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U NJOENGROIIND TANK INSPECTION NCI'UNp <br /> `` NEW TANK INSTAI.I.ATION <br /> SITE NAME ,,[/lr 11/y / y(jj/��� �/ INSPECTOW'', NAM['. <br /> ADDRESS r� 7 rj L/ 'Y7�� I`'`-lf•�- CITY ZIP <br /> -7'' ` <br /> CONTRACTOR, NAME / 4(,� TELEPHONE <br /> OWNER, NAME TELEPHONE <br /> DIS- fNSPECTOR's <br /> DATE APPROVED APPROVED INITIALS <br /> lTK.'I OR EQUIPMENT INSPECTED <br /> INI'f1Al_ INSPECTION ♦ �� <br /> Tank tested u n deliver Hnllda lacteel ar tar at PS FRP I <br /> 7. Visual inspection of SeCondAry containment. <br /> 1. faok 4vpropirldtely pliced with a .Ir4bwed back(tll. �n <br /> a t. 111. numbers and tuik CIPAalLlek recorded. a �7•'�],30I a't/ O��.y�� <br /> y fr t/ r N vN ��s PIPING ST INSPECTION <br /> //D)�f' I 1 . Frcssu e tlsY ul n Prlmar y and Sc<undar (NFPA in)i <br /> 7. Mall float valves Insael led. <br /> 3. Uver(lll proteatlwn to+IallcA, den. rlbe: <br /> bLl 71L,p 77 t. Unused tank o.enln•s sealed an cathudicelly ptulected. <br /> D <br /> I. Visual Inspection of secondity containment on pliplog. <br /> 6. n Il. <br /> "I. watts, Droo <br /> And b u" h u rude. cams <br /> 1. Fill and vent piping hrou ht to mr.dr. <br /> N. Prodmct line leak detector In place. Hard wired) <br /> Q__A,.raved tank leak noniturant; device Installed. <br /> lU. All xalvanLced pillinK and Iltllu s properly wrapped. 1I <br /> 11. Pressure decay teal on cOnlle(e Lank and product delivery system'lD/ <br /> 1 FINAL INSPECTIOH <br /> I <br /> 11. h'eclslnn asst stale essl tall anm.l et c•f and burl a •.I ws le.a•Ived�g�� <br /> ^z� 7. loll ,ro l e c t l.... ..1 I L I I <br /> 1. I'erlurmanw le+. ..1 •.1111 no.r. . Ion �:rsl em. <br /> 1, Yo.I..rmuuu ,rs, .d uwlu• � Inw• L•ak .Ic.ttlul. Illurd wlre41 ^_ <br /> S. Perlormance te:u ..f ♦not l........ n tat o.Iu .•sl.. � bf'al <br /> m sl m. ,Loki:IG <br /> M1. 1'rult (u u.erne a. Ile... i..u . .Irl r. <br /> ). Ac: table rec.irdlieci,lom s sten. <br /> m»xr: <br />