Laserfiche WebLink
UNDERGROUND TANK. !NSPECTION RECORD <br /> NEW. TANK INSTALLATION � fJ <br /> SITE NAME C �. S) �` I Int M(tyf INSPECTOR'S NAME <br /> ADDRESS ,[)�� (( > ( Q)P�✓)) CITY ��Ci.� tt ��� ZIP <br /> CONTRACTOR: NAME �rPQ,. ' Iyti` I-N,VlyTELEPHONE � Z <br /> OWNER: NAME_ �l�ti 1r�y� ) F' ��,Q TELEPHONE <br /> DIS- INSPECTOR'S <br /> DATE APPROVED APPROVED INITIALS <br /> LTEM OR EQUIPMENT INSPECTED_ <br /> 7- Hang apnroYed <br /> �r�cti INITIAI. INSPECTION <br /> 1, Tank tested upon deliver Hnlida lasteel) or air at SPSI PRP)l <br /> 2. Visual inspection of secondary containment. <br /> 3. lank appropriately placed with approved backfill. <br /> 4. UL numbers and tank capacities recorded. <br /> ��)✓� Beck ihrrc�l DW -2•' �a���`ll_C STAGE IN��PECTI�q <br /> �� ��r ✓ g 1. Pressure test of piping. (Primary and Secondary (NFPA 3O)l <br /> 7. Ball float valves Installed. <br /> 3. Overfill protection installed, descrllKc: <br /> A. Unused tank openings scaled and cathodically protected. <br /> S. Visual inspection of secondary cuntalnmr•,rrt on pipinK. <br /> (IockaD a ather prop <br /> 6. n t an btuu ht o rade. cwrr rs� v� <br /> 7. Pill and vent piping brought to grade. <br /> y�Y�N li" 8. Product line 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 cnm tete tank and product deliver s stem�X11 <br /> FINr11. I6SPF.Ct1UN <br /> (�I o� <br /> ,rte I.' Precision lest succcs:clull i.,m Icted ar.d hard cr.rles reccived. 729s <br /> 2. Spill rotection aL fill 1,11w. <br /> 3. Performance test o n va!r pii,I ort ion ::vst em. <br /> 4. Per(utmaucc tr•sr of nudorr lino Ivak del ectot. (hard wired) <br /> C l''�4rJ <br /> S. Per(oram nce le:u ,rf c,uulnuuw: ■,n,irorrnr x• strm(r.) on tank(s)►t°,r..rr <br /> 6. Petmlt to otwrate a !teat loo tom,lctc. <br /> 7. Acceptable recordkeepinA system. <br /> C01twrs: <br />