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Tank Information - Correspondence - 3 MASSACHUSETTS AVENUE 1/17/1996
Delta PetroTech The Petro Atlantic Companies Northeast Marketing Office 400 West Curnmings Park Suite 1725-168 Woburn, MA 01801 617-890-0036 FAX 617-890-0343 November 20, 1996 North Andover Fire Department 124 Main St. North Andover, MA 01845 Attn: Chief Dolan Re: (5) 20,000 gallon and (1) 10,000 gallon #2 Oil Tanks Dear Chief Dolan, Enclosed is an "as built"sketch for the cathodic protection installations at Merrimack Valley Oil, 3 Mass Ave., N. Andover, Massachusetts. In June of 1996, PetroTech installed interior lining and performed interior inspection as well on the above mentioned tanks. PetroTech will notify the North Andover Fire Dept before installing cathodic protection at the above mentioned site. Please feel free to call our office with any questions you may have or problems that may arise. Respectfully, Steve Bevilacqua Operations Manager SB/cj i 20,000 allon I - - TAA 10,000 gallon y _ 2�,oid gatlar� Fueling Ajonn I Submited by PetroTech Corporation 400 West Cummings Proposed Vertical Anode Park Woburn, MA. 01801 Proposed }horizontal Anode fZD Proposed Cathodic Proposed Rectifier For Merrimack Valley Oil Protection Layout s� geluzlwe�wyw a/, YuGelt�, dla�'Iety - &�lt C6 a/t/to G�L&l C9,- GAWOrwC Notification for Storage Tanks Regulated Under.527 CMR 9.00 Forward completed forth, signed by local fire department, to: Mass. UST Program, i Office of the State Fire Marshal, 1010 Commonwealth Ave., Boston, MA 02215 (Fire Department retains one co of FP-290 ©ate Received; p PY ? Fire Dept. ID# 09 zr A. NetN Facility(see lnstrticitons,st) U B. Amended ❑ C. Renewal Fire Dept. Sig. No.of tanks at facility No. of continuation sheets attached • INSTRUCTIONS: Form FP•290(Notification for Aboveground and Underground Storage Tanks)Is to beeompleted for each location containing underground or aboveground storage tanks regulated under 627 CMR 9.00. ff more than live tanks ere owned at this location,photocopy the following pages and staple continuation shoats to the farm. The FP-290 must be A. Facility Number completed In duplicate. Although ilia form may be phMocopled,the facility owner or owner's representative must sign each copy separately,photocopied signatures are not suffic#ont. [loth copies of the FP-290 are to bei forwarded to the local B, Date Entered lire department,who will check all Information and certify the forms. The fire department will retain one copy of the FP• 290 for Its records,and the facility owner shall be responsible for forwarding the other copy to the Olfice of the State C. Clerk's Initials Fire Marshal at the address above. The local fire depnrlment will Issue the permit portion of the FP•290;however, registration Is not complete until the FP•290 Is fecetved and chocked by the 011ice of the State Fire Marshal. All questions on D. Comments this form are to be answered.Incomplete terms will be returned. "New Faclilty'means a tank or larks located at a silo where tanks have not been previously located, *'Facility street addross"must Include both a street number and a street name. Post off#ca box numbers are not acceptable, and will cause a registration to be returned.I geographic location of Iacility Is not provkfod,please Indicate distance and direction from closest Intaraec8on,e.g., (facility at 199 North Street Is located)400 yards southeast W Commons Road (Intersection), . � s Notification Required Exception(a)a farm ortea IdontlaI lank of],100 gallons or lose capacity Used for Voting motor Fire Prevention Form FP•290Is to be used as Nolllicallon,naglstrallon,Find Permit for font for noncommercial purposes,or jb)a tank used for storing heeling oil lot consumptive use aboveground and undorground storage tanks and lank facillllos regulated under 527 on ilia promises where stored are not required to be registered under 627 CMR 9.00. Code a I Massachusetts Flogul0ons,9,00.No regulated abovoground or underground PanatUoS:Any owner who knowlrrgtyfalls lo notify cr submits false Information shall besuhJnct storage tank facility siren be Installed,I,suedmain by Iliaed,replaced,a local substantially deparmocHRtment. . to a civil penalty not to exceed$25,000 for each tank for which notilicallon Is not given or for removed without a permit(FP-290)Issued by the hoed of ilia local fire department. which false Information Is submitted.(MGL Chaplet 140,section 38H,627 CMR 9.00) The owner of any storage facility shall within savor working days notify the head of the local Ilia department and the State Fire Marshal of any chango In the name,address, Aboveground Storage Tanks or telephone number of ilia owner Or OPOraler Of a storage tactility subject to regulation 527 CMR 9,00 requires the rogisirailon of any aboveground storage lank which moots Ilse by Chapter 148,Mass.General Law and by 527 CMR 0,00, following definition:a horizontal or vertical tank,equal to or loss than 10,000 gallons Underground Storage Tanks capacity,that Is Intended for fixed Installation without back fill above or below grade,and Is Each owner Olen undorground lank first put Into Operation on or alter Jan,1,1991. used for the storage of Hazardous Substances,hazardous Wastes,or Flammable or Shall,within thirty days after the lank Is first put into operation,notify the iJepadmenl of Combustible Uciulds. Public Safely(ilia department)of the existence of such lank,specifying,to Ilia extenl F.z=UgaU.-Aboveground tanks ofmoiethan 10,000 gallons capacity regulated by520CMR known,the owner of the lank,date of Installation, capacity,type,location,and uses of 12.00 gRequiromants for the Installation of Tanks Containing Fluids Other Then Wafer In such(ank.By no later then Jan.31.t991,each owner o1 an underground storage tank Excess of 10.000 Gallons)are not required to be registered under 527 CMR 9.00. that was in operation at any lime altar Jan.1,1974, regardless of whether or not such lank was removed Iron beneath the surface of the ground at any time,.shan notify the I:xr.'e11blQ"?_(a)a farm or residential tank of 1,100 gallons or less capacily used for storing department of the existence of such lank,specifying,to the extent known,the owner of motor Iuel for noncommercial purposes, or (b) a tank used for sloring heating all lot the tank,dale of Installation,capacity,type.and location of the lank,and the typo and consumptive use on the premises where stored are not required to be registered Under 627 quantity of SubSIAMOe stored In such tank,or which were stored In such tank before CMR 0.00. the tank ceased being In operation If the lank was removed from beneath ilia surface Penatll=Any person who knowingly violates any rule or regulatlon made by the Board of Fire of the ground prior to the submittal of such nollco to the department.Such notice shall Prevention negulatlons shall,except as otherwise provided,be punished by a litre of not lass also specify,to the extent known,ilia data the tank was removed from beneath the than one hundred dollars nor more than one thousand dollars, (MGL,Chapter 148,section surface of the ground prior to the submittal of such notice to ilia department,The 10131,and 527 CMR 9,00) operator of any tank that has no owner Or whose owner cannot be definitely Where to Notlfy7 Two completed notification forms should be signed by both the lank owner ascartalnod,shall notify the depaflmonl of the existence of such lank,specifying,to the and Uro local fire department.Ono co ell!be retained b tt€e trio department.and the lank extent known,any Informallon rotating to ownership of the tank,and date of p copy y p Installation,capacity,type,and location of the lank,and ilia typo and quantity of Owner shell send a separate Copy to the addross el the top of this pogo. subslancos slated in such lank,or which were stored In such lank before Ilia lank When to Notify?1.Owners of storage tanks In use or that have been taken out of operation ceased befog In operation If ilia tank was removed From hanonth ilia surface of ilia must notify within thirty days. i ground prior to the submittal of such notice to the dopartmonl.11 the tank was d abandoned beneath the surface of Ilia ground pilot to the submittal of such not"to Owners end operators of Regulated Storage Tank Systems must maintain records a the department,such notice shall also Specify,to the extant known to the owner or certllying that all leak detection,Inventory control and tightness testing requirements i operator,tho dale the tank was nhnndonod In Ilia ground and all methods used to for the Regulated Storage Tank System are current.These records must be readily a stabilize the tank alter the tank ceased betng In operation. available for Inspection, c e I. OWNERSHIP OF TANK(S) IN. LocATioN OF TANK(S) j Owner Name(Cofpofailon,1ndlvldual,Public Agency,or Olher Enlity) If known,give file geographic locallon of tanks by degrees,minutes,and seconds.Example:Lat.42,36, 12 N Long.85,24, 17W Latitude Longitude ►�Q cf inL/f /rrr� r_rt crJ" -ieA or l�t 4`rTS^ 1 r i�1,/r: P Slraat Address atsf)i nce end tlhedion Irom closest tors N tea InBhuc-t o -3 Mur� arJtv � c �tr / ✓� ( ilnl Or' 1 Cv. Facility Name or pony She IdenlHler,as siplicahte _ r qr Atilt, vet oi'iq .� 3 Mil��nr �ft%Je f i v(' . Uity Were Zip a Sheet Address(1'.O.Bon no ectepleMe•see lrsirudlons 92) F C x ht N 1'r✓� _0 l FPS counly City State Zip Code Phone Number(Include Area Code) Owner's Employer Federal iD s County PP•290(revised 6194) Page t Ill. TYPE OF OWNER IV. INDIAN LANDS V Federal Government E` Commercial C Tanks are located on land within an Indian Reservation or on (storage and sale)State Government other trust lands. R' X. Private ❑ Tanks are owned b native American nation, tribe, or Individual. — Local Government (storage and use) y V. TYPE OF FACILITY Select the Appropriate Facility Description: (check all that apply) Gas Station Marina Trucking/Transport Petroleum Distributor Rallroad Utilities Airport Federal-Military Residential Aircraft Owner Industrial Farm Vehicle Dealership Contractor Other(explain) VI. CONTACT PERSON IN CHARGE OF TANKS Name:U1.1_111'a im 10 ',a f, Pen __ Address: Phone Number(include area code): Job Title:- - r _' � cf //r t r r.k Home: 4 S 0 `( A�('fWe.! MA G( PuS Business: ,04 - G F Lv 1-- V1l. FINANCIAL RESPONSIBILITY XI have met the financial responsibility requirements In accordance with 527 CMR 9.00. ---- Checkafflhatapply: ----- i ----......---------- ---- �- .M....._..._.------ i Self Insurance O Guarantee ❑ State Fund gCommercial Insurance ( ❑ Surety Bond ❑ Trust Fund ► Risk Retention Group ❑ Letter of Credit O Other Method Allowed - Specify Vill. ENVIRONMENTAL SITE INFORMATION This information should be available from local health agent, conservation commission,or planning department. 1. Tank site located in wellhead protection area o Yea P(No ©unknown 2.Tank site located In surface drinking water supply protection area ©Yes WrNo o unknown 3.Tank site located within 100 feet of a wetland o Yes X No ©Unknown 4.Tank site located within 300 feet of a stream or water body N Yes ©No q Unknown Ix. DESCRIPTION OF STORAGE TANKS AND PIPING (COMPLETE FOR EACH TANK AT THIS LOCATION Tank Identification Number Tank No.__L Tank No.-d.— Tank No.j Tank No._!�6 Tank No. S 1. Tank status a.Tank mfr's serial # (if known) b. Currently in Use c. Temporarily Out of Use d. Permanently Out of Use � �1 0 e. Aboveground storage tank (AST) or J AST (gi UST 0 AST CKLIST 0 AST JZ UST U AST K UST CI AST W UST Underground storage lank (UST) 2. Date of Installation (mo.Jday/yr.) ?G 1 17(o 19 7 G 4 76 Y ' U 3. Estimated Total Capacity (gallons) GPOGC'1' III. TYPE OF OWNER IV. INDIAN LANDS Federal Government C ' Commercial 0 Tanks are located on land within an Indian Reservation or on 1,:=,State Govemment (storage and sale) . other trust lands. ' •- E.Private Local Government (storage and use) ❑ Tanks are owned by native American nation, tribe, or individual. V. TYPE OF FACILITY Select the Appropriate Facility Description: (check all that apply) Gas Station Marino Trucking/Transporl Petroleum Distributor Railroad Utilities Alrporl Federal-Military Fleaidenliai •. Aircraft Owner Industrial Farm _.— Vehicle Dealership Contractor Other(explain) VI. CONTACT PERSON IN CHARGE OF TANKS Name: Address: Phone dumber(Include area code): Job Title: _ Home: Business: VII. FINANCIAL RESPONS1131LITY C I have met the financial responsibility requirements In accordance with 527 CMR 9.00. --------� Check all that apply: —.._.--..,._.....---......_.�—r.�.......—_—........_.�.`—_..." -D Self Insurance i ❑ Guarantee L. State Fund Commercial Insurance ❑ Surety bond ❑ Trust Fund If Risk Retention Group ❑ Letter of Credit O Other Method Allowed •Specify Vlll. ENVIRONMENTAL SITE INFORMATION This information should be available from local health agent, conservation commission,or planning department. 1. Tank site located In wellhead protection area ©Yes o No ©Unknown 2.Tank site located In surface drinking water supply protection area ©Yes ❑No ❑Unknown 3.Tank site located within 100 feet of a wetland 0 Yes ©No ❑ Unknown 4. Tank site located within 300 feet of a stream or water body D Yes o No o Unknown ' IX. DESCRIPTION OF STORAGE TANKS AND PIPING (COMPLETE FOR EACH TANK AT THIS LOCATION) Tank Identification Number Tank No.--L Tank No. Tank No. Tank No. Tank No. 1. Tank status a. Tank mfr's serial # (it known) b. Currently in Use c. Temporarily Out of Use d. Permanently Out of Use E= l__ e. Aboveground storage tank (AST) or C7 AST RUST 0 AST ❑UST ❑AST OUST Cl AST DUST 0 AST OUST Underground storage lank (UST) 2. Date of Installation (mo.ldaylyr.) ( c 3. Estimated Total Capacity (gallons) d�p Co 0 Tank Identification Number(cant.) Tank No.,_..— Tank No,—,4-. Tank No. Tank No.--L-k- Tank No. 4. Substance Currently or Last Stored a. Gasoline [- Motor vehicle or other use ❑MV 0 other ❑ MV ❑other O MV ❑other O MV D other D MV ©other b. Diesel ] �� Motor vehicle or other use ❑MV ❑other O MV G other O MV C other O MV O other D MV ©other s c. Kerosene d. Fuel Oil V X\ e. Waste Oil [ 0 1. Other, Please specify Hazardous Substance (other than 4a thru 4e above) CERCLA name and/or CAS number Mixture of Substances Please specify 5. Material of Construction -Tank (mark all that apply) Asphalt coated or bare steel 0 0 - Cathodlcally protected steel Epoxy coated steel i Composite(steel with fiberglass) Fiberglass reinforced plastic (FRP) Concrete �] Other, Please specify _ B.Type of Construction-Tank (mark all that apply) Lined Interior _ Double walled Single walled Cr� �7—� Polyethylene tank jacket Excavation liner Unknown Other, please specify I Has tank been repaired? C3 Yes &No O Yes XNo O Yes ®No ❑Yes E&No U Yes No ! Date FP-290(revised SM4) Pape 3 Tank Identification Number(cost.) Tank No._..!_.. Tank No,--f—l- Tank No. ._ Tank Na._ Tank No. 7. Material of Construction- Piping (mark all that apply) Bare steel x 0 Galvanized steel 0 Fiberglass reinforced plastic Flexible Copper 0 Cathodically protected Secondary containment Unknown Other, please specify 8.Type of construction - Piping (mark all that apply) Double walled Single walled Suction: Check valve at tank only Suction: Check valve at dispenser only ��_ ] X Pressure Gravity feed �] Other, please specify Has piping been repaired? ❑Yes ONO Q Yes ❑ No ©Yea ©No ❑Yea ❑No 0 Yea L' No Date X. TANKSIPIIPING OUT OF USE 1.TanWping closed or removed (mark all that apply) A. Estimated date last used (modday/yr.) B. Estimated date of removal (mo./daylyr.) C.Tank was removed from ground (_ _�W 7-7] D.Tank was not removed from ground 0 Tank was filled with Inert material 0 Describe: E. Piping was removed from ground F. Piping was not removed from ground G.Other, please specify FP•290{rav[md W941 Page 4 C ry s Tank Idenllfication Number(coat.) Tank No. L Tank No. Tank No. Tank No, Tank No. 4. Substance Currently or Last Stored a. Gasoline 17 71 Motor vehicle or other use O MV ❑other ©MV O other ©MV C1 other C7 MV ©other D MV ❑other b. Diesel L F Motor vehicle or other use 0 MV O other O MV Ci other ❑ MV C other ❑MV ❑other 0 MV ©other c. Kerosene F d. Fuel Oil �' � 0 0 1 e. Waste Oil 071 f. Other, Please specify ---------------- ------------ ------ ------------ Hazardous Substance (other than 4a thru 4e above) CERCLA name and/or CAS number Mixture of Substances r � Please specify S. Material of Construction -Tank (mark all that apply) Asphalt coated or bare steel Cathodically protected steel 0 Epoxy coated steel Composite (steel with fiberglass) 0 Fiberglass reinforced plastic (FRP) Concrete Other, Please specify -- 6.Type of Construction-Tank (mark all that apply) - Lined Interior Double walled Single walled Polyethylene tank Jacket Excavation liner [� 0 Unknown [ [� 0 Other, please specify i Has tank been repaired? O Yes No ©Yee ONO O Yee [:)No O Yee ❑No 0 Yes ❑ No Date FP•2W(revised W4) Page 3 Tank Idenilficallon Number(cont.) Tanlc No.--L Tank No. Tank No, Tank No. Tank No. 7. Material of Construction- Piping (mark all that apply) Bare steel Galvanized steel �, 0 Fiberglass reinforced plastic Flexible 0 �. . . Copper Cathodically protected �] Secondary containment ^� I:= Unknown Other, please specify a.Type of construction-Piping (mark all that apply) Double walled Single walled �] 0 Suction:Check valve at tank only 0 Suction:Check valve at dispenser only �_ 0 Pressure Gravity feed Other, please specify _ --------r I Has piping been repaired? ❑Yes ❑ No ©Yee ❑ No ❑Yes ❑No ❑Yes ❑ No Cl Yes Ej No Date X. TANKS/PIPING OUT OF USE 1.Tank/Piping closed or removed (mark all that apply) A. Estimated date last used (mo./day/yr.) - _....,..--.........._...------._ ._..---- ----- ---- —.....-- .....--- B. Estimated date of removal (mo./day/yr.) —.....—.. ---- ———— ----•-- ..,..--- ...........-- --- --�---11 C.Tank was removed from ground D.Tank was not removed from ground [� Tank was filled with Inert material Describe: -�- - ——— ,_........._.——.....— ———— ,....._........—— r--r..�.,--t r...�.....--�-t E. Piping was removed from ground F. Piping was not removed from ground G.Other, pleaso specify Peps 4 FP•2"(revised&V4) Tank Identification Number(cant.) Tank No. Tank No._�_- Tank No. :� Tank No. Tank Noj__ 2.Tank closed In accordance with 527 CMFt 9.00 Cl Yes 0 No 0 Yes C!No 0 Yes ❑No L Yes 0 No Yes 0 No A. Evidence of leak detected 0 Yes 0 No 0 Yes 0 No 0 Yes C No 0 Yen C No ry Yes 0 No B. Mass. DEP notified 0 Yes U No CI Yes L)No ❑Yes 0 No 0 Yes 0 No Yes :]No 1. Mass. DEP tracking number 2.Agency or company performing assessment Xt. CERTIFICATION OF COMPLIANCE 1. Installation A. Installer certified by tank and piping [�❑ manufacturers B. Installer certified or licensed by the � � � �❑ Implementing agency C.Installation Inspected by a registered 0 �❑ �❑ engineer D.installation inspected and approved by -R'—❑ Y the Implementing agency E.Manufacturers' Installation checklists �""� � �❑ have been completed F. Another method allowed by 527 CMR 9.00. Please specify 2,Tank Leak Detection Tank Piping Tank Piping Tank Piping Tank Piping Tank Piping i (mark all that apply) A. Double-wall tank- Interstitial monitoring ❑ ❑ ❑ ❑ ❑ S.Approved in-tank monitor ❑ ❑ ❑ ❑ ❑ C.Continuous vapor monitoring In soil ❑ ❑ ❑ ❑ ❑ D.Monthly vapor monitoring In soil ❑ ❑ ❑ ❑ ❑ E.Inventory record-keeping and tank testing ® © 0 F. Other method allowed by 527 CMR 9.00. Please specify 3. Piping Leak Detection (mark all that apply) A.Pressurized ❑ ❑ ❑ ❑ a Interstitial space monitor ❑ ❑ ❑ ❑ ❑ Automatic flow restrictor` ❑ ❑ ❑ ❑ ❑ Automatic shut-off device` ❑ ❑ ❑ ❑ ❑ Continuous alarm` ❑ ❑ ❑ ❑ ❑ Also requires annual tank lightness test or monthly vapor monitoring of soil. FP•284(revised GM4) Page 5 Tank Identification Number(cont.) Tank No. Tank No.,� Tank No. Tank No. Tank No. _ B.Suction: Check valve at tank only ❑ ❑ ❑ ❑ ❑ Interstitial space monitor ❑ ❑ ❑ ❑ ❑ C.Suction: Check valve at dispenser only x❑ ❑K 0 ❑ None required D.Tightness tested C 1 yr. ,D 3 yr. O 1yr. 0 3 yr. C t yr. C 3 yr. Ei 1 yr. `..:.+3 yr. tyr, C 3 yr. ------------------------------------------------ E.Other method allowed by 527 CM» 9.00. Please specify 4. Spill containment and overfill protection A.Spill containment device Installed ❑ ❑ ❑ ❑ B.Overfill prevention device Installed ® ❑ 5, Daily Inventory Control ❑ 0 ❑ 0 X❑ A. Manual gauging by stlok and records a ❑ © a Q reconciliation B. Mechanical tank gauge ❑ ❑ ❑ ❑ ❑ C. Automatic gauging system ❑ ❑ ❑ ❑ ❑ x11. CERTIFICATION (Read and sign after completing all sections) NOTE:Both the copy being sent to the State Fire Marshal's Office and the copy retained by the local fire department must be signed separately. A photo• copled signature wtli not be accepted on either document. declare under penalty of perjury that I have personally examined and am familiar With the Information submitted in this and " all attached documents, and that based on my Inquiry of those Individuals Immediately responsible for obtaining the Informa- tion, I believe that the submitted information Is true, accurate,and complete. Name and officlal title of owner or owner's Signature: Date: authorized representative (Print) i 0.. f .. i FP-290(revised aM4) Pago 6 . o Tank Identification Number(cont.) Tank No.—(I— Tank No. Tank No. Tank No. Tank No. 2,Tank closed In accordance with 527 CMR 9.00 ❑Yoe ONO ❑Yee ©No ©Yea ©No Cr Yes ©No `-'Yes 0 No A, Evidence of leak detected 11 Yes 0 No 0 Yee 0 No ❑Yea C No ❑Yea C No ❑Yea C No B. Mass. DEP notified El Yes ❑No 0 Yea []No ❑Yea ONO 0 Yea 0 No C Yes 0 No 1. Mass. DEP tracking number 2.Agency or company performing assessment x1. CERTIFICATION OF COMPLIANCE 1. Installation A. Installer certllled by lank and piping �� ❑______� manufacturers ' B. Installer certified or licensed by the Implementing agency C.Installation Inspected by a registered engineer D.Installation Inspected and approved by �� r� ❑ the implementing agency E.Manufacturers'Installation checklists have been completed I~, Another method allowed by 527 CMR 9.00. Please specify 2.Tank Leak Detection Tank Piping Tank Piping Tank Piping Tank Piping Tank Piping (mark all that apply) A.Double-wall tank- Interstitial monitoring ❑ ❑ 0 ❑ ❑ B.Approved In-tank monitor ❑ ❑ ❑ ❑ ❑ C.Continuous vapor monitoring In loll ❑ ❑ ❑ ❑ ❑ D.Monthly vapor monitoring In soil ❑ ❑ ❑ ❑ ❑ E. Inventory record-keeping and lank testing ❑ ❑ ❑ ❑ ----------------- P. Other method allowed by 527 CMR 9,00. Please specify 3. Piping Leak Detection (mark all that apply) A.Pressurized ❑ ❑ ❑ ❑ ❑ Interstitial space monitor ❑ ❑ ❑ ❑ ❑ Automatic flow restriclor' ❑ ❑ ❑ ❑ ❑ Automatic shut-off device' ❑ ❑ ❑ ❑ ElContinuous alarm' ❑ ❑ ❑ ❑ ❑ ' Also requires nnneal lank tightness test or monthly vapor monitoring of soil, FP-290Irevlsed&V4) Page 6 Tank Identification Number(cant.) Tank No._(O_. Tank No. Tank No.— Tank No, Tank No.— B,Suction: Check valve at tank only Interstitial space monitor H H C.Suction: Check valve at dispenser only ❑ ❑ ❑ ❑ ❑ None required D. Tightness tested C tyr. u 3 yr. C1 lyr. 113 yr. C 1yr. 0 3 yr. C lyr. C 3 yr, lyr. C.3 yr. E.Other method allowed by 527 CMR 9,00, Please specify 4.Spill containment and overfill protection A.Spill containment device Installed © ❑ ❑ ❑ ❑ B.Overfill prevention device Installed ❑ ❑ ❑ ❑ ❑ 5, Daily Inventory Control X ❑ ❑ ❑ ❑ A. Manual gauging by stlak and records D ❑ ❑ ❑ ❑ reconciliation B. Mechanical tank gauge ❑ ❑ ❑ ❑ ❑ C. Automatic gauging system ❑ ❑ ❑ ❑ ❑ X11. CERTIFICATION (Read and sign after compleUng all sections) NOTE:Both the copy being sent to the Stale Fire Marshal's Oftice and the copy retained by the local(Ire department mull be signed esperststy. A photo- copled signature will not be accepted on either document. I declare under penalty of perjury that I have personally examined and am famillar'with the Information submitted In this and all attached documents, and that based on my Inquiry of.those individuals immediately responsible for obtaining the Informa- lion, I believe that the submitted information Is true, accurate,and complete. 1; Name and official title of owner or owner's Signature: Date: authorized representative (Print) rt�''iM FP-290(revised 6A4) Page 6 V UST PROGRAM c) /x,C, APPLICATION FOR PERMIT 'ro Maintain an r--Xistillg/New Stoirage Tank Facility Regulated under 527 CMH 9.00 To: Held of Fire Depailment City, town or district: Date, Application is ,'-iereby made fora permit to maintain an existing/new storage tank facility as required by 5'7 CMR 9.00; Locition of property: OW116t'of property: Fud nafric of Person,Arm Number cf storage, lanks, aboveground underground Signature of Owner or authorized representative: Fee, paid: $ 0O.G.L. Chap!et- 148, sectioll 10A) (FirG Depa.,W1011i's copy— Tolle filed jj,ijjj pp-290, pat, 1) V v 4 -'-``,�(.'µ.�- -- . ----._._---- �`��f c� �c�•��r,����-�zul�:c�:�G� c�f C/f�cz+�:lcz:cf c���l�"�• APPLICATION FOR PERMIT To rAzailitain an Existing/New Storage Tank Facility Regulated under 527 MR 9100 To: [lead c,,f Fire Departs gent City, town or district: Aw"Alkv Date. Application is 'nereby made for a permit to maintain an existing/new storage tank facility as required by 527 CMA 9.00: Location of Property .3—MAI-La. Sfeeet address 0,,Amer of property: &JU Fuii i)aric of poison,fitryt or mpoiabon Number cf storage tanks: aboveground underground Signaturo of owner or al,lthorizOd representative: 0) )-*IA- Fee paid: (M.G,L, Chapter 148, section 10A) (Fire Deparimenf's copy—To be filed with PP-290, Pall 1) /X 6)1 e I C/' � � I,JLGG C r;�I i — fCE /ffZ[. C �Lr�GUI'C' i ffJ'� lfC P mr- rnMIT To Maintain an F.xlsting/New Storage Tank Facility for Storage Tanks Regulated under 527 CMR 9.00 t!-) accordance; with the provisions of 527 CMR 9.00 this permit to maintain an existing/new storage tank facility is granted to: Location of pioperly: 3 Massachusetts Avenue Sheet address 0%--,mer of property, Patob Realty-Trust rull 1!am of person,firm or cospora flon Number of :forage tanks: —0— aboveground 6-- underground Facility to tea maintained in accordance with the restrictions described below: MUST MAINTAIN COMPLIANCE WITH M.G.L. CHAPTER 148 SECTIONS 9 , 10A AND 13 AND 527 CMR 5, 8, 9 and 10 WHERE APPLICABLE F L-,,e p,-1 i CJ S J2•�O -3.L. C11aptet 148, section 10A) This permit Ertlexpiro (�/_ _,!"/ �— ���"'"- Date Signature of mead of Fire cres:g-Fv (Owner's copy-- To bo pcsfod,,!f(he storage facJJityJ 'Il"te Canmr weultft of M ssariusetts r Department of Tubric ,Safety _ ..a 527 CMR 4.00 Form i Application for Permit, Permit, and Certificate of completion for the Installatio or Alteration of Fuel Oil Burning Equipment and the Storage of Fuel Oil �/ 9 North Andover �� (City or Town) ate) Permit #'s: FD Elec. FDID#: 0 9 21.0 Fee Paid: Owner/Occupant Name: _ ►.1 _- Tel #: K©�r— Installation Address: Serviced Floor or Unit n C1 orating Unit ❑ Domestic Water Heater ❑ Power Vent -Other -f4 t!✓ZA Bumer: ❑ New` ❑ Existing Location: Trade Name: Mfg: Type: Model # or Size: Location: ❑ Fuel Oil ❑ Kerosene ❑ Waste oil Storage Tank: ❑ New El`�Existing Location: Type: 13ot/'r— Capacity: Y" 2 <92 d CC) gals. No. of Tanks: Special requirements (or additional safety devices) G d /y L t'Z 1'7 c V1 le 4I 5 �ef 3 ❑ OSV Valve ❑ Oil line protected ❑ Sheet Rock ❑ Sprinkler AFUE: ❑ yes ❑ no Combustion Test: Nozzle Size Gross Stack Temp.: New Stacie Temp.: CO*Test Breech Draft: Smoke: OverFre Draft: Efficiency rating %: t. [he undemgned ccWy that the instxlhtion of fuel burning equipment has been nutde in accordance with M.G.L.c. 148 and 527 MIR 4,00 currently in etrect. Furthermom [hit irssullation has been tested in acrordancs with such requirements, is now in proper operating condition and complete instructions as to iu use uul maintenance hive been furnished to the person for wham the instaWon(or aitesadon)was made. Co. Name.. G � C-0 (" Address: ��6a$Sa+r � City: 8101A/-h yt4 d Zip.- Installer: w'�r�• '� �- Print Name Signarurs (na slamp) Once signed by the fire department, this is a PERMIT for the storage and use of oil burning equipment. Inspected by: Date: Keep Original as application. Issue duplicate as permit. This form may be photocopied.. f 4 TANK 99 West Elizabethtown Road 717-664-0600 7 A - 410 FAX 717- 4-0 17 FG. � Years Manheim,PA 1 5 5 9 66 6 . Celebrating 50 . GT, IAIJ CL/41 i June 3 , 1996 To whom it may concern: This is a letter to confirm that: JERRY MELLO NORTHEASTERN PETROLEUM EQUIPMENT 37 BROOKLY ROAD BOSTON, MA 02130-3624 is recognized as trained and experienced and is hereby accepted as competent in the installation procedures of standard atmospheric storage equipment manufactured by Highland Tank & Mfg. Co. and is considered competent to supervise the installation of such equipment. Please note that the qualifications of the installation crew is not prerequisite to the tank' s warranty becoming valid. The warranty is dependent upon the proper installation of the tank. The owner should be sure all installation instructions are followed and the installation checklist and warranty registrations are completed. As always, all federal, state and local laws and regulation must be abided by the installer and Highland assumes no liability for any faulty installation by the issuance of this letter. Sincerely, obert J. Frey Senior Sales Manag Eastern Divison cc Pete Palladino - Regional Sales Manager Stoysiown,PA / Manheim,PA 1 Watervliet,NY i Greensboro,NG GIDBAL TANK SERVICES, INCm ',hi 0318710, 80()1-262 0106 January 17, 1996 ATTN: Lt. Long North Andover Fire Department 124 Main Street North Andover, MA 01845 Dear Lt. Long, Global Tank Services, Inc. recently performed underground storage tank tests for Merrimack Valley Oil, Inc. , located at 3 Massachusetts Avenue in North Andover. Enclosed you will find the copies of our result and data chart sheets. If I can be of any further assistance to you, do not hesitate to contact me. Sincerely, GLOBAL TANK SERVICES, INC. Henry R. Eaton Office Manager CGLOYBAL TANK SERVICES9 INC, 4 Turgeon Lane • P.O. Box 678 Somersworth, NH 03878 603-692-7917 • 1-800-262-0106 January 17, 1996 ATTN: William O'Brien Merrimack Valley Oil, Inc. 3 Massachusetts Avenue North Andover, MA 01845 RE: Underground Tank Testing Results SITE: SAME Dear Bill, Global Tank Services, Inc. recently performed a Horner EZY Chek Leak Detection tank test on the underground storage tank system at the above mentioned site. The test was conducted by a certified technician in conformance with the National Fire Protection Association Pamphlet 329. The results of the test performed on the tank system are as follows: NET VOLUME DATE TANK SIZE TANK # PRODUCT RESULT CHANGE 10118195 20, 000 Gal . # 1 #2 oil passed +.017Gph 10118195 20, 000 Gal . # 2 #2 oil passed +.015Gph 10/19/95 20, 000 Gal . # 3 #2 oil passed +.014Gph 10/19/95 20, 000 Gal . # 4 #2 oil passed +.005Gph Below two tanks were tested by the ULLAGE method. 11/02/95 10, 000 Gal . # 5 #2 oil passed .008Gph 11102195 20, 000 Gal . # 6 #2 oil passed .024Gph A copy of this letter and report has been sent to the North Andover Fire Department. If you have any questions or need i assistance please do not hesitate to call. i a Sincerely, GLOBAL TANK SERVICESO INC. H my R. Eaton Office Manager i'. UNDERGROUND TANK TESTING REPORT for Merrimack Valley Oil, Inc. 3 Massachusetts Avenue North Andover, MA 01845 GLOBAL TANK SERVICES, INC. DATA CHART FOR TANK SYSTEM TIGHTNESS TEST 4 Turgeon Lane+P.O.Box 678 (EZY CHEK) Somersworth,NH 03878 603-692-7917 1-800-262-0106 CLIENT NAME OF SUPPLIER, OWNER OR DEALER I A� uc. OATS OF TEST ADDRESS(NO.&STREET) I --. ` WEATHER TEMPERATURE DO'S CITY AND STATE A,nov7r MA. o2L� TANK INFORMATION r ,T(� �i_ n ��. IN. CONTENTS(PRODUCT) r CiL CAPACITY(NOMINAL) ;n"Ooa- —GALS. SIZE OF FILL OR TEST OPENING GALLONS TANK MATERIAL 371V K Si It wn r f CAPACITY(CHART} ,1, 2 f 3-if GALS. TOP OFF TIME t DIMENSIONS: 0JAME T ER I ag NUMBER OF GALLONS ADDED TO START TEST � APPROX.AGE LENGTH 3�'}" TANK NO. PUMP SYSTEM(TYPE)_2-li.a INCHES OF WATER -- BEFORE TEST_LL AFTER TEST I A TEST CALIBRATION TANK LAYOUT SIZE OF CAL.BAR OR ML'S ADDED - _Q2 tAL?.q (FACTOR A) LINE MOVEMENT iwuk 4- f 40 I _to 31 LINES 2. --.to _ _ 30 LINES LJafJ}NG- 3 i4 _ „-to �h LINES 0 o LINES �Nak�3 Pl�Fort� TOTAL� LINES =-3 = (ALnA) 76 wK S END OF TEST CALIBRATION SIZE OF CAL BAR OR ML'S ADDED C) n r 6- =•pOl> TRWC a 2 (ALM) (FACTOR A) LINE MOVEMENT 1 6Y --= 32 LINES to �lh �:-:K::� 2 ;f to �� - LINES L.r.2c,L 3 11 to LS -- LINES TOTAL_ LINES^3 = � .w ) LINES MEASURED API SPECIFIC GRAVITY 3q PRODUCT TEMPERATURE oT n7M p-L Oc API SPECIFIC GRAVITY 0 600 F 33.7 (FROM TABLE A) COEFFICIENT OF EXPANSION oaa CGS (FROM TABLE B) )C.- c • - x ;a r �Lt _ = q,113 (FACTOR B) G.4.& T NK CAPAGlTY(GAL) VOL CHANGEtu F ADDITIONAL NOTES OR COMMENTS if.a�Nr��iLAs prf— -F!? tO tip SPeII'o,rc.�rl�r�rof tGNl;lta- 0�r.+.+ ^Fu(( Teti �.� kR5• TECH N�TUoL..C(t��� IS tol�GTl,. N' r' DATE ') DATA CHART FOR TANK SYSTEM TIGHTNESS TEST (EZY CHEK) it PROpUCT MONrfDRING ON!1A pLtt PRODUCT MON1�RtNG IN S.P. pradutt ^a TEMPERATURE COMPENSATION NET VOL CHANGE Time Read'i +Gain +Cain +Gain +Gain +Gain +Expansion LLR(Mil Lary) Na. S'art End _ Factor A _ 5ta t End _ X Factor R _ Stan End _ X Factor 8 -Contraction S.P. i N LlI I 34 1 - I l a' I I I14il 1 14ef1+ tom -oolr I I 3 x ;s -3 Joao' I c{b -00 - 9l fl l y 1 3 I " I"oov gyros 5 35 131 q06 —qo6- q.f13 t .003 C, 1.-0030 � 3 130 - ono q05 { IToo I S 3o I-nog 1 170064 IT 9 a l 3 i I -Q222 I +tW, I I 00L, — ,n I.r0Jb (4 o I t Yor 23 3il 5 r� n f I I . a �.t1 I-a { 34 I - O I I I o +0000 ' O-1 t 11 13G - _ I I I O T I o tQ 130 136 I I — I~oo"c- I I I I 1- t '0000 - - I+ r ✓ I I I I I I I f I I A. Tank Sot. to Grade ti>T UnfuH.E tA.,r.- is 1017 GPh. TD B. Tank Top to Grade � " S client port to:ilArspimAet< [it �n GRADE C. Tank Diameter -�6" Address D. Test Level above rade -is" 3 MassrrcHoscrTs Avs g City. State t�ocr!~fiuCou�u rv3a, ocS45, E. Depth of wafer in tank 1� Phone(Soa)bs;-3 ter G F. Depth for taking sample rr Attn: i3A 08VIEP e F H G. Temp. Probe depth (connector) S L_" CERMCAMN Thm is 10 elAiy ira:this mrk ys,em wss irlce ibis .r^LTs - rz NFPh CRi Fik A H. Test level to Tank Bot. i d3 " an Cate zrO .Than[indicated—r-ght"meet The awiz estaytiahed O4-tf.350 601- f. Groundwater above tank bottom by The""'e""FiK Proteciian A�sociztron Pamphlet 39- J. Product Pressure per 1" height.o7l PSI Tank No. -#1 R Tes# Pressure Formula Tight � s WATER Leakage indieated PET tbivn _ c -01-7c DEPT,4 E (�S X-o3f —( — X .036 S,053 Technician Rt��1pR�J J I�RVuLIIE 7R . Ukl QD16 NE-r=PRESSURE Date Tested p Y - L� a0 l o. P y I 1 ------------------- E GLOBAL TANK SERVICES, INC. DATA CHART FOR TANK SYSTEM TIGHTNESS TEST 4 Turgeon Lane•P.O.Box 678 (EZY CHEK) Somersworth,NH 03878 603-692-7917 1-600-262-0106 CLIENT NAME OF SUPPLIER. r }�. oft , DATE OF TEST OWNER OR DEALER LT.R� a nv�r. .n�f- TEMPI=RPSURE ADDRESS(NO.&STREW ew ,. r.,,r77 PO- WEATHER CITY AND STATE n N'A TANK INFORMATION « (-5o cllllf"lf '!A(; IN. CONTENTS(PRODUCT) CAPACITY(NOMINAL) b a GALS. SIZE OF FILL OR TEST OPENING CAPACITY(CHART) _S�b t I LI GALS. TOP OFF TIME P Or,% GALLONS TANK MATERIAL 5TF cL S.�4lc W.tl It D — DIMENSIONS" DIAMETER " NUMBER OF GALLONS ADDED TO START TEST APPROX.AGE LENGTH J TANK NO. `2- PUMP SYSTEM(TYPE) INCHESOF WATER - BEFORE TEST _O^ AFTER TEST -4 UN TEST CALIBRATION IC LAYOUT SIZE OF CAL.BAR OR MCS ADDED '� ; (ALM) (FAC:Z'OA A) LINE MOVEMENT 7t.vle 4 t to E( z9 --LINES 2 to ¢ LINES to C. _ 7.8 LINES ',efts 3 TOTAL �3s LINES^3 =-29,-7,3 LINES Tank'+3 P{LTF.3t (ALM) END OF TEST CALIBRATION = nbf 7 Teu C=5 SIZE OF CAL BAR OR MUS ADDED (ALM) {FACiVRA) tO CcO�=rl,�z C;L LINE MOVEMENT 1 to. = ��Q LINES TnNz tib 3 t to 6 b = - LINES 7A N c -L to p - LINES 3 TOTAL_ LINES 3 = g.D0 LINES MEASURED API SPECIFIC GRAVITY PRODUCT TEMPERATURE -- API SPECIFIC GRAVITY®6oO F ;T S —(FROM TABLE A) z7r7c L nc.0 E. COEFFICIENT OF EXPANSION_ 00�45�� _._--(FROM TABLE B) pomp x (FACTOR B) TAt+*1C CAPACITY(GAL) VOL CHANGs F ADDITIONAL NOTES OR COMMENTS TAUk(Ps 6-ecrJ vrrJr-D w;Tl SPILL four! ;;rf PRoircfie a [(suK�Sy�Tr T,GtiI IJsT U:IoM� cGca., >< is ?otsc;,�. TECHNICIAN(S) DATE N r-0� q_J7- ?. DATA CHART FOR TANK SYSTEM TIGHTNESS TEST (EZY CHEK) PRODUCT MCNITOFUNG ON LLR Product PRODUCT MONITORING IN S,P Product 2� TEMPERATURE COMPENSATION NET VOL CHANGE Time Reading +Gain }Gain +Gain +Gain +Expansion (Mil.tary) No. Start Ersd ± Facror A -LOSS Stan End _ X Faar A _ Start End -t oa XEof 8 -Comrattion LLR S.P. I I o - - �Qao I f 3 I oOng f I Iaq 21 -6 1 7 SaJ.-74? _00 f -n��# 4 Y ! -005 I '2t! 1.-Iqq # a^ - 0 7 I Gr 1004 I I fa I - 9! 100 I S I I .ro f I I f I " } 00 .ost Tvor I�oo� I i ?4 ' .y4S �'a - "4 + no-is -� I �� I I �o i� I - t T on 02341 trn t I I - " I ! ! 4 T 1 Darr- �.)z'e 3 tY 0131 9 I -CjI f{I -74 -00# 10 _ - 3 f t 1 I ? I 'r Enn7u 7 n n I� n 7003t I' 1. O — I I I i i I I I I I f I i A, Tank Bot. to(Grade 03_" Di ,2, B. Tank Top to Grade q2 Send Report to: U D Client r4rrr,',t^.k,K VAII�t OIL GRADE j C. Tank Diameter iO6 Address 3 Avs. D. Test Level above grade" City, State IJORTk A,Zv�fR. Ira, o,RYS s E Depth of water in tank - O— (Shone(so?)0 Z-3131 G F. Depth for taking sample s.+a " Attn: 21 i3Rr#o ER LL () r F H ��� pry ante shv"n,These ind;Gtled"Tih["meet the crneria established G. Temp. Probe depth (connector) 41 ClF AnON TArs m io eenity that this tank system was IemeG A H. Test level to Tank Bot. " s tJ;Pr;CK7ex,b rn /:nsoGFl,. i. Groundwater above tank bottom — " by the Nations[Fire Prote ton Associsoon Pamphlet 329. c J. Product Pressure per 1" height.031PSI Tank No. 2 Tight YC`a WATER Test Pressure Formula �� U't i Uni_�rzz ci�a,,GL is t o1SD GPL DEPTH E Ib sc p7f —( —. X .036 )_ . 0S3 Technician Rr� AfJ 7usor�rfrr :jr. N3,l ooid " ' ° Ner TES PRESSURE hate Tested <U t : / Slf fir. P T, i 20 `O r `tip 1p S U i I a 1 F. 06 i GLOBAL TANK SERVICES, INC. DATA CHART FOR TANK SYSTEM TIGHTNESS TEST 4 Turgeon Lane•P.O.Box 678 (EZY CHEK) Somersworth,NH 03878 603-692-7917 1-800-262-0106 CLIENT NAME OF SUPPLIER, OWNER OR O ALER �". r �� F a ,s Yvc. DATE OF TEST 10-1 -Q� ADDRESS(NO.&STREET) 3 r WEATHER Ct wr ,p s TEMPERATURE,,,,,��.� S 's CITY AND STATE TANK INFORMATION CAPACITY(NOMINAL) `.Q 000 GALS. SIZE OF FILL OR TEST OPENING w-'7L EI'SP ouxrflll UddL-1 IN. CONTENTS(PRODUCT) •1 n+L CAPACITY(CHART) GALS. TOP OFF TIME :7y6� _-_- GALLONS TANK MATERIAL DIMENSIONS' DIAMETER_ r 2('" NUMBER OF GALLONS ADDED TO START TES]' APPROX_AGE - LENG<H r:r" TANK NO. H 3 PUMP SYSTEM(-TYPE) 3f)r•If6a INCHES OF WATER - BEFORE TEST r n AFTER TEST -0- TEST CALIBRATION TANK LAYOUT SIZE OF CAL.BAR OR ML'S ADDED. 05D -_ _31.00 = O� r� _ (AL A) (FACTOR A) LINE MOVEMENT I —to G _ 3 LINES 2 3= to "7D = T-41 LINES TkuK'rh 3._, a to b4 = r 2( LINES Lc:,1)4uC TOTAL 2 LINES 3 W r h LINES FLn?Faz, (AUI) 7hl.iC '�3 END OF TEST CALIBRATION SIZE OF CAL.BAR OR MC:S ADDED OSO aG./kb =n (ALM) (FACIOR A) 1 G NiC Y$ LINE MOVEMENT TSuK 2 ZO:yoa, 1 ? to ?3 = *2b LINES 2 to -73 LINES ?GULAG 3 G ! to ?a LINES K"1 TOTAL -7 LINES t-3 =_ +mot? 00 LINES (ALlAI MEASURED API SPECIFIC GRAVITY - PRODUCT TEMPERATURE API SPECIFIC GRAVITY a 600 F a a.S (FROM TABLE A) COEFFICIENT OF EXPANSION (>1>6 t72S' (FROM TABLE 8) ElbtCt x N = q.00,gL_...__(FACTOR S) TANK CAPACITY(GAL) VOL CHANGEt'P ADDITIONAL NOTES OR COMMENTS iO,Nif F fILrJ iGc Asc� D4 y 6c,:, .pDtii..ri a,iTL t+7-7 Urlutit: c�a-,Cr r� (OiKGF�:, TECHNICIAN{S r DATE DATA CHART FOR TANK SYSTEM TIGHTNESS TEST (EZY CHEK) 'rim e Read in PRODUCT MONMRiNG ON UR Product PRODUCT MONITORING IN S.P. Product �aa- TEMPERATURE CoMPENS91ON NET VOL CHANGE 9 +Gain +Gain +Gain +Gain +Gain +Expansion LLR(Military) No. Start End _ TaCC]f A _ Stan End _ X Factal A -LossStart End _ X Factor B -4Contraciion S.P. I -oo z l 1` o Ito 1 I goo; �o o I-otK ro. 3 I+a j It r,00 1 1--143 "oo -vlRa �ni 0/106 iri I(zft7' I 4 , T . w T y f qA 00311 � N + r �.1. ! EO,-,u � !fz 112 1 43 -7111 —052- " 1 rf 0 n td;ao rDi fl - I i1 { ( Q I W ZY. apt r00q, 17oo7 • ooS r 041 1 vv cot4 ' I I 1. t I +0040 +000s t I t 1 I i �� ,4 -00l I nog Olo �ollq -� f2 q 915 Ian 1 1 * too n 1700tq 1f00� a o. I I I * rho vot I -ter -r ?o Q 7 o r 13' I * Ot 1 I I 1+ ,gin f00e, f F 13-17 t-' I3q ILia 1 1, ' I I ? "7't4 It0or I{ , o 7c>,3 I I I I I I I 1 I I I 1 I I A. Tank Bot. to Grade _is t 09-1 UoLu tr r1n.,eir is 'O(q GPjz. B. Tank Top to Grade. �; " Send Report to: D -- Client Mr- ,rnack OAIIFP OIL Co. GRADE C. Tank Diameter tx � Address ��IH,snr..Hv;r.T�s Avg , D. Test Level above grade %� City, State Nzr<TI Fr�DovE� Ma. oars $ E. Depth of water in tank ,o_ Phone(Scs)sR3-3r3I F. Depth for taking sample 12e Attn: (3,1i o3Pf0j H G. Temp. Probe depth (connector) (,-. " CVMFiCATION This a b comity trial this tank system was tesled ' 7 A H. Test level to Tank Bot. i,7 Y on caw shown.Those inCficaie4"Tight"melt the=rteria eslablished t �� A CAITL FIL to 1. Groundwater above tank bottom T- " by rw Nas,enal Fare Proteawn wssoaaaon Pampnfel 329. G J. Product Pressure per 1 e height.n i PSI Tank No.+n 3 WATER Test Pressure Formula LeakaTight �[� _ DEPTH E _( — x .036 )� �; 3 �{ e indiea E U4l vnC C��SuC>r is F Technician �,:-L.,�D i3a�•ucrfc d;.. NiioniG r, , ESSUP Date Tested i D-19-,�5 y ; 60 / f 1 co 1 ; 1 1 ct 07 j OL ( °o 1 I GLOBAL TANK SERVICES, INC. DATA CHART FOR TANK SYSTEM TIGHTNESS TEST 4 Turgeon Lane•P.O.Box 678 (EZY CHEK) Somersworth,NH 03878 603-692-7917 1-800-262-0106 CLIENT NAME OF SUPPLIER, - o-a 3 � i OWNER OR DEALER„ Cr rj y., f f Oi L Co i ,+ DATE OF TEST ADDRESS(NO.&STREEi} 3f _ A• WEATHER LYrc. ==_ TEMPERATURE CITY AND STATE TANK INFORMATION w4�'L 6(-So 60zr-rf { crti( z IN. CONTENTS(PRODUCT) L :L CAPACITY(NOMINAL)��GALS. SIZE OF FILL OR TEST OPENING TANK MATERIAL SEreL 15, ^!_ r.. i/F� CAPACITY(CHARS a A I'3°f GALS. TOP OFF TIME R5. GALLONS f 1 i. NUMBER OF GALLONS ADDED TO START TEST PumpAPPR Sr.AGE..,, E DIMENSIONS: DIAMETER . ,� PUMP SYSTEM(TYPE) LENGTH '!.i" TANK NO. INCHES OF WATER - BEFORE TEST=2 Z _ AFTER TEST -� TANK uirortT TEST CALIBRATION SIZE OF CAL.BAR OR ML'S ADDED - O _31.J o __(�0/6 (AID- (FAL'TOFi A) LINE MOVEMENT 3 I LINES 1 q to �5 - TA10K�4- 2 ^ 16 6S 7 s LINES 3 3 to r` 3 1 LINES 3 f.o0 LINES PLPT Fop.,A TOTAL Al 3 LINES_3 (ALM) 7RNk "3 END OF TEST CALIBRATION 4 SIZE OF CAL.BAR OR M(:5 ADDED_ —, n tin Jo(ALL.M) _- krACTOF i6,tiKt S �� LINE MOVEMENT t K3 to ;3 = 30 LINES 2 43 to = n LINES 3 to = LINES TANK .� TOTAL 170 LINES 3 = 3O,IAr-LM7 q LINES MEASURED API SPECIFIC GRAVITY PRODUCT TEMPERATURE c L� API SPECIFIC GRAVITY a 600 F_ 3 3•!� (FROM FABLE A) �7p,�r{71�n D LSC� COEFFICIENT OF EXPANSION (FROM TABLE 8) x �rJ ^�{ _ �.I0r _(FACTOR B) C.O.E. AN1C CAPACITY(GAI..) VOL CHANGV"F ADDITIONAL NOTES OR COMMENTS t GAS 1A��I��:i.: �;CitJ GFpkILD w:7� al✓eLL/OVF>v.CiTl PA�Izc�rcw IA.,4 7',j4T. for CofJhEG4A.,�L7S I TECHNICIAN(S) DATA CHART FOR TANK SYSTEM TIGHTNESS TEST (EZY CHEK) Time Reading PRODUM MCNIMMNG ON LR Product PRODUCT MONMRiNG IN S.P. product `53` TEMPERATURE COWENSATION NET VOL CHANGE YJ Start +Gain ! '"""'JA +Gain SCR tGain X Fa_or A +G Start End +Gain X Factor B +EspansionL_R S.P.(Mif No. _ ! ,"`" _Lass c -Lass -Cuss contra clan rz r l I f I ft I I l — D~ " 3 f I ^ 1+o 1 " 1�0000 1 1 1 zl o r I " f 17003 1 I r o3 I #I 5 + I 00"II I A 3 t-IQ I 'Doi 0091 to tosI I Dq I I +O 1 00&0 1,1441 1,(('I -rD fi na O r) I I ti ` f 1.4 q I 4 1" * G h I f C i7 I {OOi? -,410 70ea 2 1'0010 1 1 11201 + -ate 3Ll 13 I �r D ! I 4 I.' f I{ h 1 3 t� I 35 1+0 f oD I I I i too o �Doa t r f 4 Li I If j3S 1 36 1 -7 oni 5 1 16-7 1� 00t I I 14 iA 1 1.601 1 „ "0:7 -7 I I ' 'Q e Oaa 7 1.4 I qqj 1+000 r 1* 0 b DD O t -D 1 31-7 I A I " .DOr I 1 I Ij,qjj I v 0 -o t, I-.00q I ItQlas I!Ofq i 569 is P, .tfr 0 14 11 Itool j �' � ? rDp9 MODS ✓ 1 I I I I 1 1 I I I A. Tank Bot. to Grade iS � ^ }JET UoionL c�F>,�� is tp SG.f1. Send Report to: TOB. Tank Tap to Grade. --" Client f4raar�t�.r.K UPI(Ea OIL. two,z"e . J GRADEF C. Tank Diameter �r Address 3 T4Z,-S rrLU.LTt:5 Avz. D. Test Level above grade -r t City, State k)6%z-rt, A W()bV cA G $ E_ Depth of water in tank Phone( Y}663-3r3 i l= Depth for taking sample f—" Attn: B,i( 08Rizca F H G. Temp. Probe depth (connector) $9 } ^ CE;mFfCA7rON 7"hrs is to certify that thrs tarsk system was icsietl P H� IVr'P R G r7f.Ritt s YI.O oGPF. A H. Test level to Tank Bot. on ante"h .These ihdica=aa•Mighl"meet the anerin e.�arsnee 1. Groundwater above tank bottom Qy the National Rre ProteRioh Assoeiahon Pamphlet 3M. 0 J. Product Pressure per t" height� PSI Tank No. �4+ Tight ';£5 WATER Test Pressure Formula Q;zT yoi.:mF_ r,G.n.�,F d� !OaSCR(, . DEPTrt fG x —( x .036 S, 7 Technician ' NET TEsr PRESSURE Date Tested I yul i � el � � o .70 74 v'_u;a'p� i < < -4 �tfvsa�J3J')• i A I � i i � 1 II r echnatest P.O. Box 1513 N Dudley, MA 01 571-1 51 3 (508) 943-1882 TEST NO. : 951100 TEST DATE: November 6, 1995 LOCATION : Merrimac Oil 3 Mass. Ave. North Andover, MA TEST RESULTS WATER PRODUCT VOLUME IN TANK HIGH LEVEL SYSTEM/ TANK (GAL) (INCHES) (GPI I) LEAK RATE ULLAGE #2 Fuel - I 10,000 0.30 0.008 PASS PASS #2 Fuel - 2 20,000 0.00 0,024 PASS PASS PRODUCT LINK TLST RESULTS PRODUCT POUNDS HELD DURATION CONCLUSION #2 Fuel - I IOpsi 30 ruin. PASS 1/2 Fuel - 2 I Opsi 30 111in. PASS i I 3 t 4 f ® mDERtmou D TANK TESTING FOR THE PETROLEUM/CHEMICAL 11VDUS7-RY m ........................................................ TECHNA TEST, INC. PLOT OF ULLAGE TEST DATA MERRIMACK OIL 3 MASS AVE . ANDOVER, MA . 10000 GALLON # 2 FUEL TANK 12KHz AMPLITUDE RATIO 25KHz AMPLITU❑E RATIO 0 . 75 1 . 5 750+ 0 . 75 1 . 5 750+ M M I I N N U U T T 3 E 3 E S S 12KHz DETECTION RATIO = 1 . 00 25KHz DETECTION RATIO w 1 . 07 TEST RESULT = PASS DATE AND TIME OF TEST: 11/02/95 11: 04AM BEGINNING BOTTLE PRESSURE = 2000 ENDING BOTTLE PRESSURE - 1000 BEGINNING TANK PRESSURE = 1 .5 PSIG ENDING TANK PRESSURE = 1 .4 PSIG - I - . TECHNA TEST, INC. PL D T OF ULLA GE TEST DATA MERRIMACK OIL. 3 MASS AVE . ANDOVER, MA . 20000 GALLON # 2 FUEL TANK 12KHz AMPLITUDE RATIO 25KHz AMPLITUDE RATIO 0 . 75 1 . 5 750+ 0 . 75 1 .5 750+ M M I I N N u U E 3 E 3 S S 5 5 12KHz DETECTION RATIO = . 997 25KHz DETECTION RATIO = 1 , 04 TEST RESULT = PASS DATE AND TIME OF TEST: 11/02/95 11: 27AM BEGINNING BOTTLE PRESSURE = 1000 ENDING BOTTLE PRESSURE = 75 BEGINNING TANK PRESSURE = 1 .5 PSIG ENDING TANK PRESSURE = 1 .4 PSIG . , , .......�--;�;�:.,�::��:;::;�:��..::::::�::�::7::!..:;�!::::::::]:::::::::];:�:�::-:::]::::::LL::::::�:�:;��:�::�::��!:!:::�::-i:�:--:..................�..........�..................�...�.......�:::::�:��.��:.::��:!:��!!��:!!�:!::::::::�;:�::�:::::::::::::�:::::�::�::�:!:!!::�:::::!:::::.... ..........................-...,........................-.1--...-- !..... 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