Laserfiche WebLink
)ERGROUND TANK.?NSPECTION RECORD <br />NEW TANK INSTALLATION <br />SITE NAME fl S INSPECTOR'S NAME /� <br />ADDRESS / CITYf a ZIP <br />CONTRACTORt NAME TELEPHONE <br />OWNERt NAME TELEPHONE <br />DAIE APPROVED <br />DIS- INSPECTOR` <br />APPROVED INITIALS <br />LEO OR EQUIPMENT INSPECTED <br />INITIAL. INSPECTION <br />Tank tested upon dellverr JHnfidaylasteel) or air at SPSI FRP) <br />PIPING STAGE INSPECTION <br />1. Pressure test of piping. JPrimaryand Secondar (NFPA 30)1 <br />-t <br />-&=2. <br />3. Tank appropriately placed with apprnved backfill. <br />FINAL INSI'F.CTIC/N <br />Precision test suLCt:s%1UI1 t -mill eled a1Ad <br />i <br />4. UL numbers and tank capacities recorded. L-227lf3�1 <br />II cct"W3 <br />!7 <br />of i <br />/1. <br />INITIAL. INSPECTION <br />Tank tested upon dellverr JHnfidaylasteel) or air at SPSI FRP) <br />PIPING STAGE INSPECTION <br />1. Pressure test of piping. JPrimaryand Secondar (NFPA 30)1 <br />2. Visual inspection of secondary tontainrent. <br />-&=2. <br />3. Tank appropriately placed with apprnved backfill. <br />FINAL INSI'F.CTIC/N <br />Precision test suLCt:s%1UI1 t -mill eled a1Ad <br />i <br />4. UL numbers and tank capacities recorded. L-227lf3�1 <br />3. Overfill protection installed. descrOwd: <br />]. <br />II cct"W3 <br />!7 <br />of i <br />PIPING STAGE INSPECTION <br />1. Pressure test of piping. JPrimaryand Secondar (NFPA 30)1 <br />�j <br />-&=2. <br />Ball float valves installed. <br />FINAL INSI'F.CTIC/N <br />Precision test suLCt:s%1UI1 t -mill eled a1Ad <br />i <br />f y <br />3. Overfill protection installed. descrOwd: <br />]. <br />Spill protectimi at fill w .. <br />A. Uncsed tank openings scaled and cathodically protecEed. <br />3. <br />Performance refit nI overfill lot,.•rrli.1n e,ratea. <br />5. Visual Inspection of secondary containment on pipinjr. <br />�2(locteb}a <br />4. <br />Pcrf„tmanry test of ttaduri i.n.• It•ak dui cctCIL . (Hurd wired) <br />CV <br />wether prop <br />n n b1.ru ht 1 u rade. covers <br />PcrformanCV lent of Coinlrsu�u!: n�.•ni1o1sn, <br />(Ibrd <br />s st.•M(%) nn tank( :)r+ n <br />7. Pili and vent ptpknr, hrou ht to grade. <br />6. <br />Pk- tmlt to o prate App 1 •c.it I,.t. ., m Jctr. <br />B. Product line leak detector in place. Hard wired) <br />9. A proved tank leak monitoring device Installed_ <br />✓� <br />LO. All zalvanized pLping and fittilts properly wreeped. <br />t� <br />it. Pressure deco test on com lete tank and product deliver s stem+3ov <br />II cct"W3 <br />!7 <br />of i <br />�j <br />FINAL INSI'F.CTIC/N <br />Precision test suLCt:s%1UI1 t -mill eled a1Ad <br />HHEfsS <br />haul �. los [eia loved 3795 <br />f y <br />]. <br />Spill protectimi at fill w .. <br />3. <br />Performance refit nI overfill lot,.•rrli.1n e,ratea. <br />4. <br />Pcrf„tmanry test of ttaduri i.n.• It•ak dui cctCIL . (Hurd wired) <br />CV <br />� <br />PcrformanCV lent of Coinlrsu�u!: n�.•ni1o1sn, <br />(Ibrd <br />s st.•M(%) nn tank( :)r+ n <br />6. <br />Pk- tmlt to o prate App 1 •c.it I,.t. ., m Jctr. <br />7. <br />A -Ce table recordkeep0tFL s atom. <br />II cct"W3 <br />!7 <br />of i <br />