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• UNDERGROUND TANK INSPECTION RECORD • <br /> NEN TANK INSTALLATION <br /> SITE NAME _ / ii�f t � <br /> INSPECTOR'S NAMEC�- <br /> �,ADDRESS n / <br /> CITY ��j <br /> c�� Gl- 21P <br /> CONTRACTOR: NAME <br /> PHONE <br /> OWNER: NAME <br /> PHONE <br /> DIS INSPECTOR'S <br /> DATE PPROVED PPROVED INITIALS <br /> ITEM OR EQUIPMENT INSPECTED <br /> 1. fees paid <br /> . Plans Approved <br /> INITIAL INSPECTION <br /> I <br /> . numbers tank size p _ n <br /> k tested upon delivery [Holiday (p(asteel) or air at 5 PSI (FRP)I <br /> uaspection of secondary contai anent.k appropriately placed with approved backfill. <br /> / IPING STAGE INSPECTION <br /> cr'EL-c -&4- AQY� S�1. 1 test of piping. [Primary and Secondary (NFPA 30)] <br /> 2. Ball float valves installed. <br /> 3. Overfill protection installed, describe: <br /> 4. Unused tank opening sealed and cathodicatly protected. <br /> (D C 5. Visual inspection of secondary co 'tai t on <br /> t vw <br /> �a CSG, . Monitoring ports in place and brought to rad Ito ckabl weather 2roo rovers) <br /> 7. Fill and vent piping brought to grade. <br /> 8. Product line leak detector in place. (Hard wired) <br /> 9. Approved tank leak monitoring device installed. <br /> 10. All galvanized piping and fittings properly wrapped. <br /> 11. Pressure decay test on complete tank and product delivery system. <br /> FINAL INSPECTION <br /> 1. Precision test successfully completed and hard copies received. (NFPA 329) <br /> 2. Spill protection at fill pipe. <br /> 3. Performance test of overfill protection system. <br /> 4. Performance test of product tine leak detector. (Hard wired) <br /> 5. Performance test of continuous monitoring system(s) on tank (s) <br /> 6. Permit to operate application complete. <br /> 7. Acceptable recordkeeping system. <br /> Comments: <br /> EN 23 006 10/a9 <br />