Oil tank questionnaire

Page 1

Helping Homeowners with oil tanks. Customers phone number:

Customer Name: Risk Address: 1.

Age of Oil Tank: .

2.

Location of tank:

3.

Tank type:

year(s) Make/Model: Inside

Outside

Serial No: Underground Please note: we are not a market for underground tanks.

14 gauge (2 mm) end/top outlet

12 gauge (2.5 mm) end/top outlet

14 gauge (2 mm) bottom outlet

12 gauge (2.5 mm) bottom outlet

Other 4.

Is the tank double walled, double bottomed or does it include a secondary containment tank?

5.

Does the tank have a construction/approval label?

6.

Was the tank professionally installed?

7.

Is the tank inspected/serviced annually by a certified or licensed contractor?

Yes

CSA No

ULC

Yes

Not Approved

By whom? Yes

No

Name of contractor: 8.

Are there any signs of rust, dents or corrosion?

Yes

No

9.

Are there any signs of leakage, stains, sweating or spills?

Yes

No

10.

Are there any noticeable fumes or odours?

Yes

No

11.

Is the tank located on a non-combustible pad?

Yes

No

Is the tank fastened with a bracket for stability?

Yes

No

Is the tank level, plumb or properly sloped?

Yes

No

Is the vent stack located higher than fill pipe by a minimum of 6 inches?

Yes

No

If inside, is the tank filled and vented outside?

Yes

No

If inside, is the tank located at least 5 feet from an ignition source?

Yes

No

12.

Is there a clear air space around the tank of at least 24 inches?

Yes

No

13.

Is the tank protected from physical damage (e.g. vehicle impact)?

Yes

No

14.

Is there a loop in the fuel supply line?

Yes

No

Is the fuel supply line installed under the foundation?

Yes

No

Yes

No

Is the fuel supply line protected from physical damage (e.g. falling ice)?

If yes, how? 14.

Please include a clear photograph of the unit from two angles, make sure the whole unit is visible.

No


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