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• • ° , Y <br /> ,• e 1 <br /> UNDCRCAOUND T&OK.INSPECTION RF40RD ' <br /> M.TANK INSTAI.t.ATION <br /> ®ITC NAME�()I� �� INSPECTOR'S NAME <br /> ADDRESSw . ��uY�ry�� 13lyLR CITY <br /> CONTRAMRS xAttE �T/ .)Tip >cCnqreLEPHONE�, <br /> OWNER® NJWE_ I� (u)k C 7Tt�P <br /> TELEPHONE <br /> Otfr tRSP[CTOR° <br /> DAM APPROVR® APrkOVCO 1M14 ALS <br /> 110 4R [QtIBPNfJ1T BMSP[CTCD <br /> 2 <br /> 6- <br /> IV A A1. ,NY1-151 ON <br /> o da w or air at SPS! IRP <br /> and on leawont. <br /> 1. Tank ♦ o ted with ♦ roved baek(ttt. <br /> 4, U uwtasr wdlfRk t♦ ♦cltfes recorded. <br /> r P112"C STC IHSrf.CTION <br /> uqlf of Plotnt. Prlwa( and Sctondar NFPA 30 <br /> 1. trverflll protection lnalatted. dearrll°c: <br /> I <br /> •. Unuscd tank o,entn a seated and Csthudtclll (otected. <br /> S. Vtouat In,, e: ton of serondar cunt♦teawant M_p l In <br /> g. <br /> f luc►wof♦ w�6M1 prop <br /> • e:%—r s <br /> J. <br /> Flit and vont el In Arou ht to grade. , <br /> S. Product 11no teak detector to lace. QlArd w1rad) <br /> ® A roved tank to woatlorin device Installed. <br /> lu At1 alvanlc d In and <br /> (1111MAN PfQjL*fly-wrdpPcd. ��rr <br /> It. Pressure dcc♦ test on to tote tank and Product dettve( s alew.701 <br /> I e <br /> fINAI. IgNP(.CTILN b�wA <br /> • I Free t%tow tech ue'•e• •lul I It ..®•l rl c•1 .e e.d heel e'..•1 el: fei alvcd°77V` <br /> •e 11 .rot eco <br /> into ee <br /> 1. Purturwanev tc%l Of nv.•r(tll eee.eeveie.0 r.asecw. <br /> 4. ra•rf..twau[•a ee•aa al U.•du•e icor le•a6 Jueeieul . Ofard witedl t <br /> r orran e• leul eef aaoe Inu..0•: r..uee.0 eu.' a• Se.•w a nn tank(a)e�+�nu <br /> A• Pate.li t.. u.e;rur a e IeC.0 f.u• e••o.loee•. <br /> i ab e k tee <br /> h <br />