Laserfiche WebLink
UNDERCROUND T"K. INSPECTION IIECUNfI <br /> N".TANK INSTALLATION <br /> '•IT[ NAME t` INSPECTok.S NAME: <br /> ADDRcse_ _ (o lel TAGlF)G Me CITY ��rx k�Ui,J :Ir ? r <br /> CONTRAMRI NAME TELEPHONE <br /> OWNER# NAME Jl I L OIL. l -)fA g279-KI"/ TELEPHONE <br /> DI!- INSP[CTOR' <br /> ---DALE- "PROM APPROVED INITIALS <br /> IT" OR EQUIrmrxT INSPECTED <br /> J <br /> WO <br /> f ( / IMITIAI. INSPECTION <br /> ✓ 1. Tank tfltr4 vpQn dallygry l4alldolet ur air at SPSI PRP <br /> aotcfldfry C.ntfina*nt. <br /> Z D nk approprfoggly p1pred with approved backfill. <br /> e 4. -U�-Pvmbert oftd tpnk capacities recorded. <br /> _ rl?fMC STAGE INSPECTION <br /> v� LL <br /> I\ rrelFurtof i,lptnr,. Prim-ar and Secondary NFPA ](1 <br /> VflyCl jfl#tAjh:0, <br /> overfill protect lun inwtallad. des, rIIc: <br /> � r <br /> f <br /> 4. Unused tank o.enln t scaled and Cothodically pCotected. <br /> S. Visual inspeckton of Secondary cuntatnmaut on L In . <br /> 3� v (loccaole —erns prop <br /> Cw+/t <br /> I. fill and vent I)iping hrou ht to grade. <br /> 31 t\ E. Product line leak detector to place. Hard wired) <br /> }31 ✓ 9. Approved tAnk leak monitorinR device lnttalled. <br /> IU, All gjilvsntLfd piping and fettle r properly wrspT d, <br /> W7 le <br /> I1. PreAturt decay teal on cnw .l ate tank and product delLvery system l <br /> I <br /> FINAL 11.I.PECT I(111 <br /> P-rectal nw Leri suii vrwl ally ....I.I rl r•t a.•J hatJ :ul.l es rc.._I vcd. l74� <br /> V 1i 7. S it I 1 pIolecl in.. it fill •� w <br /> fi3 V/ 1. l'crfurmance Ic%l .,I nverflll u.•tw � l�.0 cvstc.. <br /> 31 t. ✓ <br /> t. <br /> rel l..tru.cc t.•u1 ..I H..du. - Iiur dciccl'.l. (Ilrrd wired) <br /> PyrJoranKt. t e:41 .If k.mt I st—U•; ....,.1..t it.. v• -t1.•m n no I ank(�) <br /> Petah 1u u .cra4v A I,p IIC.,I Im. t....lct�•. <br /> ab t rqCprlkcfpli,gIcm. <br /> Q1t <br />