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IINDERGRO(IND TANK INSPECTION R1:('t)HI) <br /> NF.W TANK I NSTAI.I.AT I ON <br /> SITE NAME I NS PECToi?,.`l NAMI. <br /> ADDRESS CITY ZIP <br /> CONTRACTOR( NAME TELEPHONE f <br /> OWNERt NAME TELEPHONE <br /> DIS- INSPECTOR'S <br /> DATE. APPROVED APPROVED INITIALS <br /> (TEM OR EQUIPMENT INSPECTED <br /> aLd_ <br /> cd <br /> IN ITIAl. INSPECTION <br /> Tank tested upon delivery lHolidaylesteel) or air at SPSI (ERP)I <br />'-� <br /> Z. Visual Inspection of secondary containment. <br /> 3. fank appropridLely placed with at roved backfill- <br /> :! 1 6. UL numbers and tank Capacities recorded. <br /> PIPING STAGE INSPECTION <br /> I. Pressure test of pipin,'. JP(tmaty and Secondary (NFPA 3O); <br /> 2. Hall float valves tnst•illcd. <br /> 3. vvcrfill proteetian in.t.tllcd, rlc . rlbc: <br /> `. UllLsed tank o,enin•s scaled and cathodically protected. <br /> S. Visual inspection of secondary euntalnecnl on pipinK. <br /> (lock•b11• -thor prop <br /> 6. n 1 an btua h u rade. c,sl <br /> 7. Pill and vent I)tping brought to grade. <br /> —8—Product line leak detector in place. (Hard wired) <br /> __ _— 4. A roved tank Icak moniturindevice installed. <br /> 10. All 941vantzed pLping and fictlugz; property wrapped. ryry <br /> 11. Pressure dcc4y test on rnm)Iete tank and product dclivery s stem(30/ <br /> I <br /> I <br /> FINAL INSVECTION <br /> 1 f� <br /> I . Precision test suucsslull ..tuolcic:l .tad Iwrd i...lcs rc.vtvcdl�p <br /> trot ecl ion .tt 1 i 11 <br /> i <br /> 1. Pctlurman�c tc•.i ..I crftll n.•iott..0 rvstcm. <br /> 4 Pct I..t mall(c r r,t In..dn. 1 t u.• 1. ,tk Jct et t of (Iturd wired 1 <br /> t brd <br /> 5. Pcrtocaancc le:t ..f .•int lnu.,ntSt.•m ::) on tank(:)�+ ,•'•�t <br /> 6. Pct mil to o .cr ate al I tett i..t. ..im .I el c. <br /> 7. Ac,Cptable recordkecpisig system. <br /> CCt"W r3: <br /> a.h-: _ �.• .T.i-,.�? -r;a - •,.v �,ap•a ..� - ... ,.. ..•.. �.•.,• �`.:'-^�;r..[7;•`T F ,e ... `�+x'l .�'+'�i""mS�T'i' .-, _ ..., `"-h.�7,+grr-3-t�'Ns."'._ - - ... ...-. <br />