Storage tank system identification form: part IV

Table of contents

✓ Check all that apply and write where applicable
Description	Tank 1	Tank 2	Tank 3	Tank 4	Tank 5
* Owner’s Tank Identification Number (if any)
EC Tank System Identification Number (Not required if this is a request for a new identification number)	EC-#######	EC-#######	EC-#######	EC-#######	EC-#######
* System Description (Description of storage tank system, design and other additional information to describe)
Year(s) of Installation of Tank(s)
Date of Changes to Tank(s), if applicable (DD/MM/YYYY)
Is System in Service all Year? Yes No (Please identify the month(s) during which the system is in service.)	◻ Yes ◻ No _______	◻ Yes ◻ No _______	◻ Yes ◻ No _______	◻ Yes ◻ No _______	◻ Yes ◻ No _______
Type of Tank (Check one option per tank.)	◻ Aboveground ◻ Underground	◻ Aboveground ◻ Underground	◻ Aboveground ◻ Underground	◻ Aboveground ◻ Underground	◻ Aboveground ◻ Underground
Type of Piping (Check one option per piping.)	◻ Aboveground ◻ Underground ◻ Aboveground and Underground ◻ No Piping	◻ Aboveground ◻ Underground ◻ Aboveground and Underground ◻ No Piping	◻ Aboveground ◻ Underground ◻ Aboveground and Underground ◻ No Piping	◻ Aboveground ◻ Underground ◻ Aboveground and Underground ◻ No Piping	◻ Aboveground ◻ Underground ◻ Aboveground and Underground ◻ No Piping
Diameter of all Piping (Specify units: millimetres or inches for all piping. If no piping, do not specify units.)	◻ Inches ◻ mm	◻ Inches ◻ mm	◻ Inches ◻ mm	◻ Inches ◻ mm	◻ Inches ◻ mm
Nominal Tank Capacity (Litres)	______ L	______ L	______ L	______ L	______ L
Describe how the Transfer Area^Footnote1 is Designed to Contain Spills.
Petroleum Product(s) Stored (Check one option per tank) (A tank with several compartments not piped together must be identified individually so that each compartment has its own Environment Canada ID number.)	◻ Heating Oil ◻ Waste Oil ◻ Diesel ◻ Jet Fuel ◻ Kerosene ◻ Bunker Oil ◻ Avgas ◻ Gasoline ◻ Other (specify) _______	◻ Heating Oil ◻ Waste Oil ◻ Diesel ◻ Jet Fuel ◻ Kerosene ◻ Bunker Oil ◻ Avgas ◻ Gasoline ◻ Other (specify) _______	◻ Heating Oil ◻ Waste Oil ◻ Diesel ◻ Jet Fuel ◻ Kerosene ◻ Bunker Oil ◻ Avgas ◻ Gasoline ◻ Other (specify) _______	◻ Heating Oil ◻ Waste Oil ◻ Diesel ◻ Jet Fuel ◻ Kerosene ◻ Bunker Oil ◻ Avgas ◻ Gasoline ◻ Other (specify) _______	◻ Heating Oil ◻ Waste Oil ◻ Diesel ◻ Jet Fuel ◻ Kerosene ◻ Bunker Oil ◻ Avgas ◻ Gasoline ◻ Other (specify) _______
Allied Petroleum Product(s) Stored (Check one option per tank) (A tank with several compartments not piped together must be identified individually so that each compartment has its own Environment Canada ID number.)	◻ (Specify) _______	◻ (Specify) _______	◻ (Specify) _______	◻ (Specify) _______	◻ (Specify) _______

ULC or API Standard Number ^Footnote2
(Check **one** option per tank.)
Type	Tank 1	Tank 2	Tank 3	Tank 4	Tank 5
Aboveground - API Specification 12B	◻	◻	◻	◻	◻
Aboveground - API Specification 12D	◻	◻	◻	◻	◻
Aboveground - API Specification 12F	◻	◻	◻	◻	◻
Aboveground - API Std 650	◻	◻	◻	◻	◻
Aboveground - ULC-C142.14	◻	◻	◻	◻	◻
Aboveground - ULC-C142.15	◻	◻	◻	◻	◻
Aboveground - ULC-C142.17	◻	◻	◻	◻	◻
Aboveground - ULC-C142.20	◻	◻	◻	◻	◻
Aboveground - ORD-C142.5	◻	◻	◻	◻	◻
Aboveground - ULC-C80-1	◻	◻	◻	◻	◻
Aboveground - ULC-S601	◻	◻	◻	◻	◻
Aboveground - ULC-S601 and ULC-S653	◻	◻	◻	◻	◻
Aboveground - ULC-S602	◻	◻	◻	◻	◻
Aboveground - ULC-S653	◻	◻	◻	◻	◻
Aboveground - ORD-C142.18 (withdrwan; replaced by S601)	◻	◻	◻	◻	◻
Aboveground - ORD-C142.22 (withdrwan - rectangular portion part of S601)	◻	◻	◻	◻	◻
Aboveground - ULC-S630 (withdrawn; replaced by S601)	◻	◻	◻	◻	◻
Aboveground - ULC-S643 (withdrawn; replaced by S601)	◻	◻	◻	◻	◻
Aboveground - ORD-C142.21 (withdrawn)	◻	◻	◻	◻	◻
Aboveground - ORD-C142.23 (withdrawn)	◻	◻	◻	◻	◻
Underground - ULC-S603	◻	◻	◻	◻	◻
Underground - ULC-S615	◻	◻	◻	◻	◻
Underground - ULC-S652	◻	◻	◻	◻	◻
Underground - ORD-C58.10 (withdrawn; replaced by S603)	◻	◻	◻	◻	◻
Collapsible fabric storage tank (“bladder”)	◻	◻	◻	◻	◻
Unknown^Footnote3 - underground tank	◻	◻	◻	◻	◻
Unknown^Footnote3 - field erected vertical aboveground tank	◻	◻	◻	◻	◻
Unknown^Footnote3 - shop-fabricated vertical aboveground tank	◻	◻	◻	◻	◻
Unknown^Footnote3 - horizontal aboveground tank	◻	◻	◻	◻	◻

Footnotes

Footnote 1

“Transfer area” means the area around the connection point between a delivery truck, railcar, aircraft or vessel and a storage tank system of which the tanks have an aggregate capacity of more than 2,500 L. Requirements regarding spill containment in product transfer areas state that transfer areas from systems with tank capacities of more than 2,500 L must be designed to contain spills that occur during the transfer process. In the case of new storage tank systems, transfer areas must be designed to be compliant before they are put into service. All storage systems over 2,500 L require a product transfer area designed to contain spills.

Return to footnote1 Referrer

Footnote 2

The standards list was updated in April 2013.

Return to footnote2 Referrer

Footnote 3

All systems installed after June 12, 2008, must follow a standard. Entering “unknown” is not an option.

Return to footnote3 Referrer

**Construction Material**
(Check **one** response that applies to the tank and check all options that apply to the piping.)
Materials	Tank 1	Tank 1 Piping	Tank 2	Tank 2 Piping	Tank 3	Tank 3 Piping	Tank 4	Tank 4 Piping	Tank 5	Tank 5 Piping
Concrete-encased steel	◻		◻		◻		◻		◻
Fibreglass reinforced plastic (including thermoset tanks)	◻		◻		◻		◻		◻
Fibreglass reinforced plastic ducted flexible (e.g. Enviroflex/ Bufflex, Geoflex)		◻		◻		◻		◻		◻
Jacketed steel	◻	◻	◻	◻	◻	◻	◻	◻	◻	◻
Steel	◻	◻	◻	◻	◻	◻	◻	◻	◻	◻
Collapsible Fabric Storage Tank (i.e. polymer fabric, bladders)	◻		◻		◻		◻		◻
Black iron		◻		◻		◻		◻		◻
Copper		◻		◻		◻		◻		◻
Galvanized steel		◻		◻		◻		◻		◻
Flexible metallic		◻		◻		◻		◻		◻
Non-metallic thermoplastic		◻		◻		◻		◻		◻
Polyethylene		◻		◻		◻		◻		◻
PVC		◻		◻		◻		◻		◻
Thermoset (rigid)		◻		◻		◻		◻		◻
Other (specify):	_______	_______	_______	_______	_______	_______	_______	_______	_______	_______
* Has tank/ piping been repaired?	◻ Yes ◻ No	◻ Yes ◻ No	◻ Yes ◻ No	◻ Yes ◻ No	◻ Yes ◻ No	◻ Yes ◻ No	◻ Yes ◻ No	◻ Yes ◻ No	◻ Yes ◻ No	◻ Yes ◻ No

**Secondary Containment**
(Check **all** that apply.)
Containment	Tank 1	Tank 1 Piping	Tank 2	Tank 2 Piping	Tank 3	Tank 3 Piping	Tank 4	Tank 4 Piping	Tank 5	Tank 5 Piping
Double walled	◻	◻	◻	◻	◻	◻	◻	◻	◻	◻
Containment tank assembly	◻		◻		◻		◻		◻
Concrete-encased steel assembly	◻		◻		◻		◻		◻
Reinforced secondary containment liner for aboveground tanks	◻		◻		◻		◻		◻
Non-reinforced secondary containment liner for aboveground tanks	◻		◻		◻		◻		◻
Secondary containment liner (spray-on type) for aboveground tanks	◻		◻		◻		◻		◻
Liner for underground tanks	◻		◻		◻		◻		◻
Dike with impermeable liner	◻		◻		◻		◻		◻
Impermeable liner with double bottom tank (e.g., field erected tanks)	◻		◻		◻		◻		◻
Other impermeable barrier (specify):	_____	_____	_____	_____	_____	_____	_____	_____	_____	_____

**Cathodic/Corrosion Protection**
(Check **all** that apply.)
Protection	Tank 1	Tank 1 Piping	Tank 2	Tank 2 Piping	Tank 3	Tank 3 Piping	Tank 4	Tank 4 Piping	Tank 5	Tank 5 Piping
Sacrificial anode	◻		◻		◻		◻		◻
Impressed current system	◻	◻	◻	◻	◻	◻	◻	◻	◻	◻
Non-corroding material	◻	◻	◻	◻	◻	◻	◻	◻	◻	◻
Painted	◻	◻	◻	◻	◻	◻	◻	◻	◻	◻
Coating - bonded plastic, resin, epoxy or polyurethane coated		◻		◻		◻		◻		◻
Unknown	◻	◻	◻	◻	◻	◻	◻	◻	◻	◻
None	◻	◻	◻	◻	◻	◻	◻	◻	◻	◻

**Oil-Water Separator Pumps**
(Check **one** response that applies.)
Separator	Tank 1	Tank 2	Tank 3	Tank 4	Tank 5
No oil-water separator	◻	◻	◻	◻	◻
Centrifugal	◻	◻	◻	◻	◻
Not centrifugal	◻	◻	◻	◻	◻
No pump	◻	◻	◻	◻	◻

**Leak Detection**
((ULC/ORD-C58.12 or ULC/ORD-C58.14) (ULC-S675.1 or ULC-S675.2)) (Check **all** that apply.)
Detection Type	Tank 1	Tank 1 Piping	Tank 2	Tank 2 Piping	Tank 3	Tank 3 Piping	Tank 4	Tank 4 Piping	Tank 5	Tank 5 Piping
Internal monitoring - Automatic tank gauging	◻	◻	◻	◻	◻	◻	◻	◻	◻	◻
Internal monitoring - Continuous in-tank/piping leak detection	◻	◻	◻	◻	◻	◻	◻	◻	◻	◻
Internal monitoring - Electronic line leak detection		◻		◻		◻		◻		◻
Internal monitoring - Inventory reconciliation	◻		◻		◻		◻		◻
External monitoring - Groundwater monitoring wells	◻	◻	◻	◻	◻	◻	◻	◻	◻
External monitoring - Vapour monitoring wells	◻	◻	◻	◻	◻	◻	◻	◻	◻	◻
External monitoring - Visual inspection	◻	◻	◻	◻	◻	◻	◻	◻	◻	◻
External monitoring - Continuous external leak monitoring (sensor cable system)	◻	◻	◻	◻	◻	◻	◻	◻	◻	◻
Interstitial monitoring - double walled	◻	◻	◻	◻	◻	◻	◻	◻	◻	◻
Other testing or programs - Precision leak detection test	◻	◻	◻	◻	◻	◻	◻	◻	◻	◻
Other testing or programs - Corrosion analysis program		◻		◻		◻		◻		◻
Other testing or programs - Tank (API Standard 653) or tank floor inspection	◻		◻		◻		◻		◻
Other testing or programs - Other (specify)	_____	_____	_____	_____	_____	_____	_____	_____	_____	_____

**Sump - Leak Detection**
(Check **all** that apply.)
Detection Type	Tank 1	Tank 2	Tank 3	Tank 4	Tank 5
No sump for storage tank system	◻	◻	◻	◻	◻
Visual inspection	◻	◻	◻	◻	◻
Continuous sump leak monitoring (petroleum product probe)	◻	◻	◻	◻	◻
Static liquid media leak detection test	◻	◻	◻	◻	◻
Other (specify)	_______	_______	_______	_______	_______

**Spill Containment**
(Check **one** response that applies.)
Detection Type	Tank 1	Tank 2	Tank 3	Tank 4	Tank 5
Spill Containment Devices for Aboveground Tanks (ULC-S663) or (ORD-C142.19) (Withdrawn; replaced by ULC-S663)	◻ or ◻	◻ or ◻	◻ or ◻	◻ or ◻	◻ or ◻
Spill box at fill point - no standard (aboveground tank)	◻	◻	◻	◻	◻
Spill Containment Devices for Underground Tanks (ORD-C58.19)	◻	◻	◻	◻	◻
Spill box at fill point - no standard (underground tank)	◻	◻	◻	◻	◻
Other (specify)	_______	_______	_______	_______	_______

**Overfill Prevention**
(Check **all** that apply.)
Prevention method	Tank 1	Tank 2	Tank 3	Tank 4	Tank 5
API RP 2350 - Overfill Protection for Storage Tanks In Petroleum Facilities (field erected tanks)	◻	◻	◻	◻	◻
Overfill alarm and overfill automatic shutoff CAN/ULC-S661 (Overfill Protection Devices Storage Tanks) or ORD-C58.15 (Overfill Protection Devices Storage Tanks) (Withdrawn; replaced by ULC-S661)	◻ or ◻	◻ or ◻	◻ or ◻	◻ or ◻	◻ or ◻
Overfill ball float valve	◻	◻	◻	◻	◻
Method - trained personnel in attendance at all times	◻	◻	◻	◻	◻
Other (specify)	_______	_______	_______	_______	_______

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Date modified:: 2017-01-23

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Storage tank system identification form: part IV

Part IV: Storage Tank System Description

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