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SUMP INSTALLATION CHECKLIST <br /> Al <br /> CONTAINMENT Inspection Procedure For Fiberglass Tank Sumps <br /> SOLUTIONS <br /> Complete this checklist and keep it with copies of any written authorizations for variations and/or deviations received from CSI. <br /> Site Owner Date of Installation <br /> Site Address <br /> Street City State Zip <br /> Installing Contractor <br /> Company Street City State Zip <br /> Yes NO <br /> 1. Did you follow the instructions described in the installation instructions? <br /> 2. Were all sump components inspected for damage prior to installation? <br /> 3. Did you prepare all joints per these instructions? <br /> 4. Were all joints cured hard a minimum of 24 hours without parts being disturbed or moved? <br /> 5. Will the sumps be exposed to high ground water? <br /> 6. Were the sump tops properly protected from traffic loads? <br /> 7. Was an approved backfill method used around and under the entire sump? <br /> 8. Were o-ring gaskets lubricated, clean,and undamaged? <br /> 9. Were all sumps tested for tightness?(check one below) <br /> ❑ Fill sump with water ❑Vacuum test sump with WTL Lid <br /> Installation was in accordance with most recent CSI Installation Instructions Pub.No. INST 6030. <br /> Owner Representative(Print Name) Date Contractor Representative(Print Name) Date <br /> Owner Representative(Signature) Contractor Representative(Signature) <br /> 5150 Jefferson Chemical Road Conroe, Texas 77301-6834 <br /> Tel: 936-756-7731 Fax: 936-756-7766 <br /> www.containmentsolutions.com <br /> Copyright©2008 Containment Solutions,Inc.•All Rights Reserved•Litho in U.S.A.,December 2008•Pub.No.INST 6030E <br /> 7 <br />