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UNDERGROUND TANK TNSPECTION Ht:/'ONO <br /> NEN TANK INSTALLATION <br /> SITE NAME <br /> INSPECTOR'S NAME. <br /> ADDRESS <br /> CITY ZIP <br /> CONTRACTOR, NAME <br /> TELEPHONE <br /> OWNER, NAME �—� <br /> TELEPHONE <br /> DIS- INSPECTOR'S <br /> kDATFROVF.O APP0.OVED INITIALS ITEM OR EQUIPMENT INSPECTED <br /> INITIAL INSPECTION <br /> Tank tested upon dcltverIN-lid., lasteel ur air at SPS, PKP 1 <br /> tU 2. Visual ins Won of secondary containment. <br /> ). (auk ah ro riAtelY Placed with a . roved backfill. <br /> I h G. OIL numbers and tank c.P., ItIt,s tcordd. <br /> ' PIPING STALE INSPECTION <br /> 1. Pressure test of n rin Pr lwarI and Sea,ondar (NFPA 70)) <br /> 2. Nall (loaf valves Installed. <br /> a` 17. Vvcrfl 11 Vroteattun im,alled, da•s.rllhc: <br />'i <br /> A. Unssed tank oaeotn's sealed and <br /> cathedtcaLly Protected. <br /> 5. Visual Ins ecllon of secondary containment OR pipinK. <br /> i o gorwK In RISCe Mimi bi,surhi Its <br /> rade. t�noc..aw'a —at", or. <br /> I. Pill and vent II In hrov ht to rade, <br /> E. Product line leak detector In place, Hard wired) <br /> --- --- - --t_ M_-A roved tank leak wncaurin device Installed. <br /> lu. All RAIvAnixtd Pipinif and rattle s Properlyvrapped. <br /> T� <br /> 11. Pressure decaytest on Complete tank and roduct del Lver a atem�lOi <br /> FINAL O:SI'ECTION HT <br /> 1. Prec lxlnn test suaa asxt ull rhh.•t M aoA halal . ••Ies teaclvcd'%1 <br /> 7. 5.111 rtol cel lou .0 Ihll <br /> I <br /> 1. I'cr l..rmanac ,c•.i ..1 nv.•rllll, n..l o.tl•uh cvM ew. <br /> {. Pal Ln rotate trsl ..f noAmi lua. 1.•ak ,Im eat•• <br /> /. Ward wI R•J) 1 <br /> S. Pcrlor.anct• te::t .•! a.•utlumuu, rn•hun uh rsl.•w sl rot ,ankf:l My%� <br /> ' u <br /> k. M1vmit N. u •eratr a. Itc:u f..0 ..r.let.•. <br /> able EeCordkeepiomla. <br /> cat wrs: <br /> —^--�+I '�'�'�ori^ '�il+.ri.hi...-,-'. . ^ce!'m�^„Y`!'•k sr"d:-.,. -T^:IPRassaxem. .... - — _.___.. <br />