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)NIIERGROUND TANK INSPECTION 111:0)140 <br /> NEW TANK INSTALLATION <br /> SITE NAME Lr�`'1C �l L-• INSPECTON•6 NAMI-. <br /> ADDRESS TSS -{Ix CITY <br /> CONTRACTOR, NAME —TEI.EPHONE <br /> OWNER, NAME TELEPHONE <br /> DIS- INSPECTOR'S <br /> DATE APPROVED APPROVED INITIALS <br /> -- lTY'1 OR EQUIPMENT INSPECTED <br /> / INITIAI. INSPECTION <br /> �-1 B "✓,• 1. Tank tested upon deliver Nnllds lasteel a <br /> +,r + SYSI YNP I <br /> y 1. Visual inspection o(-'seconda( cnntalnwent. <br /> Lc <br /> 7. (ud eplru riot rly plated uRh n .rt.•vrd backfill- 7 <br /> 24 L Y t A 111 wb f and I_,Ik GanaGlllea Iecnrded,_�� wJ, 3vi� f7 Oa3q <br /> IL 'S PIPING STALE INSPECTION <br /> �(�S9 b a^ s i,s K3- <br /> 1. Preszu fe les of •, do P,Iwai Y end SeGandarP (NFI•A III)i <br /> (� I C 7. Rall float valves Inst.Illed. _. <br /> jro�xl ✓ I I K}- � <br /> )• Ueer(i 11 Vrole,%tun tnnl al lyd, d•^.• III": <br /> a. Unused tank openings scaled and cathudlullY Protected. <br /> Z S. Vt soot Inz CGl tun of ser onJat cool at nwen,t nn l In . <br /> b ` n a III.... h fade. Iia.il+ —.tear Pruo <br /> a, '\ ' <br /> 1. Pill and vent pt In hrou ht to rade, <br /> R. Prndvct line leak detector In dace. Ward ulred) <br /> Vy_Aypfovrd tank Ie+k wonitufing device installed. <br /> �- _—• __t- 10. All +Ivanlcedpiping.and (It11u s properly wr+ d. Rq� <br /> Il. Pressure deco test On <br /> cow Bele tank anJ rorlucl Jelluer s slrwl.AlP <br /> I <br /> Q \ / FINAL 1Gtil'ECT1bN <br /> T! ? J I V I I f Precision test su..• s.,ull nl•�,of a••.I Iup•I ..•,•I rs re:elvrd,��� I <br /> ). loll pf.fecilan. ..I Ipll .I <br /> Z 1. 1'ellurwan.e ro••I ••1 nr.•rl til n••I r. l ion :-vsl ew. __ <br /> 0. Yr,L.I.+ora Ird ••1 r,••phI• Inn• Ir,J .Icl c.1••l. (hard I(Pd) <br /> VIb 1 <br /> 1. Perf Pr.anre 1e:u of r•nil lnu..u . uu up u. +I.•. s) nn Iankl:)p. •u <br /> h. Pvldl W u pt•Iafe a • 11G.111ou • det r. <br /> 3 7 ! A : able a or dke lu s atvw. <br /> (4: See bac k a az -Gv f 4 k 42/Qa w-,,fit <br />