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WWI,Double Wall,Filmatep <br /> ® <br /> OK INSTALLATION CHECKLIST - Ift"atops,and MCT Fibei,glass <br /> CORPORATION <br /> Undepround SWap TOM <br /> The installing contractor must read the Installation manual and complete thin chaddist to validate the Xerxes warranty.The tank owner must retain a copy of <br /> this checklist and a copy of all deviation authorization to substantiate any Warranty clakn. <br /> ® Bate of Installation Tank Tra and Capacity <br /> ® Tank Type SWT DINT LIQUID DRY MCT OWS (circle those that apply) UL Number <br /> ® Site Sweep <br /> ® Site Address <br /> shw C" sm EP <br /> ® Insladling Contractop <br /> stmet C" sm ap <br /> ® Supervisor on-site <br /> Veriffed by: <br /> A. Visual Inspection.No evidence of damage(holes,cracks,gouges)In tank(document any damage found).......................... <br /> B. Spine Tanks: 1.Check and record brine level in pesepvolp,(It shoul be at the label aprow) ................................ <br /> 2.Check for brine Inside tank.....................................................................I <br /> C. Physical Test.Ppe-luBtaflation alp/soap tog completed in accordance with installation Instructions ............................. <br /> D. Backfill material(indicate which type) 1.Pea gravel or crushed stone as speciffmi by XERXES............................. <br /> 2.Other(requires specific approval by XERXES(describe)) ......................... <br /> E. Excavation.Role dimensions ape coppect pop installation Instructions for appropriate conditions ............................... <br /> F. Internal Measurement The inside diameter of the tank has been measured and demented(Dimension"A"Below)................. <br /> G. HRep Fabric Utilized.( cate one) 1.Yes 2.No ............................................................... <br /> H. Role Condition.(Indicate one) 1.OPY bole.Water 001 8ntIC4Wd to Peach taRL AM not Subject to flooding................. <br /> 2.Wet hole.Excavation may"water.Area subject to flooding .......................... <br /> I. Tpaft Leads.(indicate one) 1.T cleads anticipated........................................................ <br /> 2.No tPatfic leads .............................................................I <br /> J. Anchoring.Performed in accordance with installation instructions. 1.Beadmen ...................................... <br /> 2.FUN slab ....................................... <br /> MENOMONEE= 1 MENEM= I= Verified by: <br /> A. Backfill material bed is level and Is a minimum of IZI deep,over nadve no or Web,befope setting tank.......................... <br /> B. Tank spacing.Tanks are spaced correctly from each of and exCaVallon Wells according to Instructions ...................... <br /> C. Visual Inspection.No evidence of damage found aftep setting In hole ..................................................... <br /> B. Straps and tle-downs posffioned and secured according to installation Instructions(Wet hole)................................. <br /> E. Backfill compacted.Material has been tamped and/or compacted to ON all voids around tank .................................I <br /> F. Tank properly ballasted duping backfMing(wet hole installation only) ...................................................I <br /> G. Tank(s)burled at proper depth to conlorm to apPrOPPM Conditions.(Wet,dry,tPaHIC or not) ................................ <br /> 11111111111M 1110001M ' 1M 11111111111EM Willed by: <br /> A. Physical Test.Air/stest completed according to Installation Instructions .............................................. <br /> B. bdernal Measurement.The Inside diameter of the tank has been measured and documented.(Dimension"B"Below) ................ <br /> C. Brine Tanks: 1.Check and record brine level In the poservoip-(Inches) ........................................ <br /> 2.Check for brines tank .................................................................... <br /> Mum <br /> All tanks must be measured to determine vertical deflection.Follow deflection measurement instructions in the Installation manual.An Initial deflection <br /> measurement Is taken and recorded as a point at reference.Subsequent Measurements Show to deflection and can be compared to the table below.Take <br /> each measurement from the some Biting using the same procedure. <br /> TANK ALLOWABLE REASUREfiffiffS END WER <br /> WAINIFFER DEFLECTION ----- - -- <br /> (FT.) LO.Belope Backman "A" <br /> OAL) [L i <br /> 4' 1/2" O.D.After Backffifing 'T' <br /> a. <br /> 3/4' BEI'LECRONS <br /> O' 1-1/14" IV PUB=IT, <br /> 10, 1-1/2" Verified By: MWIIf TIIE LOCATi M WHERE OffLECTION <br /> 12' 1-3/4" MEASUREMTS WERE TAKEN. <br /> 7901 XERXES AVENUE SOUTH,MOUEAPOLIS,MINNESOTA 55431 PHONE(812)887-1890 PPI 12/05 <br />