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-- Monthly Poly Tank Inspection Form <br /> DATE TANK ID: SEVERITY INSPECTED BY: <br /> U W <br /> Z z <br /> a 2 ui <br /> ITEM < ITEM <br /> O <br /> 0 <br /> Q V) � W !' U <br /> Y W W Y z O 9 W <br /> O ZC/) O 2 2 0 u) <br /> EQUIPMENT INSPECTION TANK INSPECTION <br /> Are pipes cracked or broken? Is the tank damaged (e.g. dented, discolored, or <br /> flaking)? <br /> Is there damage to pipes from vibration, Is there bending or swelling of the tank wall that is <br /> expansion, settlement, or impact? different from normal expansion? <br /> Are there leaks or drips (unusual <br /> moisture)along the pipe runs? Does the tank wall feel spongy? <br /> Is the tank lid broken or missing? Are cracks visible without using a detailed <br /> inspection test(listed below)? <br /> Are fittings or flanges pulling away from INTEGRITY TESTING <br /> the tank? <br /> Are the tanks, pipes,and fittings Complete one or both tests if any response other than"okay"is <br /> adequately supported and secured? checked on tank inspection question <br /> Are valves or gaskets misaligned, loose, BLACK MARKER TEST—for a specific area <br /> brittle, or deteriorated? Are stress cracks visible in the tested area? <br /> Are pumps and other equipment LIGHT TEST—for the whole tank <br /> adequate for the workload? Are stress cracks visible? <br /> Are plumbing fittings or hoses loose, Complete test if stress cracks are observed. <br /> broken, or worn? Recheck for stress cracks after baseball battest. <br /> Do pumps or other equipment need BAT TEST—for affected areas <br /> servicing or replacement? Did the impact affect the tank? <br /> COMMENTS: <br />