UFC 3-570-06
JANUARY 31 2003
APPENDIX A PART 7
GUIDELINES FOR PREPARING THE CATHODIC PROTECTION ANNUAL
PERFORMANCE BOOKLET
The annual survey must be submitted in a hard cover,
three-ring
binder. The binder will contain basic information and
the annual
survey data placed in the following order:
Tab A: Title Page. List the base, type of survey, date
survey was
completed, and the names of the corrosion engineer and
the CPT.
Tab B: Index.
Tab C: General Description. Describe in detail and in numerical
order what the CPSs on the base consist of; whether impressed
current or sacrificial anode system; how many systems installed and
for which utilities or structures, such as: Water distribution
systems, gas distribution systems, POL, heating, storage tanks,
etc. Add information on type of metal used in mains and service
lines, types of coatings, when installed, and by whom.
Tab D: Summary of Survey Analysis and Actions Required. Describe
in detail reasons or probable reasons for either high- or low-
potential measurements.
Describe actions needed to provide
protective potentials, estimated costs, and completion dates.
Tab E: Base Cathodic Protection Operation and Maintenance
Procedures. Provide a copy of the cathodic protection operations
and maintenance procedures.
Tab F: Cathodic Protection Program Record. Provide a copy of the
cathodic protection program record. This record must be updated
yearly, as necessary.
Tab G: Maintenance Action Sheet.
Tab H: Leak/Failure Data Records. Complete and provide one copy of
AF Form 1687 for each failure that was caused by corrosion during
the preceding year.
This record must be kept on all systems
without regard to the application of cathodic protection.
Tab I: Master Plan Tab G-8. A copy of Tab G-8 of the master plan
must be included.
Tab J: Cathodic Protection Operating Logs. The operating logs
from the preceding year must be included for each system.
Tab K: This tab should be used to list all cathodic protection
equipment on hand and the condition of equipment.
Tab L: Annual Performance Survey Data. All survey data must be
provided including areas that are resurveyed after rectifier
adjustments are made. Each system as listed in the program record
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