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f <br /> UNDERGROUND TANK INSPECTION RECORD <br /> NEN TANK INSTALLATION <br /> SITE NAME <br /> INSPECTOR'S NAME <br /> .-ADDRESS <br /> CITY ZIP <br /> CONTRACTOR: NAME <br /> PHONE <br /> OWNER: NAME <br /> PHONE <br /> DIS <br /> DATE PPROVED PPROVED INSPECTOR'S <br /> ITEM OR EQUIPMENT INSPECTED <br /> 1. Fees paid <br /> Plans Approved <br /> INITIAL INSPECTION <br /> . UL numbers tank size <br /> Tank tested upon delivery (Holiday (plasteel) or air at S PSI (FRP)] <br /> . Visual inspection of secondary contairment. <br /> 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 ins Called. <br /> 3. Overfill protection installed, describe: <br /> 4. Unused tank opening sealed and cathodically protected. <br /> 5. Visual inspection of secondary containment on piping. <br /> 6. Monitoring ports in place and brought to grade. (lockable weather proof covers) <br /> 7. Fill and vent piping brought to grade. <br /> B. 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 /> INAL 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 line leak detector. (Hard wired) <br /> 5. Performance test of continuous monitoring systems) on tank (s) <br /> 6. Permit to operate application complete. <br /> 7. Acceptable recordkeeping system. <br /> Comments: <br /> EH 23 006 10/89 <br />