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1 2 3 4 5 <br />14. Underwriter Laboratories label or tank serial number. (i G "5 11 <br />y 15. Tank type* <br />(Indicate SW, DW, SW-OWS, or DW-OWS for each tank) <br />16. Interstitial Monitor type.** <br />(Indicate HYDRO, DRY, VAC or PRES for each tank) <br />17. Tank capacity.. _:-- .... _._.___--- --.. <br />(Indicate unit of measurement and record the <br />capacities for each tank) <br />18. Tank free of visual damage. <br />(Document damage found and attach to this form) <br />19. Monitoring fluid visible on inner or outer tank wall. <br />(Indicate Yes or No for each tank) <br />20. Pre -Installation air/soap test performed without leaks. <br />Indicate which test in Section D you used per tank: <br />21. Hydrostatically monitored tanks: <br />Indicate Yes or N/A for each step completed per tank: <br />...Selectone:__X Gallor)s__ ....Ej <br />r, /•{ b� <br />is <br />• Sensor sits on tank top <br />Maximum Deflection <br />4' <br />Check and record monitoring -fluid level in reservoir <br />1 <br />6' <br />. Annular space vented <br />T <br />8' <br />22. Vacuum monitored tanks: record vacuum date <br />,��ri <br />�''✓�4{ <br />record vacuum level <br />(38mm) <br />12' <br />* SW =Single Wall Tank - DW = Double -Wall Tank • SW-OWS = SW Oil/Water Separator - DW-OWS = DW Oil/Water Separator <br />'* HYDRO = Hydrostatic • DRY = Dry interstice space with probe • VAC = Vacuum • PRES = Positive Air Pressure <br />(44mm) <br />' Measurement instructions are found in Section 11 of Tank Installation Instructions. <br />1) First Vertical Diameter Measurement (Section 11, Figure 11-1) <br />2) Second Vertical Diameter Measurement (Section 11, Figure 11-2) <br />.3) Third Vertical Diameter Measurement (Section 11, Figure 11-6) <br />Measurement A - Tank deflection with backfill at,tank top <br />(subtract Measurement 3 from Measurement 1 above) n-9 -7c 7� <br />Refer to Table 11-1 for max. deflection values. ___, �T! /,- / 3 76- <br />4) Fourth Vertical Diameter Measurement (Section 11, Figure 114) 9 7' 0 7), 27,75 <br />5) Fifth Vertical Diameter Measurement (Section 11, Figure 11-8)�..-14ed 7 f7, 75 9 7 4 <br />6) Calculate the final vertical diameter measurement gG 5 <br />(subtract Measurement 5 from Measurement 4 above) <br />Measurement B -Tank deflection at subgrade <br />(subtract Calculated Value (6) from Measurement 1 above) <br />Refer to Table 11-1 for max. deflection values. / <br />If Measurement A or Measurement B exceeds the values shown in Table 1-1, <br />immediately contact Tank Technical Support prior to proceeding with the <br />installation. <br />CSI TankTechnical Support: (800) 537-4730 <br />31 <br />TABLE 11-1 <br />Tank Diameter <br />Maximum Deflection <br />4' <br />1/2' <br />(12mm) <br />6' <br />3/4" <br />(19mm) <br />8' <br />1/a" <br />(31 mm) <br />10' <br />1112 <br />(38mm) <br />12' <br />13/4 <br />(44mm) <br />