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UNDERGROUND TANK.INS?ZCTION Rr4opo <br />r*.TANK INSTALLATION <br />—aTt NAME__drtHy �Vta"IraN ,� f �ct'hq� INSPECTOR"$ NAME C/V.rlr,- f/Uv <br />r •t=�^= <br />ADDRIC811— _r2 a,QQ S /, 6� .,. l�c� CITY^ZIP <br />CONTRACTOR, UMSnem 13aw TBLBPHONB <br />• OWNER# NAttB r tcxnx^ TELEPHONE <br />Dts- tNuams•if <br />Ito 21 tggjr tNT INSPtCTtD I <br />INITIAL 1NSPOCn011 <br />n aZ (plogtootIl ur air at 2PSI tritp)l <br />I/ <br />wgen Ik g( 112segarx contalrommut. <br />Nc STAGE INSPECTION `,i' �6S SPE.'L-Wor' <br />Pressure e Piping. Priwar and Socondar NPPA 3021 <br />a kEg2j j1111 Ilfcodw h a raved backfill. <br />tj <br />UL pumbeEl_gad ask caP titleciticl recorded. 64 [ 29. 6Q <br />eIP <br />Nc STAGE INSPECTION `,i' �6S SPE.'L-Wor' <br />Pressure e Piping. Priwar and Socondar NPPA 3021 <br />tj <br />I <br />Preetalon test su caaa(ull ... leted os.d basil .s. sles received.)�S <br />v a <br />5131 17 <br />� <br />� <br />]. <br />overfill protection installed. descritx��: k <br />• <br />( <br />Soto I rotettton <br />A. <br />Unt: ed tank o ntn s sealed and cathodicatIl protectad. <br />�i <br />i. <br />Perfornance lest oil <br />nverflll sre.trrll..a rvatew.' <br />S. <br />visual lnsjLccttoa of secondarr containwent on t tR . <br />4 <br />Prr(urwaaru teat ../ <br />tts.dosro loose Irak detects . (Nerd wired) <br />/ <br />(1`kao'e ~%see Keo <br />c <br />w..oslt..rrs r slew a an tank(slt-idtr <br />T <br />pill and Went J!Lpinx brought to jLrodr.° <br />r.aa.lete. <br />® C <br />Ili!J <br />®. <br />Prnduct line leak detector to PI a Hurd vtied <br />blor [eKordkeeplosiLtae <br />9. <br />A roved tank leak moonitortar, device tsetatled. <br />A alvantced t in and (Ittln s pro"rlZ wrage2d. <br />C <br />ppltf; <br />%PCi°GG <br />1. <br />MM <br />Pressure dote teat on caw lett tank and product deliver a sten43o� <br />PINAI. mst,ECTION <br />tj <br />I <br />Preetalon test su caaa(ull ... leted os.d basil .s. sles received.)�S <br />e� <br />Soto I rotettton <br />i. <br />Perfornance lest oil <br />nverflll sre.trrll..a rvatew.' <br />® <br />4 <br />Prr(urwaaru teat ../ <br />tts.dosro loose Irak detects . (Nerd wired) <br />/ <br />S <br />a won ea ofsnttnuuue <br />w..oslt..rrs r slew a an tank(slt-idtr <br />`. <br />Petwlt to ornate applicatlem <br />r.aa.lete. <br />blor [eKordkeeplosiLtae <br />