Laserfiche WebLink
000 64,11- <br /> M 7/1 filll� <br /> UNDERGROUND TANK INSPECTION RECORD �C <br /> NEW TANK INSTALLATION <br /> I /- <br /> SITE NAME L- <br /> — V���Ow �(Gt(�,!' S(,S� �'v <br /> / INSPECTOR'S NAME 7n/ a.�ttf' <br /> �,ADDRE SS <br /> �j_ Je-a Lj F ( 5 c A�P— /��,V/CITY —i-- <br /> CONTRACTOR: NAME ZIP <br /> PHONE <br /> OWNER: �C-/L PHONE <br /> f �n <br /> DATEDIS INSPECTOR'S <br /> PPROVED PPROVED INITIALS <br /> X--7—�L ITEM OR EOUIPMENT INSPECTED <br /> y G`" / 1. Fees paid <br /> . Plans Approved <br /> / INITIAL INSPECTION <br /> -1 C✓ 1. UL nunbers i�L �(�j j tank size Z <br /> Tank tested upon delivery (Holiday y (plasteeU or r at 5 PSI (FRP 11 <br /> Visual ins coon of secoar ontai nnentt Y3 ��...S..t- - <br /> ✓ v"ta Tank appropriately placed with approved Jbackfill. <br /> 'IPING STAGE INSPECTION <br /> 1�e <br /> 1. Pressure test of piping. Primar rd condor UNFPA 30)J <br /> �� R1� ✓ 2. gall float valves ins tatted. <br /> Z <br /> /2//9 (/ / 3. Overfill protection installed, describe: <br /> �/ ✓ 4. Unused tank opening seated and cathodicatly protected. <br /> 2 <br /> 9� 5. Visual inspection of secondary containment on piping. <br /> 7/ <br /> 6. Monitoring ports in place and brought to grid,. (lockable weather proof covers) <br /> 7. Fill and vent <br /> //✓ piping brought to grade. <br /> 7 <br /> B. Product line leak detector in place. (Hard wired) <br /> ` 9• Approved tank teak monitoring device installed. <br /> 10. All galvanized piping and fittings property wrapped. <br /> 11. Pressure decay test on catplete tank and product delivery system. <br /> jt�t INAL INSPECTION <br /> 1. Precision test successfully completed and hard copies received. (NFPA 329) <br /> 2. Spill protection at fill <br /> pipe. <br /> 3. Performance test of overfill protection system. <br /> t\� 4. Performance test of product line leak detector. (Hard wired) <br /> 5. Performance test of Continuous monitoring Y s sterm(s) on tank <br /> (s) <br /> lit/ p 6. Penns[ to operate application catptete. <br /> recordkee i <br /> p ng system. <br /> Caiments: <br /> EH 23 006 10/a9 <br />