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TANK ID <br />SPECIFICATION: <br />Design: <br />❑ UL <br />❑ API <br />❑ Unknown <br />❑ SWRI <br />❑ Other <br />❑ Horizontal ❑ Vertical ❑ Rectangular <br />Manufacturer: <br />Contents: <br />Contents: <br />Construction Date: Last Repair/Reconstruction Date: <br />Dimensions: <br />Capacity: <br />Capacity: <br />Last Change of Service Date: <br />Construction: <br />❑ Bare Steel <br />❑ Coated Steel <br />❑ Double -Bottom <br />❑ Cathodically Protected (Check one: A. ❑ Galvanic or B. ❑ Impressed Current) Date Installed: <br />❑ Concrete ❑ Plastic/Fiberglass ❑ Other <br />❑ Double -Wall ❑ Lined Date Installed: <br />Containment: <br />❑ Earthen Dike <br />❑ Steel Dike ❑ Concrete <br />❑ Synthetic Liner ❑ Other <br />CRDM: <br />❑ <br />Date Installed: <br />Type: <br />Release Prevention Barrier: ❑ <br />Date Installed: <br />Type: <br />TANK ID <br />SPECIFICATION: <br />Design: ❑ UL <br />❑ API <br />❑ Unknown <br />❑ SWRI <br />❑ Other <br />❑ Horizontal ❑ Vertical ❑ Rectangular <br />Manufacturer: <br />Contents: <br />Construction Date: Last Repair/Reconstruction Date: <br />Dimensions: <br />Capacity: <br />Last Change of Service Date: <br />Construction: <br />❑ Bare Steel <br />❑ Coated Steel <br />❑ Double -Bottom <br />❑ Cathodically Protected (Check one: A. ❑ Galvanic or B. ❑ Impressed Current) Date Installed: <br />❑ Concrete ❑ Plastic/Fiberglass ❑ Other <br />❑ Double -Wall ❑ Lined Date Installed: <br />Containment: <br />❑ Earthen Dike <br />❑ Steel Dike ❑ Concrete <br />❑ Synthetic Liner ❑ Other <br />CRDM: <br />❑ <br />Date Installed: <br />Type: <br />Release Prevention Barrier: ❑ <br />Date Installed: <br />Type: <br />AST INSPECTION STANDARD 3 SEPTEMBER 2011 <br />COPYRIGHT© 2011 Steel Tank Institute <br />