Page 1 WASTEWATER PUMPING STATION INVENTORY Civic Address: Year Constructed: Pump Station Type (circle): Building (Y/N): SUBMERSIBLE DRYWELL SELF-PRIMING Holding Tank (Y/N): Valve Chamber (Y/N): Connected to Scada System (Yes/No): Design Capacity (L/s): Legend: INA = Information not Available/Accessible N/A = Not Applicable : OI = Operator Input, RD = Record Drawing, DD = Design Drawing, OD = Other Drawing, FV = Field Verified, IN = Inferred Pump Apparatus PUMPS 1 2 3 4 5 6 Application: Make: Model: Serial #: Rated Power (kw or HP): Impeller Impeller Diameter (mm): Speed (RPM): Suction Diameter (mm): Capacity (duty, L/s): TDH (duty, m): Discharge Diameter (mm): Seal PUMP MOTORS Make: Model #: Efficiency (%): Serial Number: Horsepower: Rated Power (kw or HP): Full Load (amps): Service Rating: Enclosure Speed (RPM): Drivetype: 1 2 3 4 5 6
Page 2 Forcemain 1 2 1 2 Date Installed: Diameter (mm): Material: Year of Last Break or Failure: Frequency of Breaks: Length (m): Structure Volume Max Water Level (m3): Rails and Chains (Y/N): Ventilation Level Monitoring: Wetwell Dimensions (mm): Top Elevation (m): Invert Elevation (m): Incoming Pipe Invert (m): Overflow Elevation (m): Overflow Overflow Environment: Structure Volume (m3): Ventilatation Drywell Dimensions (mm): Top Elevation (m): Invert Elevation (m): Sump Pump (Y/N): Structure Volume (m3): Dimensions (mm): Holding Tank Ventilation Disinfection of Overflow (Y/N): Level Monitoring: Overflow Metering (Y/N): Material: Mechanical Piping Diameter (mm):
Page 3 Valves VALVES 1 2 3 4 5 6 Diameter (mm): VALVE CHAMBER Structure Drainage to Wetwell (Y/N): Ventilation Dimensions (mm) Instrumentation FLOW METERS 1 2 3 4 5 6 Size (mm) LEVEL MONITORING (type): TEMPERATURE MONITORING (type): 1 2 3 GAS MONITORING (type, type of gas): PRESSURE MONITORING (type): CHEMICAL DOSING SYSTEM (type): ODOUR CONTROL SYSTEM (type):
Page 4 RACKS/SCREENS Operation: Mechanical 1 2 3 GRINDER 1 2 MIXER 1 2 3 SAFETY HATCH 1 2 Manufacturer: Power (kw): Safety Grating (Y/N): Material: Electrical Main Service Panel (V): Main Service Panel (A): Phase (One/Three): Boxes and Conduits: Yard Lighting Interior Lighting NSP Meter Number: Transfer Switch (Y/N): Transfer Switch Rating (kw) Environment Power Factor Correction Installed (Y/N): kvar Rating: Control Panel 3 1 2 4 5 Type of Environment: Manufacturer: Hour Meters (Y/N): Starter Control NEMA Rating: Emergency Power Make: Model: Serial Number: Size/Power (kw): Emergency Containment (Y/N): Fuel Tank Capacity (L): Fuel Storage Fuel Storage Material: Quick Connect (Y/N):
Page 5 Civil/Building CIVIL BUILDING Driveway Area (m2): Driveway Retaining Walls (Y/N): Fencing (Y/N): Drainage Structures (Y/N): Proximity to Watercourse (m): Susceptibility to Flooding (Y/N): Structure Dimensions: Roof Material: Heating Hoists/Davits (Y/N): Ventilation Security System (Y/N):
Page 6 Photo Log Description Taken (Y/N): File Name(s) Pump Nameplates Pumps Wetwell Electrical Panel Nameplate Piping Valving Hatches Elevation Views (N,S,E,W) Motor Nameplate