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CORPORATION Sewateps,anif MCT RbemOm <br /> TWO <br /> The kMft con1rachar meet read the InstoNation manual mal completees warraft The to owner am rem a COPY of <br /> this dmckkt 81W a copy of UI'dieviation aultwitaft to aftMBUM BOY WWMft Claim. <br /> i_ of laftwillen Took ON and Capacity <br /> • Tam Type Sw DINT LIQUID DRY IMCT 08 ( ) 0L NumbOr <br /> • She owner <br /> MrM C" nft <br /> CRY ap <br /> • Supervisor 0040 <br /> Y by: <br /> A. Visual Inspection.'No evMenCe Of d=W(Man,Cracks,PUPS)in took( ).......................... <br /> ,B. Brine Tanks: 1.Check and record brim level In at the labol arrow) ................................ <br /> 2.Check top brine loskle tank..... ............................ <br /> C. Physical T tion sip/soap test completod In BCCBPda=With Installation kobwfts ............................. <br /> 0. ) 1.Pea Mwel or cpunhed at=as specM@d by XENXES............................. <br /> 2.Other(requires specific approvalby MINES(describe)) ......................... <br /> E. Excavation.NoM df Ions aro coppect pop Installation Instructions fOP ............................... <br /> F. Internal Measurenumt.The laskle Mameter Of ON tank has ben measuped and documented!(Blumusban"A" )................. <br /> G. .(belicate one) 1.Yes 2.Me ............................................................... <br /> H. Role Condition.( ) 1.DPy hft WOW not ONCIPM to read took Am not SUMM t0 flooding................. <br /> 2.Wet hdo.ExCm My trap Water.Apes SUIOCt to fbOOD9 .......................... <br /> L Tpoft Loads.(ImIcato ) 1.i ........................................................ <br /> 2.Me tralfic ie .............................................................. <br /> J. In accordance with loolleffee Instructions. 1.Deadmen ........................... ...... <br /> 2.Fullslab ....................................... <br /> ' I <br /> Verified by: <br /> A. BackfiN material bed Is level and Is a'mkftm of 12"deep,oup native ad or slob,before setting .......................... <br /> B. Took simcks Tanks am Spamd correctly from each Other and ex=800 Wage BCM4ft to <br /> C. Visual Inspection.No evidence of ftmage fixed in we ......................................... .......... <br /> 0.;Swaps to Installation Instructlons( )................................. <br /> E. BaciM couquictail.Material ban been tamped andlep compacted tofill US veMs aroM tank .................................. <br /> F. Tam~y baffested Oft bacMffn(Wet 110110 INSUMNIMININ 0010 .................................................... <br /> G. Tank(s)MM at prepw depth to conforin to appropriate Co (wet,dry,VSHIC Or NO ................................ <br /> l ' I <br /> VOMM by: <br /> A.,Physical Test.Alp/map_ according toInstallation Instrimbeas .............................................. <br /> B. Internal Measurement.The kudde diumetep of the tank ban base moa=W and documenteil.(Mmension'T' w) ................ <br /> C. BpImi 1.Check mal record brine level In the Pesmvolp-Mbes) ........................................ <br /> 2.Check for brbu:Inside UM ......................... ........................................ <br /> AN tanks must <br /> be messuriad to'determine vertical Follow MeCOM measurement Instructions In Me Installation manual.An initial defiecdon <br /> measurement is taken mal pecopM as a polut ofSubsequent meastummests show tank deflection mul can be compared to the table how.Take <br /> each measurement from the am Efing aft the same procedure. <br /> TANK ALLOWABLE <br /> DIAN(I ®BIECTIOM TJ ) LO. e � °.p.. <br /> i <br /> Q' 1/2" LO. i <br /> 8° 8/1°° i <br /> 8' 1-110 "N' <br /> 10° 1-1/2" V~8y' TFC <br /> MEASUREIMM WERE TAKOL <br /> 1 A A 1 • PM(812)BU-18M RM 120 <br />