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XEMS TANK INSTALLATION CHECKLIST <br /> The tank owner should retain a copy of the completed Tank Installation Checklist in order to facilitate any warranty claim.Unless other <br /> information is requested,initial each step to verity that the item has been performed or installed per Installation Manual specifications <br /> and instructions. <br /> Al.GENERAL INFORMATION <br /> Date of Installation <br /> Address of Installation <br /> Tank Owner Name Telephone Email <br /> Address <br /> Contractor Name Telephone Email <br /> Address <br /> A2.TANK INFORMATION <br /> Tank Number Tank#1 Tank#2 Tank#3 Tank#4 <br /> UL#(from tank label) <br /> Nominal Tank Diameter(in feet)& <br /> Capacity(in gallons) <br /> Tank Type(SW,DW,MC,OWS, <br /> Other,and Wet or Dry) <br /> A3.PREINSTALLATION (See SECTIONS 2 and 3 for instructions and specifications.) <br /> Visual Inspection(no damage) <br /> Tanks shipped under vacuum <br /> (SECTION 4.3.requirements met) <br /> Tanks with monitaing fluid <br /> (record fluid level in reservoir and check <br /> for absence of fluid in a on tank) <br /> Tank passed pmwurelsoap test if req'd <br /> A4.DIAMETER MEASUREMENTS(See SECTION 11 for instructions and requirements.Mark location of measurements on site sketch.) <br /> Measurement#1 (before installation) <br /> Measurement#2(straps installed) <br /> Measurement#3 fbackfilled to top oftaNQ <br /> Measurement#4 backfilled to subgrade) <br /> Deflection measurement(#1—#4) <br /> Measuiumer meats regU of TABLE 11-1 <br /> A5.INSTALLATION(See SECTIONS 5,6,7,8,9, 12 and 14 for instructions and specifications.) <br /> Primary backfill material <br /> Secondary backfill material(it used) <br /> Traffic loads(indicate yes or no) <br /> Excavation(size and condition) <br /> Hole condition(indicate dry or wet) <br /> Backfill bedding <br /> Tank spacing(between tanks and <br /> from excavation walls) <br /> Anchoring(indicate system used: <br /> none,deadmen or anchor slab) <br /> Anchoring(if used) <br /> 30 <br />