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a. A statement from the., lining applicator confirming that the materials that will be used are thesame <br />materials that were evaluated by the testing organization. <br />k- A c.ftaternerit from the lining applicator confirming that the processes that will be used are the same <br />processes that were evaluated by the testing organization. <br />—1 A description of tank lining processes to be used by the applicator. <br />—rn. A statement from the company that received the evaluation describing training provided to the <br />authorized applicator. <br />10 Which of the following unexpired contractors licenses does the lining applicator have: (Please submit a copy <br />of the license to PHS-EHD) <br />General EngineerAg Contractor (A) <br />Limited SpeciattylSemoe Station Maintenance (C-611040) <br />Limited Speciaftyi,'Synthetic Products (G -61/D12) <br />Limited Specialty/Protective Coating (C-61/051) <br />-- Painting and Decorating (C-33) <br />11. Is the special inspector a registered professional engineer?__yes_Tio <br />12. Holes and splits in steel Tanks, if any, will be plugged with self -tapping bolts, boiler plugs, water- <br />tight, hydraulic ceme% or welding. <br />13- Striker plates will be installed beneath ail tank openings that could be used for manual dipsticking- <br />14, Lining will he applied within 8 hours of sandhlasdng. <br />15- Certification by coatings expert or special inspector that the tank was lined property -- <br />a. Steel or clad US7s <br />visual check of lining <br />thickness test of lining <br />hardness test of lining <br />Oearical restst,'ance holiday detector test <br />vacuum test <br />b- Fiberglass UST's <br />visual check of lining <br />thickness test of lining <br />hardness test of lining <br />vacuum test (not required if submerged by 50% of depth in ground water) <br />16. It a coatings expert Was used, is he financially independent from the tank owner and lining <br />company? - . - es no <br />17 Tank integrity test WN be conducted, <br />A guldoijne has been submitted by the lining company for local agency inspectors to Use when <br />conducting a field inspection of the tank lining. <br />pis d Hffl * ON Nd�g 1, 6661 ' I unr <br />.1 <br />D <br />71 <br />D <br />M <br />H <br />T <br />H <br />I <br />S <br />fl <br />