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UNDERGRWND TANK.INSPECTION IM4014D F, <br /> NE)f,TANK INSTALLATION <br /> -*ITE NAME L 1,0^1INSPECTOR'S NAME L-49f pc Q� <br /> ADDRESS �2j/� F ( 1L� j'� 4y CITY <br /> SIP <br /> CONTRACTORI NAME <br /> TLLLPMONE <br /> ONNERI NAME TELEPHONE <br /> DIS- INSPICTOI' <br /> DAC APPROVED APPROVED INITIALS <br /> Gtr <br /> v ITLM OK CVu1PNENT INSPECTED <br /> '01 r a <br /> INITIAL INSPECTION <br /> I. Tank tested -Pon delivery n d N or Ir < SP51 ► P <br /> O On t.ant, <br /> 8PPfQPrtft9lV Pl#ced vl h apprnved backfill. <br /> A. Ut. Pmeberp .d to.k capacities recorded. <br /> •r PIPING STAGE INSPECTION <br /> qft 91 Piping— Prior and Secondary NFPA In <br /> valves <br /> 1. Overfill protection In•lalled, dea.'rlhe: <br /> a. Unused 9,nk o nln 1 scaled and cathodtc.tly protected. <br /> S. Via", Ine c ton of ser onJrt conlalnenot an l In . <br /> Iloca.bJ• .o.tne, prep <br /> In piece end bi rurlit to trod*, eovarl <br /> ramt pipinghrou hl to xradt. <br /> S. PrMuct It,,Jeak detector In lace. Hard Ired) <br /> <.- Appray.d un4 IoaY Itof In drrlCe Installed. <br /> lU All galvdntxcd ptpinxslut I• • pr.porLy ra d. <br /> -Z I(p <br /> 1L Preuure d<u t<H on c.. lete to nd product deliver . vte.�v <br /> � nHAI. n:xrccnoH � <br /> S Y4ot <br /> I . PreU atm teal u"r el all n.J.•I eA aLA hu ul v ••I<s rr.elv <br /> 7. Snll role ttn,, ll. 1111 .I <br /> 1. F<rlor.ance lest of .•rflll ••I r•I ton oval e.. <br /> ' •. Fal La uurc I.", .•1 n••A��� Ino• I,.,Y Jcl ec lot . Illard olrrJ/ ��yy <br /> l of..n r e:U of I.TI Inu..u: . uu•I n• • nl.•. s nn I..kln)M•�.J•u <br /> h, Fcull la u .,rale A • Ili.,• <br /> / b e k In rc.. <br />