Louisiana Administrative Code › Title 55 - PUBLIC SAFETY › Part IX - Liquefied Petroleum Gas › Chapter 1 - General Requirements › Subchapter D - Forms and Reports › Section IX-159 - Required Forms and Reports

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  following forms and/or reports shall be filed with the Office of the Director.
1. Installation Reports shall be properly
				  completed and witnessed by the customer or his/her authorized representative.
				  This includes installed or re-installed tanks and the completed form shall be
				  maintained in the dealers files. These documents shall be made available to the
				  commission within 15 days of request. Pressure tests shall be documented on the
				  installation report when a container is installed or reinstalled. In other
				  cases where pressure tests are required (See
				  §167 and §175), the pressure tests
				  may be filed with the commission on an installation report form and noted as
				  such. Documentation of pressure tests shall be maintained by the
				  dealer.
2. Sketches shall be filed
				  with the office of the director for initial approval. Final approval shall be
				  granted by the office of the director after installation but prior to placing
				  into service the following liquefied petroleum gas systems:
a. dealer bulk storages;
b. liquid withdrawal systems, except systems
				  for private use;
c. places of
				  public assembly, schools, churches, hospitals, nursing homes and other similar
				  systems (either liquid or vapor systems);
d. automatic dispensers used for motor fuel
				  as required by LAC 55:IX.163.C;
e.
				  sketches fo r Class VI-X installations shall be filed with the office of the
				  director for initial approval. The commission reserves the right to allow this
				  installation to be placed in service prior to final inspection. Upon
				  inspection, if this installation is deemed to be out of compliance with the
				  commissions rules and regulations, the servicing dealer shall remove all LPG
				  cylinders from the installation within 24 hours. Dealer shall correct all
				  deficiencies and then request a final inspection and approval of the
				  installation. The installation shall remain out of service until final approval
				  is granted by the commission.
3. reports of fires and accidents in
				  accordance with §125
4.
				  documentation in accordance with §147.
5. proof of insurance or financial security
				  in accordance with §107. A.3 or §107. A.3 a
6. drawings in accordance with §113.
				  A 11.c.
7. Reports in accordance
				  with §107. A.6 a
8. Location
				  approval forms shall be in accordance with §113. A.3 b
Location Approval Form
The submission of this form by a Class III dealer
					 representative does not absolve the dealer of following the rules and
					 regulations established by this Commission concerning the storage of liquefied
					 petroleum gas. Due to the fact that all requisite details are not submitted
					 regarding the storage locations referred to on this this form, it is, therefore
					 assumed when approval is made on the information submitted, details regarding
					 information not provided will comply with all regulations. Any changes to the
					 cylinder location will require a new form to be submitted.
Name of Class III dealer submitting this form:
					 _________________
Name of Dealer supplying gas:
					 _____________________________
Is storage location protected from vehicular impact? ___Yes
					 ___No
Is storage location: _____ inside building or _____ outside
					 building?
Is storage location the proper distance from electrical
					 equipment, ignition sources, doors and windows? _____ Yes _____ No
Is Name of Class III Dealer, Supplier and 24 hour Emergency
					 Contact on storage location? ____Yes ____No Is all the proper signage displayed
					 at storage location? ____Yes ____No
Does the public have access to the cylinder storage
					 location? ____Yes ____No
If yes, please ensure sketch is submitted by properly
					 permitted dealer.
Contact information for someone at cylinder
					 location:
Name
					 ________________________________________________
Telephone Number
					 _____________________________________
Please give brief description of storage area including
					 distances to permanent reference points:
_______________________________________________________
_______________________________________________________
All information submitted on this form has been verified as
					 correct, and it is understood that any changes to this form shall require a new
					 form to be submitted. Signed (person in charge of insuring correctness of this
					 form)
X __________________________________________________
Date: _______________