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UNDERGROUND TANK. ImSPECTION RECORD <br /> NEN TANK INSTALLATION <br /> SITE NAME Y� IZ INSPECTOR'S NAMF. fir- Q <br /> ADDRESS ? C,., c C,��I11T,,T�rrY y� ZIP <br /> CONTRACl'ORt NAME ` / jv� <br /> f �-G� r. ire_%�l/�7'ELEPHONE_5yL1� <br /> OWNER$ MAME_24ko TELEPHONE <br /> DIS- INSPECTOR' <br /> DATE APPROVED APPROVED INITIALS <br /> IT" OR EQUIPMENT INSPECTED <br /> 1 PINITIAL INSPECTION <br /> P1. Tank tested %Pon delivery Nollda laeteel or air at SPSI PRP <br /> Visual inspeCtIon of secomdar ontaltuent. <br /> ). Tank appropriateiv Placed with spornved backfill. y, <br /> CO fr� vW a. VL numbers and tank capacities cecorded.u-•• S3gU 7{b a-tom <br /> PIPING STAGE INSPECTION <br /> r <br /> - L Pressure test of piping. 1?11..ryand Seconder NFPA )0)1 <br /> 2. Dal I floatva Ives I ns all <br /> 1, wverflll protection installed. descrlht: <br /> a. Unused tank OPeninx, scaled and cathodically protected. <br /> S. Visual Inspection of serondary contalrrment on pipi"Ir. <br /> II«b6'• rtMr arm <br /> 7 V (O.'efa <br /> 7. Fill and vent piping brought to ,rade. <br /> <{ 'F d. Product line leak detector in place. Nard wired) <br /> A -1-s9 <br /> Approved tank leak monitoringdcvlce installed. <br /> IU. Ali X.1v.nized PLPlmR and flit In s properly rapped. 1/ <br /> a Iii. Pressure decdY tsar on complete tank and product deliver • •ttm�3o� <br /> FINA1. 1651'F.CTION u <br /> I . Prec talon .rut twee es•tull • lel a•d ar.rr h.,d <br /> ). 5111 rot<ct inn n Irll <br /> �/�T7 // ]. Pcr(urman�e te•.l nl ne•rfl <br /> it nen.. r1•.n : ver cm. <br /> nr•du, r I 1•vk d" nr . (n.rd wired) <br /> S. Pcrlorunca• le:u of testa l.uu•r: . ni nr nn rsr.�.f nn rank) <br /> 6. Pe .It lu orernr • Irc." 1•n. • '.Irl+'. <br /> 7. Af.c stable ree ordkee In a ale.. <br />