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i p <br />•� $' ( /+�1,Node <br />t 600 <br />+ 1 n <br />UNDERGROUND T"K,INSPECTION RECORD <br />OF -V. TANK INSTALLATION <br />d <br />`iitTt NAMEt S E4011"S NAME: <br />ADDRBSB <br />-CHTt! . wtHP <br />Iii in•®w® •� n�nnw <br />CANT R/ NAME f� �e� �..®16 S / TELEPHONE <br />OWNER NAME TELEPHONE <br />De:• tRsrscTOlt/ <br />OA L APPROVED APPIOVCO 1NIT S <br />(T(tN OR c4UtrnMT INSPP.CTI:DN2 ftAIA- <br />INITIAL INSPECTION <br />a <br />' ! <br />(. <br />77��� <br />IF u-�r- <br />Ad � <br />TA&C INSPEC;&��PA <br />u o t to Prl•ar and In <br />Seel tote toe at fill ./ .• <br />7` <br />l 1. <br />lei!v a <br />4 <br />3. <br />Uvertill Prete` 101% Initialled. dese•rltte: <br />M1 <br />-Performignst. I 411 ./t tom In mu.; "moll 4.1111.' •• !1 .•• !{ an 1 ank(,;M:^•11 <br />®. <br />Unused tank optistage, scaled and cathodtcall rotected. <br />1 <br />MI■it Ile UK'ra/e Ap licalteel. 4e.w.Irtl•. <br />1 <br />S. <br />Visual ittseSCI ion *"*CondafZ tuntatle•./et an t In . <br />b e k lu /e•. <br />(lacta4'a .ea/leer prey <br />C-1 e <br />1 <br />Pit and vast UtPing brought to gradel. <br />b. <br />Product line leak detector in laic. Hard wired) <br />raved tank leak wowttortar, device Installed. <br />We <br />Alt latVantevil PtPIAM and (ittimats Property wrapped. <br />Il. <br />l P <br />Pressure data teal On twit lore tank and_product deltvec r ■teal,M. l <br />a <br />' ! <br />(. <br />PiNal. II.SPECTIUN <br />te,t- <br />Prectstow test l• "lull .ulirlc•t .u.d Il.il.l .e..las rc-:vtved.77VC <br />Seel tote toe at fill ./ .• <br />7` <br />l 1. <br />Olaf Iar•.Jwce Iem eel aver/111 el e•1 r.11618 r•11t1e®. <br />4 <br />Perl..lrance II -al ..l 11.0#161.4 tear Oval, Jc404:006. Illard wirrJ) <br />a <br />M1 <br />-Performignst. I 411 ./t tom In mu.; "moll 4.1111.' •• !1 .•• !{ an 1 ank(,;M:^•11 <br />. <br />MI■it Ile UK'ra/e Ap licalteel. 4e.w.Irtl•. <br />1 <br />D <br />b e k lu /e•. <br />a <br />