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',Z:W TANK 1 NS T ALL A I I GN <br /> SITE )�AME <br /> INSPECTCRI, NAME <br /> —ADDRESS 1 C, C <br /> CITY <br /> CONTRACTCA: (AHE ! e. Z,P <br /> • <br /> OWNER: NAME <br /> PHCNE <br /> DIS INSPECTCR'S <br /> DATE PPROVED- PPW6V_ED INITIALS <br /> ITEM OR EQUIPMENT INSPECTED <br /> Plans Approved <br /> INITIAL INSPECTION <br /> UL rKmberN L <br /> . if <br /> 2 k size <br /> < <br /> Tank tested upon deliver rH 0 1 idaY (Plasteet or–air–at 5 PSI (FRP)] <br /> Lit Visual inspection of secondary containment. <br /> Tank appropriately Placed with approved backfill. <br /> IPING STAGE INSPECTION <br /> .......... 1. Pressure test Of piping.- <br /> ----+— [Primary and Secondary (NEPA 30)) <br /> . ...... 2. Ball float valves <br /> 3. Overfill Protection installed, describe: <br /> 4. Unused tank opening Scilled and catholically protected. <br /> 5- Visual inspection of Secorxlary containik!nE On Piping. <br /> 6. Monitoring ports in place and brought to grade. (IOCUbte weather proof covers) <br /> 7. Fill and vent Piping brought to grade, <br /> 8. Product liru. teak detector in place. (Hard wired) <br /> 9. Approved tank leak monitoring device installed. <br /> 10. Ali galvanized piping aid fittings properly wrapped. <br /> 11. Pressure decay test C41 <br /> co"'Plete tank and product delivery tysEca. <br /> INAL INSPECTION <br /> Precision test Successfully CO,"Ptered 11)0 hard conies recei.,cd. (NEPA 3 <br /> 2. �,pitj protection at fill pipe. 29) <br /> 13. Pertorm,ince re., of overt,,, protection Sy;tem. <br /> Perforiiwnce test Of C.1 ---------- <br /> de(ecrl3r. (Ilzird wirCcj) <br /> Portoratance test <br /> of COOEII)JOLISuunitorin <br /> 5. Permit to operate <br /> Accem,L)je r,_'corcjkct:pj().j <br />