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Tank Assessme t Page Tank Name/marking: <br /> Tank age:191(g)(3)/192(k)(3) <br /> Remaining service life:191(g)(10)/192(k)(11) <br /> Tank Constructi n: <br /> Shape: <br /> Orientati n: 191(g)(1)/192(k)(1) <br /> Location above/below ground): <br /> Material f construction: 191(g)(2)(A)/192(k)(2)(A) <br /> Thicknes and method used to determine: 191(g)(2)(B)/192(k)(2)(B) ? <br /> Lining ma erial & thickness (if applicable): ? <br /> Corrosion Protection equipment: 191(g)(5)/192(k)(5) <br /> Structural support: <br /> Other ide tifying features: <br /> Piping and ancill ry equipment (pumps): 191(g)(2)(C&D)/192(k)(2)(C&D) <br /> Piping Ma erial of Construction: <br /> Piping Di meter: <br /> Pump loc tion(s): <br /> Pump typ (s)/capacities: <br /> Material Storage <br /> Material a d characteristics: 191(g)(7)/192(k)(8) <br /> Specific Gravity: ? <br /> Operating Capacity: <br /> Chemical compatibility findings: The materials identified above are compatible <br /> for contact with o proximity to the equipment, tank or tank system in this <br /> assessment. Initials: <br /> Visual Inspection 191(g)(8)/192(k)(9) <br /> Tank para eters at time of inspection (empty, etc.): <br /> Acute visu I evidence of leaks: <br /> Condition f interior surface: ? <br /> Condition f exterior surface: <br /> Condition f nozzles, flanges, fittings at tank: <br /> Condition f piping: <br /> Visual Inspectio findings: A visual inspection of the tank and its affiliated <br /> pumps, piping an ancillary equipment did not reveal signs of leaks, corrosion, <br /> weld cracks or breaks, or scrapes in protective coating which may cause a <br /> release from the tank system. A description of all discrepancies noted during the <br /> visual inspection is included with this report. Initials: <br /> Company Name Tank/Tank System identification <br />