Laserfiche WebLink
UNDERGROUND TANK INSPECTION RECORD <br /> NEN TANK INSTALLATION <br /> SITE NAME INSPECTOR'S NAME <br /> ADDRESS /a Vo—`e,,0, /,/F CITY 21P <br /> CONTRACTOR: NAME >.�i Pi' ✓ ZG� PHONE <br /> OWNER: NAME (.<)P4'/Or PHONE <br /> DIS INSPECTOR'S <br /> TPPROVID PPROVED INITIALS <br /> jITEM OR EOUIPMENT INSPECTED <br /> (,U LFed <br /> L L' proved <br /> INITIAL INSPECTION <br /> r I/ t✓t-' UL numbers i `1 -N tank size <br /> t_ - Tank tested upon delivery (Holiday (plasteel) or air at 5 PSI (FRP)) <br /> �.L� Visual inspection of secondary contai ment. <br /> J (,� Tank appropriately placed with approved backfill. <br /> (PING STAGE INSPECTION <br /> 1. Pressure 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 seated and cathodically protected. <br /> , <br /> �/ CJ 5. Visual inspection of secondary containment on piping. <br /> 6. Monitoring ports in place and brought to grade. (lockable weather proof covers) <br /> / `q ✓ 7. Fill and vent piping brought to grade. <br /> rj GJ 8. Product fine leak detector in place. (Hard wired) i <br /> y J 9. Approved tank leak monitoring device installed. , <br /> Lob 10. All galvanized piping and fittings properly wrapped. <br /> 1. Pressure decay test on complete tank and product delivery system. <br /> INAL INSPECTION <br /> �Jb� / 1. Precision test successfully completed and hard copies received. (NFPA 329) <br /> L" 2. Spill protection at fill pipe. <br /> 6/�f/ i 3. Performance test of overfill protection system. <br /> g� w C 4. Performance test of product line teak detector. (Hard wired) <br /> KI <br /> - '*A � GO5. Performance test of continuous monitoring system(s) on tank (s) <br /> :y/�/ u �p 6. Permit to operate application complete. <br /> �C ) 7. Acceptable recordkeeping system. <br /> Comments: <br /> EH 23 006 70�gq <br />