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A statement from the fining applicator confirming that the materials that will bi= used are the same <br />materials that were evaluated by the testing organization. <br />�k. A statement 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 />__m, 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 -AHD) <br />General Engineering Contractor (A) <br />Limited SpecialtyAService Station Maintenance (C -611D40) <br />Limited SpeciaitylSynthetic Products (C -J61/012) <br />Limited Specialty/Protective Coating (C -611D51) <br />Painting and Decorating (C-33) <br />11. Is the special inspector a registered professional engineer?_yes no <br />12. _ Holes and splits in steel tanks, if any, will be plugged with self -tapping bolts, boiler plugs, water- <br />tight, hydraulic cement, or welding. <br />13. Striker plates wilt be installed beneath all tank openings that could be used for manual dipsticking, <br />14_ Lining will be applied within 8 hours of sandblasting_ <br />15. Certification by coatings expert or special inspector that the tank was lined properly: <br />a. Steel or dad USTs <br />visual check of lining <br />- thickness test of lining <br />hardness test of lining <br />electrical resistance holiday detector test <br />vacuum test <br />b_ Fiberglass USTs <br />visual check of lining <br />thickness test of lining <br />hardness test of lining <br />vacuum test (riot required if submerged by 50°% of depth in ground water) <br />16. If a datings expert was used, is he financially independent torn the tank owner and lining <br />company? _ .. yes _ _no <br />17. Tank integrity test will be conducted_ <br />18. A guideline has been submitted by the lining company for local agency inspectors to use when <br />conducting a field inspection of the tank iining_ <br />U/ 'd Q660'ON Ml -LU -60Z Uig: 1, 6661 '1 'unr <br />M <br />H <br />S <br />rI <br />( <br />T <br />T <br />P <br />M <br />H <br />Z <br />S <br />n <br />Z <br />D <br />H <br />M <br />H <br />