Laserfiche WebLink
Ap <br />0 0 <br />UNDERGROUND TANK INSPECTION RECORD <br />NEW TANK INSTALLATION <br />SITE NAME_,SftC- <br />. ADDRESS C, <br />CONTRACTOR: NAME <br />y - <br />OWNER: NAME i°'1" ' r.a �� "� i /lei c PHONE <br />INSPECTOR'S NAME <� _� <br />CITY r? zip <br />PHONE <br />Comments: <br />DIS <br />INSPECTOR'S <br />IPING STAGE INSPECTION <br />1. Pressure test of piping. (Primary and Secondary (NFPA 30)] <br />DATE <br />kPPROVED <br />PPROVED <br />INITIALS <br />2. Batt float valves instatted. <br />. Tank tested upon delivery (Hotiiday (ptasteel) or air at 5 PSI (FRP)] <br />ITEM OR EQUIPMENT INSPECTED <br />3. Visual inspection of secondary containment. <br />1. Fees paid <br />Plans Approved <br />5. Performance test of continuous monitoring system(s) on tank (s) <br />Comments: <br />INITIAL INSPECTION <br />IPING STAGE INSPECTION <br />1. Pressure test of piping. (Primary and Secondary (NFPA 30)] <br />1. UL numbers tank size <br />2. Batt float valves instatted. <br />. Tank tested upon delivery (Hotiiday (ptasteel) or air at 5 PSI (FRP)] <br />3. Overfill protection installed, describe: <br />3. Visual inspection of secondary containment. <br />4. Tank appropriatety pieced with approved backfill. <br />Comments: <br />IPING STAGE INSPECTION <br />1. Pressure test of piping. (Primary and Secondary (NFPA 30)] <br />2. Batt float valves instatted. <br />3. Overfill protection installed, describe: <br />4. Performance test of product line leak detector. (Hard wired) <br />4. Unused tank opening sealed and cathodically protected. <br />5. Visual inspection of secondary containment on piping. <br />5. Performance test of continuous monitoring system(s) on tank (s) <br />6. Monitoring ports in place and brought to grade. (lockable weather proof covers) <br />6. Permit to operate application complete. <br />7. Fill and vent piping brought to grade. <br />7. Acceptable recordkeeping system. <br />B. Product line teak detector in piece. (Hard wired) <br />4. Approved tank teak monitoring device installed. <br />10. All galvanized piping and fittings properly wrapped. <br />1. Pressure decay test on complete tank and product delivery system. <br />Comments: <br />INAL INSPECTION <br />1. Precision test successfully completed and hard copies received. (NFPA 324) <br />2. Spill protection at fill pipe. <br />3. Performance test of overfill protection system. <br />4. Performance test of product line 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 />