Laserfiche WebLink
UNDERGROUND TANK. ?NSPECTION RECORD <br /> NEW. TANK INSTALLATION <br /> Y .11 11 <br /> SITE NAME �.• M (�'I 1vil' Hc,,,+ I NS PECTUN'S NAME: <br /> ADDRESS '�)tI LQ ) ( Q-)E'�rY? O1rP_ CITY C1f (' c` ZIP 53 <br /> CONTRACTORt NAME TELEPHONE ?IZ <br /> OWNERt NAME_ lOi' z ,Q TELEPHONE 2 '5' 7a 1 <br /> DIS- INSPECTOR'S <br /> DATE APPROVED APPROVED INITIALS <br /> ITEM OR EQUIPMENT INSPECTED <br /> lolx* <br /> INITIAI. INSPECTION <br /> 32 �� far Tank tested upon delivery lHolidaylasteel) ur air at SPSI PRP) <br /> 2. Visual inspection of secondary containment. <br /> 3. Tank appropriately placed with approved backfill. <br /> 4. UL numbers and tank ca acitles recorded. <br /> 4p'- <br /> � <br /> PeaT'1ft'ucf Dw C0�1f�HC�STAGE INS[' TI� <br /> 1. Pressure test of piping. jPrimaryand Secondary (NFPA 3n)] <br /> 2. Ball float valves Inst.tlled. <br /> 3. VVerfill protection installed, descriW: <br /> 4. Unl:sed tank openings scaled and cathodically protected. <br /> S. Visual inspection of secondary containment on pipinjr. <br /> (IocMale twather prop <br /> t n bow h u rade. coverss <br /> 7. Pill and vent piping brought to Arade. <br /> B. Product line leak detector in place. (Hard wired) <br /> !/ 9. Approved tank leak monitoring device installed. <br /> 1U. All galvanized piping and fittings properly wrapped. NN� <br /> 1. Pressure deo test on co■ lete Lank and product deliverys slem!3UP <br /> FINAL INSPECTION <br /> I." Precision test suicesx(ull m Ieted ai.A hard c--pies received.�ps <br /> 7. Spill rot ect ion at 1 i I I pipe. <br /> 3. Performance test of nv,:rf111 pt,av, Ilun ::vslCo. <br /> /O/ 4. Put,futmauce test of rtudu. t Ittit- Ivak dei ect(It . (Hard wired) <br /> 1�tard <br /> S. Performance te:it of t•,unnnr r.)N <br /> tlnuuus m6. ittt4• stem(s) on tank( <br /> 6 Prtmtt to ox:rate a licati-rn tum,lete. <br /> 7. Acceptable recordkee in system. <br /> OOt1f7+1'S: <br />