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IJNDF.R('R0UND TANK INSPECTION Rj:(-oRf) <br /> NEW TANK INSTALI.ATION <br /> SITE NAME <br /> INSPECTOR'S NAME <br /> ADDRESS 1 / A <br /> ���� CITY ZIP' <br /> CONTRACTOR i NAME C_ef~(ryv� t I _ <br /> TELFPHON MY q 21 <br /> OFfNER t NAME <br /> TELEPHONE <br /> DIS- INSPECTOR'S <br /> DATE APPROVED APPROVED INITIALS <br /> iLTPM OR F;gUIPMENT INSPECTED <br /> INITIAL. INSPECTION <br /> ^r"— 1 Tank tested u n deliver Hn11du i las[eel or air at SPSL FRP}I ' <br /> 2. visual Ins ection of secondarycontainment. <br /> i/ <br /> 3. rack a , ro rfatel laced wtt a roved backfill. <br /> I/ 1 v 9 <br /> + 1 d, UL numbers and tank capAcjL`r4SL1reQor <br /> PIPING ST SPECTION <br /> > � <br /> 1. Pressure test u[ sr ,Ln imar and S Gond <br /> (NFI'A 30)i <br /> 2. Hall float valves instilled. <br /> j 3. rjvcrfi11 proteCtion installed. dcs, r1l;e: <br /> rJ 3 � I P(A) -- 1 <br /> 4. Unused tank oaeatn•s scaled and carhudically eroLected. <br /> 5. Visual fns cctiun of secunda cuntalneent un pipinx. <br /> v <br /> a Iit PlaFL: and bt,ru htu rade, tcoowkab wetMr prop <br /> ]. Fill and vent ri in h---ht ht to grade. <br /> 3 <br /> H. Product line leak detector to lace. (Bard trued) <br /> �A22ruvcd tank leak monitoring device installed. <br /> lU. All Aalvanized Pipits and flttin s ro erl_ wra ed. <br /> 11. Pressure deco test on comrlete tank and roduc[ deliver s stem�30 <br /> f�3 ✓ <br /> FINAL It:tiPF.CTiON N <br /> Precision test succosnlull L.jm,l,+tcd ani! herd c„�les [ecetved�sr <br /> 2. ti,sll protectiort ar. f i I I ,r w. j (+ <br /> Per(orarance tcsi ,:I neer(111 as,nr, I ir,lr ::vsrcm. <br /> ® 4. Prrl.rtmancc tris „f liar Irsk deiect,rt. (llard wired) <br /> 5, Performance tea ,rf t•,ntlnuuu;: nun,irr,rin sr,•m c;) mt tankOpl��n <br /> } 5. Petmit tp Operate a r 1 sc.,i irrn 4.)—,fete. <br /> I. Ace table recordkee2jIlA system. <br /> axtMrs: <br />