FFS-0132 UPP Pipe Install Checklist and Warranty Form

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UPP® Piping Installation Checklist & Warranty Start-up Form

Site Owner:____________________________ Installation Contractor:___________________


Site Address:___________________________ Address:______________________________
Site Phone Number:______________________ City:_____________ State:____ Zip:_________
City:_____________ State:____ Zip:_________ Country_______________________________
Country_______________________________ Telephone:____________________________
Owner/Operator:________________________ Distributor:____________________________
Installation Completion Date:_______________

[ ] Complete Fuel Transfer & Containment System are all FFS Products

Pre-Installation Check: Sump Inspection:


[ ] Installer has copy of Installation Guide [ ] Visual Inspection (every 30 days)
[ ] Installer has visually inspected all materials to [ ] Sump Sensors
be free from shipping and storage damage Piping:
[ ] UPP® products were handled with care Total length and model of piping installed at this site:
during unloading Product line:_________________________
Tank Information: Fill Line:____________________________
[ ] New Tanks Vent Line___________________________
UST Manufacturer:____________________ Vapor Recovery_______________________
Tank Installation Information: Primary Piping:
[ ] Tanks Anchored [ ] Pop-up indicators are raised and welding time is
[ ] Deadman Anchoring marked near fitting
[ ] Tank Tie-Down Slab [ ] Insertion marks are visible and pipe is fully inserted
Tank Excavation Information: [ ] Fittings are aligned properly
[ ] High Water [ ] Cleaned with Acetone per IOM
[ ] Has site ever been Contaminated / Remediated Fittings: [ ] Termination Fittings [ ] Compression
Trenching: [ ] Scraping of the pipe is evident and adequate
[ ] Excavation depth allows for 150 mm (6") bedding [ ] Cut with approved tools
[ ] Bedding installed, graded, and has proper slope
[ ] Proper cooling
[ ] Width is sufficient to accommodate all runs of
pipe with proper spacing [ ] Pressure test results recorded
[ ] Minimum pipe burial depth verified Secondary Containment:
[ ] Direction changes wide enough to [ ] Pop-up indicators are raised and welding time is
accommodate proper bend radii marked near fitting
[ ] Proper pipe spacing as described in IOM. [ ] Insertion marks are visible and pipe is fully inserted
Bedding and Backfill: [ ] Fittings are aligned properly
[ ] Clean sand [ ] Cleaned with Acetone per IOM
[ ] Pea gravel [ ] Scraping of the pipe is evident and adequate
[ ] Crushed stone: 3 mm to 20 mm (1/8" to 3/4") [ ] Cut with approved tools
[ ] Backfill material fully encloses open space [ ] Proper cooling
under chamber and tank manway [ ] Pressure test results recorded
Tank Sumps, Dispenser Sumps, Intermediate Ducting:
Sumps, Etc.: [ ] Ducting installed
[ ] Tank sumps mounted to tanks using [ ] Ducting air test performed at 0.3 bar (5 PSI)
approved method Installation Procedures:
FFS Tank Sump: _______________________ [ ] All piping runs installed with proper spacing to
Model #:_____________________________ allow for expansion and contraction
FFS Dispenser Sump:___________________ [ ] UPP® products were handled with care
Model #:________________________________ during installation
[ ] System ground is in place

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Final Inspection: Site Completion:
[ ] Air relieved from secondary containment [ ] Concrete
jacket [ ] Total inches over pipes __________
[ ] Air relieved from primary lines [ ] Asphalt
[ ] Back filled to grade with finish surface [ ] Total inches over pipes __________
installed Line Leak Detection:
[ ] All pipe-work systems are of UPP® products [ ] Mechanical
[ ] Electronic

Backfill Installing Contractor:________________________________________________________

UPP® Factory Certified Installer

Print Name:________________________________________________

Signature_________________________________________________
As owner / operator I have read and comprehend the latest UPP® warranty documentation.

Print Name:________________________________________________

Signature_________________________________________________ Date________________

This form must be properly completed, signed and returned


to FFS no later than 60 days after the installation of the FFS
piping products.

Franklin Fueling Systems, Ltd., Olympus Close, Whitehouse Industrial Estate,


©FFS 2022 FFS-0132 r6 Page 2 of 2 Ipswich, Suffolk, IP1 5LN, UK. Tel: +44 (0)1473 243300 Fax: +44 (0)1473 243301

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