Laserfiche WebLink
UNDERGROUND TANK INSPECTION RECORD <br /> NEW TANK INSTALLATION <br /> SITE NAME INSPECTOR'S NAME <br /> ADDRESS CITY ZIP <br /> CONTRACTOR: NAME PHONE <br /> OWNERS NAME PHONE <br /> DIS INSPECTORS <br /> DATE PPROVED PPROVED INITIALS <br /> ITEM OR EOUIPMENT INSPECTED <br /> 1. Fees paid <br /> . Plans Approved <br /> INITIAL INSPECTION <br /> . UL numbers tank size <br /> Tank tested upon delivery (Holiday (plasteel) or air at 5 PSI (FRP)) <br /> . Visual inspection of secondary containment. <br /> Tank appropriately placed with approved backfill. <br /> (PING STAGE INSPECTION <br /> 1. Pressure test of piping. (Primary and Secondary (NFPA 30)) <br /> 2. Ball float valves Installed. <br /> 3. Overfill protection Installed, describe: <br /> 4. unused tank opening sealed and cathodically protected. <br /> 5. Visual Inspection of secondary containment on piping. <br /> 6. Monitoring ports In place and brought to grade. (lockable weather proof covers) <br /> 7. Flit and vent piping brought to grade. <br /> 8. Product lire leak detector In place. (Hard wired) <br /> 9. Approved tank leak monitoring device Installed. <br /> 10. All galvanized piping and fittings properly wrapped. <br /> 1. Pressure decay test on complete tank and product delivery system. <br /> FINAL INSPECTION <br /> 1. Precision test successfully completed and hard copies received. (NFPA 329) <br /> 2. Spill protection at fill pipe. <br /> 3. Performance test of overfill protection system. <br /> 4. Performance test of product line leak detector. (Hard wired) <br /> 5. Performance test of continuous monitoring system(s) on tank (s) <br /> 6. Permit to operate application complete. <br /> 7. Acceptable recordkeeping system. <br /> Comments: <br /> EH 23 006 10/89 <br />