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1.0 I./ <br />I INNENGROUNO TANK tmseE.CTtOM 0I1Y11411 <br />NEN TANK INSTAI.I.ATION <br />SITE NAME 1NSPECTON'S NAME .. <br />ADDRESS CITY LIP <br />CONTRACTORI NAME TELEPHONE <br />ONNERI NAME TELEPHONE <br />DATE APPROVED <br />DIS- I INSPECTOR'S <br />APPROVED INITIALS <br />ITE -1 OR T.OUIPMENT INSPECTED <br />PIPING STACE INSPECTION <br />1. Pressure test of pi,piny,. Primary and Secondary (N1.1'A 111): <br />—" <br />7. Visual inspection of secondary containment. _. <br />1. 6.11 float u.I.es Installed. _. <br />l.•rl.ance Ie•. ..1 .w•.•11111 n••. .•.. ton ::vsl l.. __ <br />I )"Nr9 <br />INITIAL INSPECTION <br />1. Tank tested u n deltver[Holiday lasteel) or air at 5PSt PkP)l <br />PIPING STACE INSPECTION <br />1. Pressure test of pi,piny,. Primary and Secondary (N1.1'A 111): <br />]. <br />7. Visual inspection of secondary containment. _. <br />1. 6.11 float u.I.es Installed. _. <br />l.•rl.ance Ie•. ..1 .w•.•11111 n••. .•.. ton ::vsl l.. __ <br />). fud approicrtatcly placed vith a. roved backftll. <br />1. Vverfill Nrollcllu. fool Al led. dr•.. rlhe: <br />1 <br />< Ul. numbers and tack c+nAcltlea <br />b. <br />Pe.dl Im Uwrale a. I.cn. Lm . .1 rt r. <br />1 <br />I )"Nr9 <br />I <br />1. <br />PIPING STACE INSPECTION <br />1. Pressure test of pi,piny,. Primary and Secondary (N1.1'A 111): <br />]. <br />Snll .rule[/too al lilt <br />1. 6.11 float u.I.es Installed. _. <br />l.•rl.ance Ie•. ..1 .w•.•11111 n••. .•.. ton ::vsl l.. __ <br />I <br />1. Vverfill Nrollcllu. fool Al led. dr•.. rlhe: <br />a. On<sed tank o.enln's se.led and catbudlcallT Vtot.Cted. <br />Perlor Unca• It;;, of a•nu lnv..n:. .n ... Id, vst .•. s) on .ank(:)�• <br />b. <br />Pe.dl Im Uwrale a. I.cn. Lm . .1 rt r. <br />1 <br />ablerecordketplum slktc.. <br />5. visual inspection of secund.r cuntainmm.t nn l In . <br />I IY(amn a na.4.1 to. <br />nnuitortna ports lit place ond bl-.,,rl,t to xr.de. C.I. <br />1. Fill and vent I.JpJag brought to rade. <br />6. Product line leak detector in place. Nard wired) <br />V y Approved tank leak monitoring; device installed. <br />10. All gat ...tiled ickpina and (Itlln :• roperly wrapjed. <br />MP <br />11. Pressure decay lest on Cnm Ilei[ tank and product deity![ s stCm. l <br />I )"Nr9 <br />I <br />1. <br />FINAL II:SIY.CTION <br />1y� <br />Prec lxlnn text succ es5l tall m.l el e•1 auA bald a.•lus fe. a•lved.'AS <br />]. <br />Snll .rule[/too al lilt <br />l.•rl.ance Ie•. ..1 .w•.•11111 n••. .•.. ton ::vsl l.. __ <br /><. <br />Yr. 1.•I guru Ira rl ..... I.ur Irak .ica,cclnt. Iliard wlrrdl <br />5. <br />Perlor Unca• It;;, of a•nu lnv..n:. .n ... Id, vst .•. s) on .ank(:)�• <br />b. <br />Pe.dl Im Uwrale a. I.cn. Lm . .1 rt r. <br />1 <br />ablerecordketplum slktc.. <br />I )"Nr9 <br />