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e • • <br /> 1 2 3 4 5 <br /> 13.Underwriter Laboratories label or tank serial number. <br /> 14.Tank type.* <br /> (Indicate SW, DW,SW OWS,or DW-OWS for each tank) <br /> 15.Intersticial Monitor type.** <br /> (Indicate HYDRO,DRY,VAC or PRIES for each tank) <br /> 16.Tank capacity. Select one: ❑ Gallons ❑ Liters <br /> (Indicate unit of measurement and record the <br /> capacities for each tank) <br /> 17.Tank free of visual damage. <br /> (Document damage found and attach to this form) <br /> 18.Monitoring fluid visible on inner or outer tank wall. <br /> (Indicate Yes or No for each tank) <br /> 19.Pre-Installation air/soap test performed without leaks. <br /> Indicate which test in Section D you used per tank: <br /> 20.Hydrostatically monitored tanks: <br /> Indicate Yes or N/A for each step completed per tank: <br /> •Sensor sits on tank top <br /> •Check and record monitoring-fluid level in reservoir <br /> •Annular space vented <br /> SW=Single Wall Tank DW=Double-Wall Tank • SW-OWS=SW Oil/Water Separator • DW-OWS=DW Oil/Water Separator <br /> HYDRO=Hydrostatic DRY=Dry interstice space with probe • YAC=Vacuum • PRES=Positive Air Pressure <br /> ® ' • Measurement instructions are found in Section I of Tank Installation Instructions. <br /> 1)First Vertical Diameter Measurement(Section I,Figure 1-2) <br /> 2)Second Vertical Diameter Measurement(Section I,Figure 1-3) <br /> 3)Third Vertical Diameter Measurement(Section I,Figure 1-7) <br /> Measurement A-Tank deflection with backfill at tank top <br /> (subtract Measurement 3 from Measurement 1 above) <br /> Refer to Table 1-1 for max.deflection values. <br /> 4)Fourth Vertical Diameter Measurement(Section I,Figure 1-8) <br /> 5)Fifth Vertical Diameter Measurement(Section I,Figure 1-9) <br /> 6)Calculate the final vertical diameter measurement <br /> (subtract Measurement 5 from Measurement 4 above) <br /> Measurement B-Tank deflection at subgrade <br /> (subtract Calculated Value(6)from Measurement 1 above) <br /> Refer to Table 1-1 for max,deflection values. <br /> TABLE 1-1 <br /> Tank Diameter Maximum Deflection <br /> If Measurement or Measurement B exceeds the values 4' —1/^ (12mm) <br /> shown in Table 1.1,immediately contact Tank Technical' <br /> Support'prior to proceeding with Installation. <br /> 6' '/:' (19mm) <br /> 8' 1%' (31 mm) <br /> CSI Tank Technical Support:936.756-7731 10, 1'/2' (38 mm) <br /> 12' 11/2' (38mm) <br /> Copyright 0 2008 Containment Solutions•All Rights Reserved•Pub No.INST.6002E <br />