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XERXES TANK INSTALLATION CHECKLIST continued <br /> Tank Number Tank#1 Tank#2 Tank#3 Tank#4 <br /> AS.INSTALLATION continued(See SECTIONS 5,6, 7,8,9,12 and 14 for instructions and specifications.) <br /> Anchor straps(if used) <br /> Geotextile(if used) <br /> Backfill placement&compaction <br /> Ballasting(if wet hole) <br /> Fittings&other metal components <br /> (coated for corrosion protection) <br /> Depth of backfill over tank(specify) <br /> Level of backfill after final inspection <br /> Type and thickness of surface pad <br /> Piping connections per requirements <br /> A6.POSTINSTALLATION(See SECTIONS 13, 15 and 16 for instructions and specifications.) <br /> Postinstalabon tests for air-testable tanks <br /> Optional hydrostatic test <br /> Monitcrirg-fluid tanks(set fluid level <br /> Ww backfilling&top slab are complete, <br /> and record level b reservoir here) <br /> Monitoring-fluid tanks <br /> (verify there is no fluid inside tank) <br /> Containment sump <br /> (water test successfirll <br /> A7.SITE SKETCH(Indicate specifics of tank installation.) AS.ADDITIONAL NOTES <br /> - (including variations and/or deviations from <br /> instructions,with written auffio zations attached) <br /> Ag.VERIFYING SIGNATURES <br /> CONTRACTOR Name Date <br /> I verify that this information is a true record <br /> of the installation of the tanks listed here. <br /> Signature <br /> TANK OWNER/REPRESENTATIVE _ Name Date _ <br /> I verity that this information is a true record <br /> of the installation of the tanks listed here,and <br /> that I have received a copy of the Installation Signature — - - -- <br /> Manual and this Tank Installation Checklist. � �/ <br /> m 2011 ZCL Composites Inc. �/V RS' www.xerxes.COM <br /> a an company xi mc05/11 pp <br />