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N. <br /> IINDF:RGROUNO TANK INSPECTION RIA'URD <br /> NEW TANK INSTALLATION <br /> SITE NAME ,3 S. �n / �Q INSPECTOR'S NAME. <br /> ADDRESS CITY_ ztP 4 <br /> CONTRACTOR r NAME TELEPHONE <br /> OWNERr NAME TELEPHONE <br /> DIS- INSPECTOR'S <br /> DATE APPROVED APPROVED INITIALS <br /> ITEM OR EQUIPMENT INSPECTED <br /> lNITIAI. INSPECTION <br /> --- <br /> 1. <br /> Tank tested upon delivery Ifinlidaylasteel or air at SPSI YKP <br /> 1. Visual inspection of secondary containment. <br /> 1 t 3. tank appropriately placed vtth at raved backfill. _ <br /> 6, ill. numbers and tank CapaCItleS recorded. L 3t 70 . IDI 3 <br /> U J 35 -5000 cZ rl Com, (x.��3c7l,4 Z0oo ,,' <br /> I/• PIPING STAGE INSPECTION UL_#j pcf/ <br /> dl, <br /> Ai <br /> 1. Pressure t :FV [Primity and Secoodar (NFPA 3n); <br /> 1. Ball [lost valves tnst.tlled. <br /> - 3. Vvcrf Ill protect tun .tn.t.tl cd, do<. rl4c: /(}/ / <br /> R <br /> f A. Uncsed tank otenln•s scaled and cathodicaLly protected. <br /> >� S. Visual inspect Ion of secondary cuntainmaut on piping. <br /> n 1 • an bleu h u rade. fcow�i�• —other prop <br /> 1. Pill and vent piping brought to Arade.. / <br /> B. Product line leak detector in place. Hard wired) IJ <br /> --9,.--Approved tank leak moniturin• device installed. <br /> lU. All nalwanixed piping and (tttfu s property wrapped. <br /> NN,, pIAC• <br /> 11. Pressure decay test on complete tank and product delivery system.3o1 <br /> 1 <br /> i <br /> FINAL II.SPECTION <br /> 11 . Prectnion test SUci1'SSlUl1 a1,d Iratd iu.IC5 rccclved.�pC <br /> ). S.tII .rot ect inn .11 1 1 1 1.1 I <br /> 3. Pet l,,rmanLC tC•.1 ,•I ncrr(I u,..C, 11..0 :.vet CO. <br /> 4, Pt•11.umawc Iv t .,( .I,•du, . I.fie I,•,.k Julectut. (Ilard wired) <br /> l prJ <br /> 5. <br /> Performance te:a of tout lnuuu: n,,,u1t„11n SI,•m ::) nit tank(:)�1,•^•n <br /> 6. Pramlt (u oK-rate at ltc..liu.. 1um.Ict4.. <br /> 1. Acicptable recocdke in system. <br /> 4"1titN[S: <br /> _. ,:r;"'T;"(•�;,'"".-1u, ....y<.' �..�l.H"p-"'-Q'1;,2+,i_t'i. .. .. ...�i;•_a!J••�... _..}'..••,1. ....�.x:2'. T-. .... .... • �-<n�;-c"'Giti�:Flta'.1 _._._�.,..:.-n-yge�•arlt.,,ltk,n+.rt, ..r.sr,}L+t. , <br />