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11/17/98 16:59 TITROUBBER -> 444 • NO.041 P004/010 <br /> XERXES@ INSTALLATION CHECI( S y'• °g�8 anti il"DDuDIe Wall <br /> CORPORA710M Fiberglasi Underground Storage Tank(s) <br /> and OiUWater Separators - - <br /> The installing contractor must read the installation manual and complete this checklist to validate the Xerxes VAflahly.The tank owner must retain a <br /> COPY of this checklist and a copy Of all deviatiort authorization to substantiate any warranty claim. <br /> • Date of Installation Tank Size and Capacity <br /> • Tank Type SW OW WET DRY COMP OWS (circle those that apply) UL Number <br /> • Site Owner <br /> • Site Address <br /> sv.e so <br /> • Installing Contractor <br /> • Supervisor On-Site <br /> PRIOR1. 1 INSTALLATION Verified by: <br /> A Visual Inspection.No evidence of damage(holes,cracks,gouges)in tank(document any damage found) <br /> ................ <br /> 8. Brine Tanks: 1.Check and record brine level in reservoir,(inches) ................... <br /> .................... <br /> 2.Check for brine inside tank ............................................................ <br /> C. Physical Test Preinstallation air/soap test completed in accordance with installation instructions ...................... <br /> 0. Backfill material(indicate which type) 1.Pea gravel or crushed stone as specified by XERXES ....................... <br /> 2.Other(requires specific app val by)(ERXES(describe).. <br /> j E. Excavation.Hole dimensions are correct per installation instructions fo <br /> appropriate Cohddlons ..................... <br /> F. Internal Measurement.The inside diameter of the tank has been measured and documented(Dimension A Below) ..... .. .. <br /> G. Filter Fabric Utilized.(indicate one) 1.Yes 2.No ...........0 . ..................:................. .... <br /> H. Hole Condition,(indicate one) 1.Ory hole.Water not anticipated to reach tank.Area not subject to flooding ...... ..... <br /> 2.Wet hole.Excavation may trap water.Area subject to flooding ..................... <br /> I. Traffic Loads.(indicate one) 1.Traffic loads anticipated .................................. ....... <br /> 2.No traffic loads ...............................:... ...................... <br /> J. Anchoring.Performed in accordance with installation instructions. 1.Deadman ................................... <br /> 2.Full slab .....:....... <br /> ...................... <br /> DURING INSTALLATION Vedfred by: <br /> A Backfill material bed is leve(and is a minimum of 12'deep,over native sod or slab,before setting tan* ............. <br /> B. Tank Spacing.Tanks are spared correctly from each other and exravdlidn walls according to instrllctlons................ <br /> C. Visual Inspection.No evidence of damage found after setting in hole............................................. <br /> ❑. Straps and tie-downs position and secured according t0 installation instructions(wet hula) ..... ... <br /> E. Backfill Compacted.Material has been tamped and/or compacted to fill all voids around tank .......... .............. <br /> F. Tank Property ballasted during backfilling(wet hole installation only) ..................... .................... .. <br /> .................. .. <br /> G. Tank(s)bused at proper depth to conform to appropriate conditions.(wet,dry,traffic or not) ......................... <br /> 3. POST 1 Verified-by--. -- <br /> A. Physical Test Air/soap test completed according to installation instructions .................................. ..... <br /> B Internal Measuiemam.The inside diameter of the tank has been measured and documented.(Dimension B Below) ........ <br /> C. Brine Tanks: 1.Check and record brine level in the reservoir (inches) ,........I...................... .. <br /> 2.Check for brine inside tank ............ ...............:.......................... <br /> NITA 1113.1111-.12M 1 1 1 <br /> All tanks must be measured to determine vertical deflection.Follow deflection measurement Instructions in the Installation manual.An initial <br /> deflection measurement is taken and recorded as a point of reference.Subsequent measor_emerlm show lank deflection and can be compared to the <br /> table below.Take each measurement from the same fazing using the same procedure. .. _sh - --der ` <br /> I <br /> M136-sa' 1-3/4" <br /> NSIDE ALLOWABLE ACTUAL MFA4rntE10ta" END CENTER END <br /> ER DEFLECTION I.D.Before Baclmlling (A) <br /> DWTAI M. <br /> 48' 1R• I.D.Ager Backfilling (B) <br /> 70.5/8" 3/4' DEFLECTIONS <br /> 90 518, 1-1/4' (A)MINOS(B) , . [) <br /> 118-12' 1-1/2' Verified By: MARX TIE LOCATION WNERE DERECTIPN— 1.3/4' MEASUREMENTS WERE TAKEN. <br /> 7901 XERXES AVENUE SOUTH,MINNEAPOLIS,MINNESOTA 5541 PHONE(512)U7-1890 /rap zw <br />