRE
  • IO
  • OPP
  • Ministry
  • Landlord
  • Other

• Other?

• Is Fuel Polishing Required? (Under 1000 litres = No | Over 1000 litres = Yes)

  Yes

  No

• Additional Comments

• Is there a second Fuel Tank?

  Yes

  No

Fuel Tank #2

• Above Ground Storage Tank (AST) / Underground Storage Tank (UST) / Integrated Storage Tank (Belly Tank) (IST)

  AST

  UST

  IST

• What type of fuel is being used?

  Diesel

  Fuel oil

  Propane

  Natural Gas

• What type of Fuel Oil?

  Fuel Oil #2

  Fuel Oil #3

  Fuel Oil #6

  Bunker C

• Is this a Main or Day tank?

  Main Tank

  Day Tank

• Tank Images

  Media

• Where is the tank located? (eg. Penthouse, Basement, North East corner parking lot, ect...)

• Indoor or outdoor

  Indoor

  Outdoor

• Is it fenced in with traffic deterring bollards?

  Select Fenced Bollards Neither

  • Fenced
  • Bollards
  • Neither

• Please provide a Satellite image of the tank

  Media

• Nameplate Images

  Media

• Manufacturer

• Serial Number

• Model Number

• TSSA - CRN number if available

• Date of Construction or age in years

• Tank Volume (Numerical Value)

• Construction Material

  Steel/Aluminium

  Composite/Fiberglass

  Other

• Other Construction Material type?

• Wall Type

  Single Wall

  Double Wall

• Is the Tank Insulated?

  Yes

  No

• Poor or Good condition?

  Poor

  Good

• Please explain

• Tank Diameter (Inches)

• Tank Height (inches)

• Tank Length (Inches)

• Is there Leak Detection?

  Yes

  No

• What type of Leak detection is present?

  Vacuum Break

  Liquid Hydrocarbon

  Water Sensor

• Is there Cathodic Protection for this tank?

  Yes

  No

• Is the Tank Bonded?

  Yes

  No

• What is the tank Bonded to?

• Is there a Secondary (Spill) Containment for this tank?

  Yes

  No

• Please comment on the Containment Integrity (eg. Cracks, holes, hoses/piping running through ect...)

• Does the Tank have a Man-Way?

  Yes

  No

• How many and what is the Diameter?

• Is the tank located in proximity to any of the following environmentally sensitive areas? (Please check all that apply)

  Select None Creek/Stream/River/Wetland Monitoring/Water Supply Well Storm/Sewer Drain Sanitary Drain Heritage Other

  • None
  • Creek/Stream/River/Wetland
  • Monitoring/Water Supply Well
  • Storm/Sewer Drain
  • Sanitary Drain
  • Heritage
  • Other

• Please specify the distance (in Metres) from the Tank to the Environmentally Sensitive Area

• Other? (and) Please specify the distance (in Metres) from the Tank to the Environmentally Sensitive Area

• Proximity to a sensitive water shed?

  Yes

  No

• Images

  Media

• Please describe

• Tank Responsibility

  Select CBRE IO OPP Ministry Landlord Other

  • CBRE
  • IO
  • OPP
  • Ministry
  • Landlord
  • Other

• Other?

• Is Fuel Polishing Required? (Under 1000 litres = No | Over 1000 litres = Yes)

  Yes

  No

• Additional Comments

• Is there a Third Fuel Tank?

  Yes

  No

Fuel Tank #3

• Above Ground Storage Tank (AST) / Underground Storage Tank (UST) / Integrated Storage Tank (Belly Tank) (IST)

  AST

  UST

  IST

• What type of fuel is being used?

  Diesel

  Fuel oil

  Propane

  Natural Gas

• What type of Fuel Oil?

  Fuel Oil #2

  Fuel Oil #3

  Fuel Oil #6

  Bunker C

• Is this a Main or Day tank?

  Main Tank

  Day Tank

• Tank Images

  Media

• Where is the tank located? (eg. Penthouse, Basement, North East corner parking lot, ect...)

• Indoor or outdoor

  Indoor

  Outdoor

• Is it fenced in with traffic deterring bollards?

  Select Fenced Bollards Neither

  • Fenced
  • Bollards
  • Neither

• Please provide a Satellite image of the tank

  Media

• Nameplate Images

  Media

• Manufacturer

• Serial Number

• Model Number

• TSSA - CRN number if available

• Date of Construction or age in years

• Tank Volume (Numerical Value)

• Construction Material

  Steel/Aluminium

  Composite/Fiberglass

  Other

• Other Construction Material type?

• Wall Type

  Single Wall

  Double Wall

• Is the Tank Insulated?

  Yes

  No

• Poor or Good condition?

  Poor

  Good

• Please explain

• Tank Diameter (Inches)

• Tank Height (inches)

• Tank Length (Inches)

• Is there Leak Detection?

  Yes

  No

• What type of Leak detection is present?

  Vacuum Break

  Liquid Hydrocarbon

  Water Sensor

• Is there Cathodic Protection for this tank?

  Yes

  No

• Is the Tank Bonded?

  Yes

  No

• What is the tank Bonded to?

• Is there a Secondary (Spill) Containment for this tank?

  Yes

  No

• Please comment on the Containment Integrity (eg. Cracks, holes, hoses/piping running through ect...)

• Does the Tank have a Man-Way?

  Yes

  No

• How many and what is the Diameter?

• Is the tank located in proximity to any of the following environmentally sensitive areas? (Please check all that apply)

  Select None Creek/Stream/River/Wetland Monitoring/Water Supply Well Storm/Sewer Drain Sanitary Drain Heritage Other

  • None
  • Creek/Stream/River/Wetland
  • Monitoring/Water Supply Well
  • Storm/Sewer Drain
  • Sanitary Drain
  • Heritage
  • Other

• Please specify the distance (in Metres) from the Tank to the Environmentally Sensitive Area

• Other? (and) Please specify the distance (in Metres) from the Tank to the Environmentally Sensitive Area

• Proximity to a sensitive water shed?

  Yes

  No

• Images

  Media

• Please describe

• Tank Responsibility

  Select CBRE IO OPP Ministry Landlord Other

  • CBRE
  • IO
  • OPP
  • Ministry
  • Landlord
  • Other

• Other?

• Is Fuel Polishing Required? (Under 1000 litres = No | Over 1000 litres = Yes)

  Yes

  No

• Additional Comments

• Is there a Fourth Fuel Tank?

  Yes

  No

Fuel Tank #4

• Above Ground Storage Tank (AST) / Underground Storage Tank (UST) / Integrated Storage Tank (Belly Tank) (IST)

  AST

  UST

  IST

• What type of fuel is being used?

  Diesel

  Fuel oil

  Propane

  Natural Gas

• What type of Fuel Oil?

  Fuel Oil #2

  Fuel Oil #3

  Fuel Oil #6

  Bunker C

• Is this a Main or Day tank?

  Main Tank

  Day Tank

• Tank Images

  Media

• Where is the tank located? (eg. Penthouse, Basement, North East corner parking lot, ect...)

• Indoor or outdoor

  Indoor

  Outdoor

• Is it fenced in with traffic deterring bollards?

  Select Fenced Bollards Neither

  • Fenced
  • Bollards
  • Neither

• Please provide a Satellite image of the tank

  Media

• Nameplate Images

  Media

• Manufacturer

• Serial Number

• Model Number

• TSSA - CRN number if available

• Date of Construction or age in years

• Tank Volume (Numerical Value)

• Construction Material

  Steel/Aluminium

  Composite/Fiberglass

  Other

• Other Construction Material type?

• Wall Type

  Single Wall

  Double Wall

• Is the Tank Insulated?

  Yes

  No

• Poor or Good condition?

  Poor

  Good

• Please explain

• Tank Diameter (Inches)

• Tank Height (inches)

• Tank Length (Inches)

• Is there Leak Detection?

  Yes

  No

• What type of Leak detection is present?

  Vacuum Break

  Liquid Hydrocarbon

  Water Sensor

• Is there Cathodic Protection for this tank?

  Yes

  No

• Is the Tank Bonded?

  Yes

  No

• What is the tank Bonded to?

• Is there a Secondary (Spill) Containment for this tank?

  Yes

  No

• Please comment on the Containment Integrity (eg. Cracks, holes, hoses/piping running through ect...)

• Does the Tank have a Man-Way?

  Yes

  No

• How many and what is the Diameter?

• Is the tank located in proximity to any of the following environmentally sensitive areas? (Please check all that apply)

  Select None Creek/Stream/River/Wetland Monitoring/Water Supply Well Storm/Sewer Drain Sanitary Drain Heritage Other

  • None
  • Creek/Stream/River/Wetland
  • Monitoring/Water Supply Well
  • Storm/Sewer Drain
  • Sanitary Drain
  • Heritage
  • Other

• Please specify the distance (in Metres) from the Tank to the Environmentally Sensitive Area

• Other? (and) Please specify the distance (in Metres) from the Tank to the Environmentally Sensitive Area

• Proximity to a sensitive water shed?

  Yes

  No

• Images

  Media

• Please describe

• Tank Responsibility

  Select CBRE IO OPP Ministry Landlord Other

  • CBRE
  • IO
  • OPP
  • Ministry
  • Landlord
  • Other

• Other?

• Is Fuel Polishing Required? (Under 1000 litres = No | Over 1000 litres = Yes)

  Yes

  No

• Additional Comments

• Is there a Fifth Fuel Tank?

  Yes

  No

Fuel Tank #5

• Above Ground Storage Tank (AST) / Underground Storage Tank (UST) / Integrated Storage Tank (Belly Tank) (IST)

  AST

  UST

  IST

• What type of fuel is being used?

  Diesel

  Fuel oil

  Propane

  Natural Gas

• What type of Fuel Oil?

  Fuel Oil #2

  Fuel Oil #3

  Fuel Oil #6

  Bunker C

• Is this a Main or Day tank?

  Main Tank

  Day Tank

• Tank Images

  Media

• Where is the tank located? (eg. Penthouse, Basement, North East corner parking lot, ect...)

• Indoor or outdoor

  Indoor

  Outdoor

• Is it fenced in with traffic deterring bollards?

  Select Fenced Bollards Neither

  • Fenced
  • Bollards
  • Neither

• Please provide a Satellite image of the tank

  Media

• Nameplate Images

  Media

• Manufacturer

• Serial Number

• Model Number

• TSSA - CRN number if available

• Date of Construction or age in years

• Tank Volume (Numerical Value)

• Construction Material

  Steel/Aluminium

  Composite/Fiberglass

  Other

• Other Construction Material type?

• Wall Type

  Single Wall

  Double Wall

• Is the Tank Insulated?

  Yes

  No

• Poor or Good condition?

  Poor

  Good

• Please explain

• Tank Diameter (Inches)

• Tank Height (inches)

• Tank Length (Inches)

• Is there Leak Detection?

  Yes

  No

• What type of Leak detection is present?

  Vacuum Break

  Liquid Hydrocarbon

  Water Sensor

• Is there Cathodic Protection for this tank?

  Yes

  No

• Is the Tank Bonded?

  Yes

  No

• What is the tank Bonded to?

• Is there a Secondary (Spill) Containment for this tank?

  Yes

  No

• Please comment on the Containment Integrity (eg. Cracks, holes, hoses/piping running through ect...)

• Does the Tank have a Man-Way?

  Yes

  No

• How many and what is the Diameter?

• Is the tank located in proximity to any of the following environmentally sensitive areas? (Please check all that apply)

  Select None Creek/Stream/River/Wetland Monitoring/Water Supply Well Storm/Sewer Drain Sanitary Drain Heritage Other

  • None
  • Creek/Stream/River/Wetland
  • Monitoring/Water Supply Well
  • Storm/Sewer Drain
  • Sanitary Drain
  • Heritage
  • Other

• Please specify the distance (in Metres) from the Tank to the Environmentally Sensitive Area

• Other? (and) Please specify the distance (in Metres) from the Tank to the Environmentally Sensitive Area

• Proximity to a sensitive water shed?

  Yes

  No

• Images

  Media

• Please describe

• Tank Responsibility

  Select CBRE IO OPP Ministry Landlord Other

  • CBRE
  • IO
  • OPP
  • Ministry
  • Landlord
  • Other

• Other?

• Is Fuel Polishing Required? (Under 1000 litres = No | Over 1000 litres = Yes)

  Yes

  No

• Additional Comments