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TANK ID <br /> SPECIFICATION: l <br /> Design: ❑UL ❑SVJFEI ❑Hedeordal ❑veelcal ❑Redangular <br /> [03API <br /> ❑Unknavm [0]Other <br /> klRemnslnrdlon Date: <br /> Manufacturer' <br /> Contents: Construction Date: last Re a <br /> Dimensions: Ca ac' : Last Oh.M.ot5ervice Data; <br /> Goretvdlon: ❑Sere Steel E]Calhca icaly Protected(Check one:A❑Galvanic er B.❑Impressed Current)Date Ireta'led <br /> ❑Coated Steel ❑Concrete ❑PlastWFiberglass ❑Other <br /> ❑Doubie-Bottan ❑Doubke-Wall ❑Uned Date Installed: <br /> COMalnmenT. <br /> El Earthen Me ❑Steel Dike ❑Comsat- ❑SPItMiic LNer []other <br /> GROW ❑ Date lrsialled: Type: <br /> Release Prevention Barrier: ❑ Date metalled: Type: <br /> TANK ID <br /> SPECIFICATION: <br /> Deagm ❑UL ❑SWRI ❑Hori=nlal ❑Vertical ❑Rectangular <br /> ❑API <br /> ❑Unknown ❑Other <br /> Manufacturer: <br /> Contends: Consivdlon Date: last ddRaconeuucllon Dale: <br /> Dimensions: Ca a ' Last Cha eof5ervice.Date: <br /> Construction: ❑Sere Steel ❑Cathodkcellf Protected ICheek one:A.❑GaNenlc o1 B.❑Impressed CwrmO Cala Irtslalled: <br /> ❑Coated Steel ❑Concrete ❑PlaetidFiberglass ❑Other <br /> ❑Double-Mtom ❑Double-Well ❑tined Date Installed: <br /> Coniainmenl: ❑Earthen Dike ❑Steel Dlke ❑Ccr rata ❑Synthetic liner ❑Other <br /> CROM: ❑ Date Installed: T Pet <br /> Release Prevention Sattler. ❑ Data lnalalked: TyPW. <br /> AST INSPECTION STANDARD <br /> 3 SEPTEMBER 2011 <br /> COPYRIGHT®2011 Steel Tank Institute <br />