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AUG 14 '98 11:43 FR FLUID CONTAINMENT—MU 814 542 5020 TO 9-19164462559 P.03iO3 <br /> filr siteck <br /> m <br /> Site ASSeS3nlent Checklist® <br /> Job Site Location: Street address&phone number <br /> Manufacturer of Tanks: <br /> Number of Tanks: <br /> Tank models: <br /> Tank diameter <br /> Tank length(s) <br /> Tank material:(e.g.fiberglass or steel) <br /> Tank capacity: __ <br /> Tank deflection readings: <br /> (circle one) <br /> Results of tank precision test:(fiberglass) Pass Fail <br /> Burial depth: feet inches <br /> Ground water prey (circle ono) no <br /> If yes,where is the water table level in relation to the bottom of the tank(s)7 <br /> feet inches <br /> (Circle one) <br /> Tanks anchored? yes no <br /> Tank History: (ate one) <br /> • Is this the original installation? yes no <br /> • Have repairs been made since Installation? yes no <br /> • Have/has any modifications been made to this i these tank(s)? yes no <br /> • Have/has this/these tank(s)ever"floated"? yes no <br /> • Have/has this/these tank(s)ever leaked? yes no <br /> • Year installed—..® <br /> Hc�Ic TOTAL PAGE.03 >K�K <br />