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modern Modern Welding Company, Inc. a— <br /> Installation <br /> Subsidiaries Nationwide <br /> www.modweldco.s�m_Checklist - Glasteel II Jacketed Steel <br /> 1p Tanks <br /> -2 <br /> OWNER OF TANK: U.L. Label No. <br /> LOCATION OF TANK: DATE: o <br /> TANK CAPACITY(GALLONS) Z11r1LaZD <br /> Special Note: If the Glasteel II tank has not been installed within 90 days of delivery from the manufacturer, it is <br /> required that the tank be re-certified by the manufacturer prior to installation. Re-certification will be at the owner's <br /> expense. <br /> VACUUM RECORD <br /> RECORD VACUUM AT TIME OF DELIVERY inches Hg <br /> DELIVERY DRIVER INITIAL CUSTOMER/INSTALLER INITIAL <br /> VACUUM JUST PRIOR TO INSTALLATION inches Hg 1 0 <br /> TANK HANDLING 1 <br /> Equipment has sufficient capacity and size to lift and lower the tank without dropping <br /> or dragging the tank? [ ] YES [ ] NO <br /> If the tank is being stored, is the storage area secure and free of foreign matter that <br /> would damage the tank surface? [ ] YES [ ] NO <br /> Has the stored tank has been chocked with a suitable non-abrasive cushioning? [ ] YES [ ] NO <br /> INSPECTION <br /> Has the tank exterior been inspected and any damage properly repaired? [ ] YES [ ] NO <br /> Have shipping plugs and thread protectors been removed from all openings(excluding vacuum gage location) <br /> and permanent metal plugs installed in the unused openings? [ ] YES [ ] NO <br /> TESTING <br /> Does the factory installed vacuum gage indicate at least 5.3 inches Hg vacuum on the interstice? <br /> [ ] YES [ ] NO <br /> Have all local or state requirements been met? [ ] YES [ ] NO <br /> EXCAVATION AND BEDDING <br /> Is the excavation free of any material or object that may cause damage to the tank exterior? <br /> [ ] YES [ ] NO <br /> Has the bottom of the excavation been suitably graded and a minimum of 6 in.clean sand,pea gravel or <br /> crushed stone been installed to serve as bedding material? [ ] YES [ ] NO <br /> Is the burial depth of the tank within its listed burial rating? [ ] YES [ ] NO <br /> Do burial depths meet the minimum installation code requirements? [ ] YES [ ] NO <br /> ANCHORING <br /> (Indicate Choice) [ ] Deadman anchors [ ] Concrete pad below tank [ ] Pavement cover and backfill <br /> overburden is adequate to hold down tank [ ] Not applicable at this site <br /> For a concrete pad installation, has the minimum 6 inches of clean sand,pea gravel or crushed stone been <br /> placed between the tank and pad? [ ] YES [ ] NO <br /> Which holddown strap material was used in this installation? [ ] Steel Straps [ ] Fiberglass [ ] Other <br /> For"Other"explain: <br /> If steel hold down straps are used, do the steel anchor straps have insulating, dielectric material separating <br /> them from the tank? [ ] YES [ ] NO, <br /> For steel straps...Is the tank electrically isolated from the anchor straps? [ ] YES [ ] NO <br />