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UNDERGROUND TANK INSPECTION RECORD <br /> NEN TANK INSTAIA.ATION 9 <br /> SITE NAME /�jJ[•//'/G T INSPECTOR'S NAME � ,�/•yl/{ �y�Q,, — ,.,,.,�, <br /> ADDRESS rI / / 5 • ,E.C/� `/P/CJ�' CITY. /%I-Rly /lQzr4 ZIP & 2 <br /> CONTRACTORS NAME f}T'�F/ / /'y f/ TELEPHONE"-2Zj�:2:7- 7�V <br /> OWNERt NAME TELEPHONE <br /> DIS- INSPECTOR S <br /> DATEAPPROVED APP ROVLD INITIALS <br /> ITEM OR EQUIPMENT INSPECTED <br /> d . <br /> r' INITIAL INSPECTION <br /> 1. Tank tested upon delivery Ilinlidaylasteel) or air at SPSI PRP <br /> L 2. Visual inspection of secondary containment. <br /> 7. Tank appropriately placed with approved backfill. <br /> 4 4. UL numbers and tank capacities recorded.;,°Do U-1 <br /> PI PI ST INSP <br /> r <br /> 1. Pressure test of piping. Prlma an Sec onda (NEPA 7n)( <br /> 2. Ball float valves Installed. <br /> 7. Vverfill protection Installed, descriltd• <br /> 8 / <br /> A. Unused tank openings scaled and cathodtcally protected. <br /> 5. Visual inspection of secondary containment on pipint.6. - <br /> (' (lookabje the, prop <br /> Monitoring and bt Lau ht W rade. covers <br /> 7. Pill and vent piping hrou ht to grade. <br /> 8. Pr duct line leak detector in Place. Hard -I ed) S q <br /> W3-791 <br /> 9. Approved tank leak mon ltor In dev(ce installed. <br /> IU. All Ralvani.ed pLpLnA nd fittings properly wrapped. H: <br /> aw <br /> N 1. Pressure dCCAY teat on cnm lete Lank and produot deliver s ate �Jol <br /> s/s I I <br /> FINAL INSPECTION <br /> Tr 1 .' Prec lelon test succe saiull n <br /> im Ieteted auA hard ar ries received!149S <br /> 7. Spill Protectimi at fill pil, <br /> t/ rA4 7. Perfurnancc test 0 .,,fill n,.t ett lun ::eat em. _ <br /> N4. Per fur•euro trst of n.,du, r Ino• I.-.,k der cc t ot. (Hard wired) <br /> CH 5. Performance lean of tont lnuuu•: m.nritm uv rsi rm(s) an tank(s)lN,�1erJr u <br /> 6. Paint to owr.le • Itr,tlr.n tum,l rlr. <br /> 7. 4 Acceptable recordkee In system. <br /> OQTF7sC4: <br />