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API 653 Tank Inspection Form

This document appears to be an API 653 tank inspection summary form. It collects information about a storage tank such as its location, owner, construction details, inspection dates and methods, test results, and whether any defects were found. The form has checkboxes to document the tank specifications, inspection tests performed on the bottom, shell and roof, and test results including minimum thicknesses and corrosion rates. It also records whether any product release or unacceptable settlement was detected.

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RuDdy Gunawan
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100% found this document useful (3 votes)
797 views4 pages

API 653 Tank Inspection Form

This document appears to be an API 653 tank inspection summary form. It collects information about a storage tank such as its location, owner, construction details, inspection dates and methods, test results, and whether any defects were found. The form has checkboxes to document the tank specifications, inspection tests performed on the bottom, shell and roof, and test results including minimum thicknesses and corrosion rates. It also records whether any product release or unacceptable settlement was detected.

Uploaded by

RuDdy Gunawan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Sertek Form_______________

Form Title: Alternative Requirement or Procedure


Form_______
Effective Date: ____________

API 653 Tank Inspection Summary Form


Please print or type, fill out all boxes that apply, and attach to API 653 Report
Gerneral Information
Facility Name: Facility ID#:

Tank location address: City:

Zip Code: Phone Number:

Tank Owner/Operator Address: City:

Zip Code: Phone Number:

Tank Number: Construction Date:

Inspection Date__________________________
Type:  External  Ultrasonic  Internal
Purpose:  Scheduled  Unscheduled  Other (Specify)

Prior Inspection  External  Ultrasonic  Internal


Date:

Tank Specifications
Manufacturer Contents: Specific Gravity:

Dimensions: Capacity Fill height:

Produce Heated?  Yes  No Maximum Operating Temperature(F)

Tank Construction:
 Bare Steel  Double-bottom Cathodic Protection
 Coated Steel  Double-wall  Galvanic
 Internally lined bottom  Approved internal  Impressed current
secondary containment Date
Installed_____________
 Synthetic liner beneath tank  Concrete secondary Other secondary
containment containment_____________

 Welded bottom  Riveted bottom


Original
thickness________________

 Welded shell  Riveted shell Number of


Courses________________

Original Course Thickness: 1.____________ 2.____________ 3.____________ 4.____________


5.____________ 6_____________ 7____________ 8.____________

Foundation  At grade  Concrete pad  Concrete ringwall


 Stone ringwall  Oiled sands/soils  Other________________
Roof  Open  Fixed  Cone
 Internal floating  External floating  Dome
 Umbrella  Other
____________________________________________

Release Detection

Tank External  Groundwater Monitoring  Cable Systems


 Vapor Monitoring  Visual/Interstitial
 Tracer Technologies  Other
Tank Internal  Interstitial monitoring – describe

Dike Field  Synthetic Liner  Concrete  Other

Tank Bottom Inspection

Non-Destructive Test Method Weld Plate


Visual  
Ultrasonic (Spot)  
Ultrasonic (Scan)  
Liquid Penetrant  
Penetrating Oil  
Magnetic Particle  
Radiography  
Mag Flux Scan  
Vacuum Box  
Tracer Gas  
Holiday  
Other  
Tank Shell Inspection

Non-Destructive Test Method Weld Plate


Visual  
Ultrasonic (Spot)  
Ultrasonic (Scan)  
Liquid Penetrant  
Penetrating Oil  
Magnetic Particle  
Radiography  
Mag Flux Scan  
Vacuum Box  
Tracer Gas  
Holiday  
Other  

Settlement Evaluation?
 Yes
 No

Tank Roof Inspection

Non-Destructive Test Method Weld Plate


Visual  
Ultrasonic (Spot)  
Ultrasonic (Scan)  
Liquid Penetrant  
Penetrating Oil  
Magnetic Particle  
Radiography  
Mag Flux Scan  
Vacuum Box  
Tracer Gas  
Holiday  
Other  
Tank Bottom Inspection Results

Bottom (External) Bottom (Internal)


Minimum Remaining Thickness  
Minimum Required Thickness  
Maximum Corrosion Rate  
Tank Shell Inspection Results

Shell (External) Shell (Internal)


Minimum Remaining Thickness  
Minimum Required Thickness  
Maximum Corrosion Rate  
Tank Roof Inspection Results

Fixed Floating
Minimum Remaining Thickness  
Minimum Required Thickness  
Maximum Corrosion Rate  
Release?

Bottom?  Yes Shell?  Yes


 no  No

Settlement within Tolerance?


Bottom  Yes  No
Differential  Yes  No
Edge  Yes  No
Bulges/Ridges  Yes  No

REPAIR SUMMARY: (Include description, date completed, and date of post-repair


inspection)
Foundation:______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________

Bottom:_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________

Shell:__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________

Roof:__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________

Appurtenances:__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
Hydrostatic test required?: Yes No Test date: _______________________
Results: _____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________

INSPECTION SCHEDULE: (Supporting calculations must be available for review upon request)
External (ultrasonic): Corrosion rate known?: Yes No
(Year) #1:_____________ #2: _____________ #3: _____________ #4: _____________ #5: _____________

External (visual): (Year) #1:_____________ #2: _____________ #3: _____________ #4: _____________ #5: _____________

Internal: (Year) __________________________________________

SIGNATURE(s):
API 653 Inspector / Date:

Site Inspector / Date:

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