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UNDERGROUND TANK.]NSFMION RC('plto �y'•/�', <br /> Vl*.TTANK INSTALLATION /) IL V� <br /> -.TE NAMC�/NEZL , ?� (( ` 7/1^� INSPECTON'S NAME 6wel <br /> ADDRESS /�j/�j C F-/yrz��.�- CiTT Lin7i,N/ <br /> KIP � <br /> CONTRAMRt MANE TCLEPIIOHC - <br /> OWNER$ NANO TELEPHONE <br /> D[1- INSPECTOR' <br /> D—AT9 OkepRollol AP vED INITIALS <br /> �- ITCH OR EWIMMT INSPECTED <br /> tic <br /> 1 ✓ 7 <br /> INITIAL INSPECTION <br /> n • • • ur air at ► (ritem <br /> aof m9milaryon •lm m <br /> • k IRMPrift9ly Ploc9dwith aPproved hack(lll. <br /> a YL .bsr nd nk a cl 1. recorded. <br /> t PIPING STAGE INSPECTION <br /> fr4ppourg teftDiDing. rl.ar and Sxondar N►PA Tfl <br /> 2. pill flott-volycl InstaUvo, <br /> 11. Overfill Proleclton lnatalled. da.crlhd: <br /> d. Unu ed tank apt nIn t scaled mad cathod itatly protected. <br /> S:'Pl•u.l I-sPcctLom of sscondar contal"nat on ptrinirb <br /> II=14 MIaM PI•e <br /> co.•r. <br /> ll a.d vent piptnAhcou hl to grade. <br /> tr cc Rine 4.k detector Inlace. Nerd wired <br /> V. Akjor...d..tank Ieak .on[lorin device lnat.11•d. <br /> Id—All •lv.nl2ed l le and (Illlw • proporly wrapped. t1// <br /> / 1. Pre--r. dec. v.'t •l on ro. late tank and product dellvsr • •Lsa!Nlt <br /> 1ad� <br /> PINAI. 11:51•CCTION <br /> 1.• fret salon leaf au cra•f tall le vd •..d h.ld t •.les r.celved�]]Vt <br /> Le'll prot.ctio.. 2t fill . M <br /> ]. Perfor.ance teal w1 nr.•rflll e..lorll.n'wval e.. ' <br /> • R•rfut auto teal of n..fu.. Irnr lead del cc 1. IN.rd wired) ��yy <br /> 5 e .an .n ..l •tau lnmun .n.11.n lu' n.•.(R) "n <br /> a• Av.11 to ewrat• appj.c.kl.... .... .lelr. <br /> bl e o dke ... <br /> 0121 ]: <br />