Compliance Calendar for Gasoline Dispensing Facilities 2019-2020 - Created by the Wisconsin Small Business Environmental Assistance Program

 
Compliance Calendar for Gasoline Dispensing Facilities 2019-2020 - Created by the Wisconsin Small Business Environmental Assistance Program
2019-2020
  Compliance Calendar for
Gasoline Dispensing Facilities

  Created by the Wisconsin Small Business
     Environmental Assistance Program
                       2019-2020 Compliance Calendar for WI Gasoline Facilities, page 1
Compliance Calendar for Gasoline Dispensing Facilities 2019-2020 - Created by the Wisconsin Small Business Environmental Assistance Program
Welcome!
                                Welcome to the 2019-2020 edition of the compliance calendar for gas stations and other gasoline dispensing facilities. The
                                Wisconsin Small Business Environmental Assistance Program (SBEAP) developed this calendar to help gasoline dispensing
                                facilities comply with environmental requirements related to the transfer of fuel. This calendar can be a useful tracking and
                                record keeping tool for facilities.

                                This calendar summarizes the requirements under three sets of regulations affecting gas stations. However, please refer to the
                                official rule language for more comprehensive information about them:

How to contact the program:     • U.S. Environmental Protection Agency (U.S. EPA) standards for gasoline dispensing facilities: https://www.epa.gov/
                                  stationary-sources-air-pollution/gasoline-distribution-mact-and-gact-national-emission-standards,
Small Business
Environmental                   • Wisconsin Department of Natural Resources (DNR) regulations regarding emissions of gasoline vapor from petroleum
Assistance Program                and gasoline sources: https://docs.legis.wisconsin.gov/code/admin_code/nr/400/420 and http://docs.legis.wis-
                                  consin.gov/code/admin_code/nr/400/445.pdf, and
WI Dept. of Natural Resources
Sustainability and Business     • Wisconsin Department of Agriculture, Trade & Consumer Protection (DATCP) regulations for gasoline storage tanks
Support EA/7                      and piping: https://docs.legis.wisconsin.gov/code/admin_code/atcp/090/93.
101 S. Webster St.
PO Box 7921                     This calendar was designed to provide space for recording gasoline throughput, inventory tracking, leak detection
Madison, WI 53707-7921          inspections, repairs and employee training. Keep the completed calendar on file for five years, and it can serve as the
                                facility’s official record.
855-889-3021 (toll free)
DNRsmallbusiness@wi.gov         The 2019-2020 calendar has been updated to reflect the following change:
http://dnr.wi.gov/, search
“small business”                • DATCP’s petroleum inspection districts and contact information has changed—DATCP’s Weights & Measures
                                  Bureau administers Wisconsin’s Flammable, Combustible and Hazardous Liquids Rule affecting gasoline storage tanks (ch.
                                  ATCP 93, Wis. Adm. Code). See page 83 to find the appropriate contact for the area or view the map online at https://
                                  datcp.wi.gov/Pages/Programs_Services/WeightsAndMeasuresContacts.aspx.

                                About the Small Business Environmental Assistance Program (SBEAP)
                                SBEAP is a free, non-regulatory program that provides information to Wisconsin’s small businesses to help them understand
                                their environmental compliance requirements. The program provides factsheets, record keeping and reporting tools, U.S. EPA
                                and DNR compliance documents, required forms and much more. All are available free of charge. For questions or comments
                                about this calendar or to obtain additional copies, please contact the SBEAP.

                                                                                2019-2020 Compliance Calendar for WI Gasoline Facilities, page 2
Compliance Calendar for Gasoline Dispensing Facilities 2019-2020 - Created by the Wisconsin Small Business Environmental Assistance Program
Wisconsin Compliance Calendar for Gasoline Dispensing Facilities
                                     Table of Contents

Introduction
• Understanding the Regulations Affecting Gas Stations and How this Calendar Can Help                        4

Record Keeping Tools
• Instructions for Using the Record Keeping Pages                                                            6
• 2019-2020 Calendar and Record Keeping Pages                                                                8
• Monthly Walkthrough & Inspection Checklist                                                                56
• Weekly Inspection Checklist                                                                               58
• Training Logs                                                                                             59
• Gasoline Inventory Tracking & Verification Worksheet                                                      60

Fact sheets
• Introduction to Vapor Recovery                                                                            61
• National Emission Standards for Hazardous Air Pollutants for Gasoline Dispensing Facilities (NESHAP)      62
• Wisconsin’s Regulation for Control of Organic Compound Emissions from Petroleum and Gasoline Sources      65
         ◆      Stage II Decommissioning Checklist                                                          69
• Wisconsin’s Flammable, Combustible and Hazardous Liquids Rule (Underground Storage Tank Requirements)     70
         ◆      Owner-Operator Training Requirements                                                        76
• Spill Reporting Requirements and Procedures                                                               78
• Definitions                                                                                               79

Additional Resources
• Sources of Information                                                                                    81
• Petroleum Inspection Districts Map & Contact Information                                                  83
• Assistance Available for Gasoline Dispensing Facilities                                           back cover

                                                             2019-2020 Compliance Calendar for WI Gasoline Facilities, page 3
Compliance Calendar for Gasoline Dispensing Facilities 2019-2020 - Created by the Wisconsin Small Business Environmental Assistance Program
Understanding the Regulations Affecting Gas Stations and How this
                           Calendar Can Help
Gasoline vapors contain volatile organic compounds (VOCs) and several hazardous            The DNR’s emissions regulations mainly affect facilities located in 20 Wisconsin
air pollutants (HAPs), such as benzene. Filling gasoline storage tanks can release         counties (Brown, Calumet, Dane, Dodge, Door, Fond du Lac, Jefferson, Kenosha,
these compounds to the air. Benzene, for example, is among the 30 HAPs identified          Kewaunee, Manitowoc, Milwaukee, Outagamie, Ozaukee, Racine, Rock, Sheboygan,
as posing the greatest public health risk in urban areas. Exposure to benzene can          Walworth, Washington, Waukesha and Winnebago counties). Depending on the size
cause drowsiness, dizziness and even unconsciousness. Long term exposure to                of their storage tanks, gas stations in these counties may be required to employ Stage
benzene can cause anemia and leukemia.                                                     I vapor control systems. See the information on this rule, starting on page 65, for
                                                                                           details.
Leak detection and vapor control are among the methods that gasoline dispensing
facilities use to reduce the emissions of HAPs like benzene into the air.                  Wisconsin’s regulations for flammable, combustible and hazardous liquids (ATCP
                                                                                           93) affect businesses that sell gasoline or other liquid motor fuels. Most gas stations
In Wisconsin, gas stations and other gasoline dispensing facilities are affected by        with gasoline storage tanks are affected by this rule.
various regulations such as:
                                                                                           What is required?
•   U.S. Environmental Protection Agency (U.S. EPA) National Emission                      The regulations generally address the following goals:
    Standards for Hazardous Air Pollutants for gasoline dispensing facilities
    (NESHAP; 40 CFR part 63, subpart CCCCCC). This rule regulates vapor control            • Minimize releases of gasoline vapor from storage tanks - All gasoline
    during the filling of gasoline storage tanks.                                            dispensing facilities, regardless of size, must implement management practices
                                                                                             that minimize vapor releases to the atmosphere. The particular vapor control
•   Wisconsin Department of Natural Resources (DNR) regulations regarding                    requirements that apply to each facility may depend on the amount of gasoline
    Control of Organic Compound Emissions from Petroleum and Gasoline                        dispensed at the facility.
    Sources (ch. NR 420, Wis. Adm. Code). This rule requires vapor control during
    the filling of gasoline storage tanks (Stage I vapor recovery) in some Wisconsin       • Minimize leaks (of liquid gasoline from gasoline storage tanks, piping,
    counties. Vapor control during the refueling of motor vehicles (Stage II vapor           and dispensing equipment) - The regulations for minimizing gasoline leaks
    recovery) is no longer required, as many vehicles today are equipped with                require regular inspections to monitor equipment function and leak checks for
    onboard vapor recovery systems.                                                          rapid detection of any leaks in the equipment.

•   Wisconsin Department of Agriculture, Trade & Consumer Protection (DATCP)               • Testing and compliance demonstration - Some facilities are required to
    Regulations for Flammable, Combustible and Hazardous Liquids (ch.                        test the vapor balance system and equipment to demonstrate compliance with
    ATCP 93, Wis. Adm. Code). This rule regulates gasoline storage tanks and                 regulations. In addition, facilities may be required to measure the leak rate and
    associated piping.                                                                       cracking pressure of pressure-vacuum vent valves on gasoline storage tanks.

Who is affected by these regulations?                                                      • Record keeping and reporting - Record keeping requirements include
The U.S. EPA regulations affect “area sources” which include all gasoline dispensing         tracking and verifying gasoline inventory, keeping records of regular equipment
facilities that emit less than 10 tons per year of a single HAP or less than 25 tons per     tests and keeping records of any required employee training. Some facilities may
year of any combination of HAPs. Most gas stations fall into this group.                     also be required to file “Initial Notification” and “Notification of Compliance
                                                                                             Status” reports.

                                                                                                2019-2020 Compliance Calendar for WI Gasoline Facilities, page 4
What can this calendar do?                                                             Why must gas stations inspect storage tanks and
                                                                                       equipment?
This calendar has been designed to help gasoline dispensing facilities comply          Properly installed and maintained underground storage system equipment is durable
with the regulations, especially tracking and meeting record keeping obligations.      and reliable. However, daily wear and tear; exposure to corrosive effects of soil,
The calendar can be used to:                                                           water and stored product; and seasonal extremes of heat and cold can degrade or
                                                                                       damage storage system components and cause product releases or equipment failure.
Assess applicability
                                                                                       The purpose of inspections is to identify any noticeable deterioration or apparent
The fact sheets located at the back of the calendar, starting on page 61, can help
identify which requirements apply to a facility and how the facility is affected.      malfunction in the portion of the equipment visible beneath grade-level access
However, they are not a substitute for reading and understanding the rules. Refer      covers located over or near the top of the underground storage tank and at the fuel
to the rule language for additional information and clarification.                     dispensers.

Contact information for the regulatory agencies and other offices, as well as          Required regular inspections help protect the public, facility employees and the
resources that can assist with the requirements, are also provided starting on         environment from the hazards posed by the release of flammable or combustible
page 81.                                                                               liquids and exposure to toxic motor fuels. Facilities can also save money by
                                                                                       identifying and repairing leaks of stored fuel.
Record important dates
Facilities can use the monthly calendar, starting on page 8, to keep track of
any important dates. Mark the calendar when tank-use permits are due,                  Why is leak detection important?
when tank insurance is due and when equipment testing is required.                     Leak detection can help businesses in numerous ways. Among other things, leak
                                                                                       detection can:
Document inspections and leak-detection monitoring
Each month of the calendar contains space where facilities can track their
                                                                                       •   reduce or eliminate loss of product (from theft or leaks)
inspections and keep a maintenance and repair log for equipment. Sample
                                                                                       •   reduce fire and explosion threats
checklists for monthly and weekly inspections are also provided starting on page
56.                                                                                    •   reduce and/or eliminate contamination of soil, groundwater, streams, rivers,
                                                                                           lakes and drinking water
Document employee training                                                             •   reduce liability
The log on page 59 can help document required and recommended employee
training.                                                                              Please contact SBEAP with any suggestions for additions or modifications that will
                                                                                       make this calendar more helpful. Thank you!
Document inventory tracking and verification
Page 60 contains a sample worksheet for recording daily gasoline inventory. In
addition, each month provides space to summarize the total amounts of gasoline
delivered and dispensed. These records are required by both Wisconsin’s state                       Wisconsin Small Business Environmental
regulations and U.S. EPA’s federal requirements.                                                             Assistance Program
Maintain an official record
If a facility saves their completed calendar, it can serve as part of their official
record. Keep this and other records at the facility for five years to demonstrate
compliance.

                                                                                           2019-2020 Compliance Calendar for WI Gasoline Facilities, page 5
Instructions for Using the Record Keeping Pages in this Calendar
                                                                        Attach monthly inventory worksheet(s) or printout(s) here
                                                                                                  Monthly inventory worksheets or automatic
                                                                                                  tank gauging (ATG) strips can be kept with this
  Each month, check for any deadlines                                                             calendar. Attach them to the record keeping
  approaching for permit renewal, tank                                                            page for each month.
  insurance, compliance testing and
  employee training. Set a reminder to             Monthly Inspection, Condensed Record
  meet all important dates and deadlines by        (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
  marking the calendar!                                                                                                 Logged on      Inspected
                                                   Inspection area                          Inspected? Repaired?        maintenance    by?
                                                                                                                        record?        (initials)
                                                   Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                   system for facilities in Stage I areas)
Reminders — Permits, Insurance, Testing            Release detection system (tank monitor)
and Training                                       Spill buckets
Are tank permits up to date?          Yes     No   Overfill alarm
                                                   Impressed current system (if applicable)
Is tank insurance due this month?     Yes     No
                                                   Fill and monitoring probe ports
Is equipment testing due this month?
                                       Yes    No   Spill and overfill response supplies
Are most recent test results on site?
Is all training up to date for current             Dispenser hoses, nozzles and breakaways
                                       Yes    No
employees?
                                                   Dispenser and dispenser sumps
                                                   Piping sumps (submersible)
   Use this table to keep a record of              Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
   required monthly inspections. Read              (inspecting the equipment below is optional but recommended - see page 66)
   the complete “Monthly Inspection                Vapor return line
   Checklist” on page 56 and record
   inspection results for each month on            Nozzle bellows
   this table. Each person who conducts            Nozzle faceplate / facecones
   an inspection should initial their
                                                   Nozzles
   entries.
                                                   Vapor processing unit working properly

                                                                                   2019-2020 Compliance Calendar for WI Gasoline Facilities, page 6
Monthly Gasoline Throughput Summary
                                                                                                       Facilities that choose to retain Stage II systems can
                                              Amount      Amount      Within                           use this table to keep a log of their weekly inspections
                            Product type
                                              delivered   dispensed   variance?                        (weekly inspections of Stage II equipment are optional
                                                                                                       but recommended - see page 66). Record the date of
                                              +           +           Yes / No
                                                                                                       each weekly inspection. The person who conducts the
                                                                                                       inspection should initial the table.
                                              +           +           Yes / No

                                              +           +           Yes / No

                            Monthly totals    =           =                                   Weekly Inspection Record

                                                                                              Inspection date         Inspected by (initials)
  Use this table to summarize the monthly gasoline
  throughput at the facility. For each tank (or product),
  record the total amount of gasoline delivered to and
  dispensed from that tank during the month. Mark yes if
  the tank is within the allowable variance for the month
  (if using inventory control). For more information about
  inventory recording and verification, and for help with the
  calculations, see the worksheet on page 60 of this calendar.

                                                  System Maintenance and Repair Record
                                                  Inspection     Name of             Identify problem/defective                 Replacement part
                                                                                                                  Repair date
                                                  date           inspector           part                                       manufacturer/part number

Use this table to help meet the requirement to keep a system maintenance and repair log. Record the date when inspections
are conducted and the name of the person who inspected the equipment. Also record information about any problem or
defective part discovered, the date the equipment was repaired, and the manufacturer and part number of any parts replaced.
Alternatively, documentation of repairs may be kept in a separate file. This table can be used to record the date of repairs and
note the location where the complete explanation and record is stored.

                                                                                       2019-2020 Compliance Calendar for WI Gasoline Facilities, page 7
Attach monthly inventory worksheet(s) or printout(s) here

January 2019                                                 Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 8
Compliance Calendar for Gasoline Dispensing Facilities
                                                                                   January 2019
Sunday        Monday          Tuesday        Wednesday        Thursday                Friday            Saturday

                                         1               2                   3                     4               5
Need reminders of any
deadlines this month?
 Mark this calendar!
                                                                                    Weekly Inspection

         6               7              8                9                 10                    11                12

                                                                                    Weekly Inspection

         13              14             15           16                    17                    18                19

                                                                                    Weekly Inspection

         20              21             22           23                    24                    25                26

                                                                                    Weekly Inspection

         27              28             29           30                    31
                                                                                  Questions? Call 855-889-3021
                                                             Monthly Inventory
                                                             Monthly Inspection

                                                     2019-2020 Compliance Calendar for WI Gasoline Facilities, page 9
Attach monthly inventory worksheet(s) or printout(s) here

February 2019                                                Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 10
Compliance Calendar for Gasoline Dispensing Facilities
                                                                                   February 2019
Sunday        Monday          Tuesday        Wednesday         Thursday               Friday            Saturday

                                                                                                   1                2
   Need reminders of any deadlines this month? Mark this calendar!
                                                                                    Weekly Inspection

         3              4                5               6                    7                    8                9

                                                                                    Weekly Inspection

         10            11               12             13                   14                   15                16

                                                                                    Weekly Inspection

         17            18               19             20                   21                   22                23

                                                                                    Weekly Inspection

         24            25               26             27                   28
                                                                                            Questions?
                                                                                        Call 855-889-3021
                                                              Monthly Inventory
                                                              Monthly Inspection

                                                      2019-2020 Compliance Calendar for WI Gasoline Facilities, page 11
Attach monthly inventory worksheet(s) or printout(s) here

March 2019                                                   Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 12
Compliance Calendar for Gasoline Dispensing Facilities
                                                                                          March 2019
  Sunday             Monday        Tuesday        Wednesday        Thursday              Friday            Saturday

                                                                                                      1                 2
       Need reminders of any deadlines this month? Mark this calendar!

                        Questions? Call 855-889-3021
                                                                                       Weekly Inspection

                3             4               5               6                 7                     8                 9

                                                                                       Weekly Inspection

              10              11             12            13                 14                    15                 16

                                                                                       Weekly Inspection

              17              18             19            20                 21                    22                 23

                                                                                       Weekly Inspection

        24/31                 25             26            27                 28                    29                30

Monthly Inventory
Monthly Inspection                                                                     Weekly Inspection

                                                          2019-2020 Compliance Calendar for WI Gasoline Facilities, page 13
Attach monthly inventory worksheet(s) or printout(s) here

April 2019                                                   Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 14
Compliance Calendar for Gasoline Dispensing Facilities
                                                                                              April 2019
Sunday        Monday         Tuesday             Wednesday        Thursday              Friday            Saturday

                        1                   2                3                 4                     5                 6

                                                                                      Weekly Inspection

         7             8                    9            10                  11                    12                 13

                                                                                      Weekly Inspection

         14            15                 16             17                  18                    19                 20
                              WPMCA Annual Convention

                                                                                      Weekly Inspection

         21            22                 23             24                  25                    26                 27

                                                                                      Weekly Inspection

         28            29                 30
                                                       Need reminders of any deadlines this month?
                                                                   Mark this calendar!
                            Monthly Inventory                 Questions? Call 855-889-3021
                            Monthly Inspection

                                                         2019-2020 Compliance Calendar for WI Gasoline Facilities, page 15
Attach monthly inventory worksheet(s) or printout(s) here

May 2019                                                     Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 16
Compliance Calendar for Gasoline Dispensing Facilities
                                                                                                May 2019
  Sunday         Monday          Tuesday          Wednesday        Thursday              Friday            Saturday

                                                              1                 2                     3                 4
Need reminders of any deadlines this month?
            Mark this calendar!
       Questions? Call 855-889-3021
                                                                                       Weekly Inspection

           5               6                  7               8                 9                   10                 11

                                                                                       Weekly Inspection

           12             13               14             15                  16                    17                 18

                                                                                       Weekly Inspection

           19             20               21             22                  23                    24                 25

                                                                                       Weekly Inspection

           26             27               28             29                  30                   31

                                                                                     Monthly Inventory
                                                                                     Monthly Inspection

                                                          2019-2020 Compliance Calendar for WI Gasoline Facilities, page 17
Attach monthly inventory worksheet(s) or printout(s) here

June 2019                                                    Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 18
Compliance Calendar for Gasoline Dispensing Facilities
                                                                                                     June 2019
  Sunday                Monday          Tuesday        Wednesday         Thursday              Friday            Saturday

                                                                                                                              1
                     Need reminders of any deadlines this month? Mark this calendar!

                                      Questions? Call 855-889-3021

                2                 3                4               5                  6                     7                 8

                                                                                             Weekly Inspection

                9                10               11             12                 13                    14                 15

                                                                                             Weekly Inspection

              16                 17               18             19                 20                    21                 22

                                                                                             Weekly Inspection

        23/30                    24               25             26                 27                    28                 29

Monthly Inventory
Monthly Inspection                                                                           Weekly Inspection

                                                                2019-2020 Compliance Calendar for WI Gasoline Facilities, page 19
Attach monthly inventory worksheet(s) or printout(s) here

July 2019                                                    Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 20
Compliance Calendar for Gasoline Dispensing Facilities
                                                                                                July 2019
Sunday        Monday        Tuesday        Wednesday             Thursday              Friday            Saturday

                        1              2                   3                  4                     5                 6

                                                                                     Weekly Inspection

         7             8              9                  10                 11                    12                 13

                                                                                     Weekly Inspection

         14            15             16                 17                 18                    19                 20

                                                                                     Weekly Inspection

         21            22             23                 24                 25                    26                 27

                                                                                     Weekly Inspection

         28            29             30                 31
                                                                Need reminders of any deadlines this month?
                                                                            Mark this calendar!
                                           Monthly Inventory           Questions? Call 855-889-3021
                                           Monthly Inspection

                                                        2019-2020 Compliance Calendar for WI Gasoline Facilities, page 21
Attach monthly inventory worksheet(s) or printout(s) here

August 2019                                                  Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 22
Compliance Calendar for Gasoline Dispensing Facilities
                                                                                    August 2019
Sunday          Monday         Tuesday        Wednesday        Thursday              Friday             Saturday

    Need reminders of any deadlines this month?                             1                     2                    3
               Mark this calendar!

              Questions? Call 855-889-3021                                         Weekly Inspection

         4                5              6                7                 8                     9                  10

                                                                                   Weekly Inspection

         11              12              13           14                  15                    16                   17

                                                                                   Weekly Inspection

         18              19              20           21                  22                    23                   24

                                                                                   Weekly Inspection

         25              26              27           28                  29                    30                   31

                                                                                                       Monthly Inventory
                                                                                   Weekly Inspection   Monthly Inspection

                                                      2019-2020 Compliance Calendar for WI Gasoline Facilities, page 23
Attach monthly inventory worksheet(s) or printout(s) here

September 2019                                               Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 24
Compliance Calendar for Gasoline Dispensing Facilities
                                                                              September 2019
Sunday          Monday             Tuesday        Wednesday        Thursday              Friday            Saturday

          1                   2               3               4                 5                     6                 7

                                                                                       Weekly Inspection

         8                    9              10           11                  12                    13                 14

                                                                                       Weekly Inspection

         15                 16               17           18                  19                    20                 21

                                                                                       Weekly Inspection

         22                 23               24           25                  26                    27                 28

                                                                                       Weekly Inspection

         29                 30
                                      Need reminders of any deadlines this month? Mark this calendar!

              Monthly Inventory                        Questions? Call 855-889-3021
              Monthly Inspection

                                                          2019-2020 Compliance Calendar for WI Gasoline Facilities, page 25
Attach monthly inventory worksheet(s) or printout(s) here

October 2019                                                 Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 26
Compliance Calendar for Gasoline Dispensing Facilities
                                                                                  October 2019
Sunday        Monday          Tuesday        Wednesday        Thursday              Friday            Saturday

                                         1               2                   3                   4                 5
Need reminders of any
deadlines this month?
 Mark this calendar!
                                                                                  Weekly Inspection

         6               7              8                9                 10                  11                 12

                                                                                  Weekly Inspection

         13              14             15           16                    17                  18                 19

                                                                                  Weekly Inspection

         20              21             22           23                    24                  25                 26

                                                                                  Weekly Inspection

         27              28             29           30                    31
                                                                                          Questions?
                                                                                      Call 855-889-3021
                                                             Monthly Inventory
                                                             Monthly Inspection

                                                     2019-2020 Compliance Calendar for WI Gasoline Facilities, page 27
Attach monthly inventory worksheet(s) or printout(s) here

November 2019                                                Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 28
Compliance Calendar for Gasoline Dispensing Facilities
                                                                            November 2019
Sunday        Monday          Tuesday        Wednesday         Thursday              Friday             Saturday

                                                                                                  1                    2
   Need reminders of any deadlines this month? Mark this calendar!

                   Questions? Call 855-889-3021
                                                                                   Weekly Inspection

         3              4                5               6                  7                     8                    9

                                                                                   Weekly Inspection

         10            11               12             13                 14                    15                   16

                                                                                   Weekly Inspection

         17            18               19             20                 21                    22                   23

                                                                                   Weekly Inspection

         24            25               26             27                 28                   29                    30

                                                                                                       Monthly Inventory
                                                                                  Weekly Inspection    Monthly Inspection

                                                      2019-2020 Compliance Calendar for WI Gasoline Facilities, page 29
Attach monthly inventory worksheet(s) or printout(s) here

December 2019                                                Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 30
Compliance Calendar for Gasoline Dispensing Facilities
                                                                               December 2019
Sunday        Monday         Tuesday             Wednesday        Thursday              Friday            Saturday

          1             2                   3                4                 5                     6                 7

                                                                                      Weekly Inspection

         8             9                  10             11                  12                    13                 14

                                                                                      Weekly Inspection

         15            16                 17             18                  19                    20                 21

                                                                                      Weekly Inspection

         22            23                 24             25                  26                    27                 28

                                                                                      Weekly Inspection

         29            30                 31
                                                       Need reminders of any deadlines this month?
                                                                   Mark this calendar!
                            Monthly Inventory                 Questions? Call 855-889-3021
                            Monthly Inspection

                                                         2019-2020 Compliance Calendar for WI Gasoline Facilities, page 31
Attach monthly inventory worksheet(s) or printout(s) here

January 2020                                                 Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 32
Compliance Calendar for Gasoline Dispensing Facilities
                                                                                      January 2020
  Sunday         Monday          Tuesday          Wednesday        Thursday              Friday            Saturday

                                                              1                 2                     3                 4
Need reminders of any deadlines this month?
            Mark this calendar!
       Questions? Call 855-889-3021
                                                                                       Weekly Inspection

           5               6                  7               8                 9                   10                 11

                                                                                       Weekly Inspection

           12             13               14             15                  16                    17                 18

                                                                                       Weekly Inspection

           19             20               21             22                  23                    24                 25

                                                                                       Weekly Inspection

           26             27               28             29                  30                   31

                                                                                     Monthly Inventory
                                                                                     Monthly Inspection

                                                          2019-2020 Compliance Calendar for WI Gasoline Facilities, page 33
Attach monthly inventory worksheet(s) or printout(s) here

February 2020                                                Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 34
Compliance Calendar for Gasoline Dispensing Facilities
                                                                                   February 2020
Sunday           Monday          Tuesday        Wednesday         Thursday              Friday             Saturday

                                                                                                                          1
              Need reminders of any deadlines this month? Mark this calendar!

                               Questions? Call 855-889-3021

         2                 3                4               5                  6                     7                    8

                                                                                      Weekly Inspection

         9                10               11             12                 13                    14                   15

                                                                                      Weekly Inspection

         16               17               18             19                 20                    21                   22

                                                                                      Weekly Inspection

         23               24               25             26                 27                    28                   29

                                                                                                          Monthly Inventory
                                                                                      Weekly Inspection   Monthly Inspection

                                                         2019-2020 Compliance Calendar for WI Gasoline Facilities, page 35
Attach monthly inventory worksheet(s) or printout(s) here

March 2020                                                   Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 36
Compliance Calendar for Gasoline Dispensing Facilities
                                                                                         March 2020
Sunday        Monday         Tuesday             Wednesday        Thursday              Friday            Saturday

          1             2                   3                4                 5                     6                 7

                                                                                      Weekly Inspection

         8             9                  10             11                  12                    13                 14

                                                                                      Weekly Inspection

         15            16                 17             18                  19                    20                 21

                                                                                      Weekly Inspection

         22            23                 24             25                  26                    27                 28

                                                                                      Weekly Inspection

         29            30                 31
                                                       Need reminders of any deadlines this month?
                                                                   Mark this calendar!
                            Monthly Inventory                 Questions? Call 855-889-3021
                            Monthly Inspection

                                                         2019-2020 Compliance Calendar for WI Gasoline Facilities, page 37
Attach monthly inventory worksheet(s) or printout(s) here

April 2020                                                   Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 38
Compliance Calendar for Gasoline Dispensing Facilities
                                                                                               April 2020
  Sunday         Monday          Tuesday          Wednesday        Thursday              Friday            Saturday

                                                              1                   2                   3                 4
Need reminders of any deadlines this month?
           Mark this calendar!
                                                                                       Weekly Inspection

           5               6                  7               8                   9                 10                 11

                                                                                       Weekly Inspection

           12             13               14             15                    16                  17                 18

                                                                                       Weekly Inspection

           19             20               21             22                    23                  24                 25

                                                                                       Weekly Inspection

           26             27               28             29                    30
                                                                                               Questions?
                                                                                           Call 855-889-3021
                                                                  Monthly Inventory
                                                                  Monthly Inspection

                                                          2019-2020 Compliance Calendar for WI Gasoline Facilities, page 39
Attach monthly inventory worksheet(s) or printout(s) here

May 2020                                                     Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 40
Compliance Calendar for Gasoline Dispensing Facilities
                                                                                                May 2020
  Sunday             Monday        Tuesday        Wednesday        Thursday              Friday            Saturday

                                                                                                      1                 2
       Need reminders of any deadlines this month? Mark this calendar!

                        Questions? Call 855-889-3021
                                                                                       Weekly Inspection

                3             4               5               6                 7                     8                 9

                                                                                       Weekly Inspection

              10              11             12            13                 14                    15                 16

                                                                                       Weekly Inspection

              17              18             19            20                 21                    22                 23

                                                                                       Weekly Inspection

        24/31                 25             26            27                 28                    29                 30

Monthly Inventory
Monthly Inspection                                                                     Weekly Inspection

                                                          2019-2020 Compliance Calendar for WI Gasoline Facilities, page 41
Attach monthly inventory worksheet(s) or printout(s) here

June 2020                                                    Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 42
Compliance Calendar for Gasoline Dispensing Facilities
                                                                                              June 2020
Sunday        Monday         Tuesday             Wednesday         Thursday             Friday            Saturday

                        1                   2                3                 4                     5                 6

                                                                                      Weekly Inspection

         7             8                    9            10                   11                   12                 13

                                                                                      Weekly Inspection

         14            15                 16             17                   18                   19                 20

                                                                                      Weekly Inspection

         21            22                 23             24                   25                   26                 27

                                                                                      Weekly Inspection

         28            29                 30
                                                       Need reminders of any deadlines this month?
                                                                  Mark this calendar!
                            Monthly Inventory
                            Monthly Inspection
                                                                 Questions? Call 855-889-3021

                                                         2019-2020 Compliance Calendar for WI Gasoline Facilities, page 43
Attach monthly inventory worksheet(s) or printout(s) here

July 2020                                                    Monthly Inspection, Condensed Record
                                                             (perform by end of each month or 30 days apart; see page 56 for expanded checklist)
                                                                                                                                  Logged on      Inspected
                                                             Inspection area                          Inspected? Repaired?        maintenance    by?
Reminders - Permits, Insurance, Testing and                                                                                       record?        (initials)
Training                                                     Underground storage tanks and gasoline dispensing equipment (includes Stage I vapor control
                                                             system for facilities in Stage I areas)
Are tank permits up to date?                   Yes / No
                                                             Release detection system (tank monitor)
Is tank insurance due this month?              Yes / No      Spill buckets

Is equipment testing due this month?                         Overfill alarm
                                               Yes / No
Are most recent test results on site?                        Impressed current system (if applicable)
Is all training up to date for current                       Fill and monitoring probe ports
                                               Yes / No
employees?
                                                             Spill and overfill response supplies

 Monthly Gasoline Throughput Summary                         Dispenser hoses, nozzles and breakaways
                                                             Dispenser and dispenser sumps
                     Amount       Amount        Within
 Product type
                     delivered    dispensed     variance?    Piping sumps (submersible)

                     +            +             Yes / No     Stage II vapor recovery systems for gasoline dispensing facilities retaining these systems
                                                             (inspecting the equipment below is optional but recommended - see page 66)
                     +            +             Yes / No     Vapor return line
                                                             Nozzle bellows
                     +            +             Yes / No
                                                             Nozzle faceplate / facecones
 Monthly totals      =            =                          Nozzles
                                                             Vapor processing unit working properly

System Maintenance and Repair Record                                                                                 Weekly Inspection Record
Inspection        Name of                Identify problem/defective                   Replacement part
                                                                        Repair date                                  Inspection date       Inspected by (initials)
date              inspector              part                                         manufacturer/part number

                                                                                              2019-2020 Compliance Calendar for WI Gasoline Facilities, page 44
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