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UNDERGROUND TANK. INSPECTION RECORD <br /> NEN TANK INSTALLATION <br /> 7 <br /> SITE NAME / �l - /�. INSPECTOR'S NAME. <br /> ADDRESS �� - CITY ZIP <br /> CONTRACTOR[ NAME �j TELEPHONE <br /> OWNER NAME '�jF 4� TELEPHONE <br /> DIS- INSPECTOR' <br /> DATE APPROVED APPROVED INITIALS , <br /> ITEM OR EQUIPMENT INSPECTED <br /> INITIAI_INSPELTIOH <br /> 1. Tank tested upon delivery Ifinlidaylasteel or air at SPSI PRP <br /> T. Visual inspection of secondary ontaLment. <br /> i. Tank appropriately placed with approved backfill. <br /> A. UL nuabers and tank capacities recorded. <br /> PIPING STAGE INSPECTION <br /> 1. Pressure tea[ of piping. lPrimaryand Secondary NFPA JO I <br /> 2. Rall flOaX ValV13 Installed. <br /> S. Overfill Protection installed. descrlbd= <br /> A. Unused tank opentngs sealed and cathodically protected. <br /> S. Visual inspection of secondary contalrment on piping. <br /> (lock•Di• MtMr prop <br /> hooltoring ports In place and -r u u Aradl, cvwra <br /> 7. Fill and vent piping brought to grade. <br /> 0. Product line leak detector in lace. Hard wired) <br /> 9. A roved tank Irak stonitorin devlce Installed. <br /> L0 All alvanired pipinx and flL[In a prolmerLX wrapped. tr <br /> 1. Pressure decay test on complete Lank and product delivery • •Le.KP <br /> FINAI. INSPECTION Mr <br /> � I . Precision Leat eucccsS[Ull i.nletcd and sant + ••ICS recetved,}�C <br /> 7. Spill ,.tectioo at 1111 <br /> ). Per for ancc test nl erfl11 ..t rrl luU vst c.. <br /> A. Pc rfm.uwC t,Si nr•du, Irne Irak dui cut nl . (Hard wired) <br /> Ibre <br /> S. Pcrlor.an<c tea[ of L^nt lnu mi�: n .n nr Lau +' si..(sl on tank)r.)M r ^ <br /> D. P.•r.11 to onrate ar l"." l.n. r ndctr. <br /> 7. Acee table recordkeepioL system. <br /> mtfxr <br />