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0 <br />Tank Assessment Page Tank Name/marking: <br />Tank a e:_1.91(g)(3)/192(k)(3) <br />:191(q)(10)/192(k)(11) <br />Tank Construction: <br />Shape: <br />Orientation: 191(g)(1)/192(k)(1) <br />Location (above/below ground): <br />Material of construction: 191(g)(2)(A)/192(k)(2)(A) <br />Fused to determine: 191(g)(2)(B)/192(k)(2)(B) <br />dw,materiaal,&thickness>L,if. applicable): <br />Corrosion Protection equipment: 191(g)(5)/192(k)(5) <br />Structural support: <br />Other identifying features: <br />Piping and ancillary equipment pumps): 191(g)(2)(C&D)/192(k)(2)(C&D) <br />Pump location(s): <br />Material Storage: <br />Material and characteristics: <br />Operating Capacity: <br />Chemical compatibility findings: The materials identified above are compatible <br />for contact with or proximity to the equipment, tank or tank system in this <br />assessment. Initials: <br />Visual Inspection: 191(g)(8)/192(k)(9) <br />Tank parameters at time of inspection (empty, etc.): <br />Acute visual evidence of leaks: <br />Condition of interior surface: <br />Condition of exterior surface: <br />Condition of nozzles, flanges, fittings at tank: <br />Condition of piping: <br />Visual Inspection findings: A visual inspection of the tank and its affiliated <br />pumps, piping and ancillary equipment did not reveal signs of leaks, corrosion, <br />weld cracks or breaks, or scrapes in protective coating which may cause a <br />release from the tank system. A description of all discrepancies noted during the <br />visual inspection is included with this report. Initials: <br />Company Name Tank/Tank System identification <br />