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UNDERGROUND TANK.INSPECTION RECON( <br />NEN TANK INSTALLATION <br />SITE NAME_ ")vS INSPECTOR'S NAME <br />ADDRESS �� � <br />CITY�� ���� LIP <br />CONTRACTOR, MME / %/' �r!s� TELEPHONE <br />OWNERS NAME //�li�J �� �J TELEPHONE <br />DATE APPROVED <br />DIS- INSPECTOR' <br />APPROVED INITIALS <br />(TEM OR EQUIPMENT INSPECTED <br />INITIAI. INSPECTION <br />1. Tank tested upon delivery IMnlidaylasteel) or air at SPSI FRP <br />j <br />L <br />2. Visual inspeCtion of secondary containment. <br />retelved.l�pff'�' s <br />n % <br />J. Tank appropriately placed with apprnved backfill. <br />2. Ball floatvalv4t3 Installed. <br />axrxr <br />�- <br />INITIAI. INSPECTION <br />1. Tank tested upon delivery IMnlidaylasteel) or air at SPSI FRP <br />j <br />PIPING STAGE INSrECTION <br />I. Pressure test of pipinX. 11'rimaryand Secondary NFPA )A <br />2. Visual inspeCtion of secondary containment. <br />retelved.l�pff'�' s <br />n % <br />J. Tank appropriately placed with apprnved backfill. <br />2. Ball floatvalv4t3 Installed. <br />4. UL numbers and tank capacities recorded. <br />1. <br />axrxr <br />j <br />PIPING STAGE INSrECTION <br />I. Pressure test of pipinX. 11'rimaryand Secondary NFPA )A <br />FINAL II:SI'F.CTIUN <br />Precision test suceceee(ull t..anlctcd .11.44hard cn.lea <br />retelved.l�pff'�' s <br />n % <br />� <br />). <br />2. Ball floatvalv4t3 Installed. <br />1. <br />rerf or as ncc tett it nvtrrf l 11 itt..1 C. t 14.11 rvRt ca• <br />J. uverflll protection installed, descriltt: <br />V <br />� r <br />♦. <br />Pcrfutautcc tea of Ill..d. t Itac I.•..4 delecto(. <br />(Hard wired) <br />�. Unused tank openings sealed and cathodically protected. <br />rerforaance teat of t•.nt inuuu•c m. iit..t tits a st.•m a nn tank( :)M.. tt <br />6. <br />Poi wit to o wratr appl tc..t lua t ua .Ict.•. <br />S. Visual inspcctton of secondary containstent on p1pinK. <br />' <br />1. <br />Acceptable recordkee in s ►tea. <br />(loGkab)e .nam ther prop <br />. u ht o grade,cowra1 <br />7. Fill and vent piping brought to gradf. <br />B. Product line Leak detector In place. Hard wired) <br />9. Approved tank leak mortttorLng device installed. <br />��' <br />✓ <br />10. All xalvanized ptping and fittings property wrapped. <br />(trP <br />1. Pressure docaY test on complete tank and product deliver a stem, l <br />axrxr <br />Q, <br />1. <br />FINAL II:SI'F.CTIUN <br />Precision test suceceee(ull t..anlctcd .11.44hard cn.lea <br />retelved.l�pff'�' s <br />n % <br />� <br />). <br />S.111 Prot cc(lost at )ill 1.1 1w. <br />1. <br />rerf or as ncc tett it nvtrrf l 11 itt..1 C. t 14.11 rvRt ca• <br />V <br />� r <br />♦. <br />Pcrfutautcc tea of Ill..d. t Itac I.•..4 delecto(. <br />(Hard wired) <br />S. <br />rerforaance teat of t•.nt inuuu•c m. iit..t tits a st.•m a nn tank( :)M.. tt <br />6. <br />Poi wit to o wratr appl tc..t lua t ua .Ict.•. <br />1. <br />Acceptable recordkee in s ►tea. <br />axrxr <br />