Laserfiche WebLink
UNDERGROUND TANK INSPECTION RECORD <br />NEW TANK INSTALLATION <br />t Y <br />SITE NAME �5147 01 L INSPECTOR'S NAME' / <br />_._ADDRESS 1405 i�.auhn�. 51 5LVD. CITY S'li�C�'j't�t zip C15 <br />CONTRACTOR* MA14E ISO akIS YZ.L IOkf PHONE <br />OWNER: NAME _J.i� ® i L PHONE <br />I qi <br />1PlNG STAGE INSPECTION � 0— i 7yl <br />1. Pressure test of piping. (Primary and Secondary (NFPA 30)) <br />DIS <br />INSPECTOR'S <br />INITIAL INSPECTION <br />1. UL numbers ;31:lqqA tank size <br />DATE <br />PPROVED <br />PPROVED <br />INITIALS <br />. Tank tested upon delivery [Holiday (plasteel) o air at 5 PSI (FRP)j , <br />iql41. <br />4. <br />Unused tank opening sealed and cathodically protected. <br />ITEM OR EQUIPMENT INSPECTED <br />)4 'q <br />6. Permit to operate application complete. <br />6. <br />1. Fees paid <br />7. Acceptable recordkceping system. <br />7. <br />Fill and vent piping brought to grade. <br />F. Plans Approved <br />I qi <br />1PlNG STAGE INSPECTION � 0— i 7yl <br />1. Pressure test of piping. (Primary and Secondary (NFPA 30)) <br />FINAL INSPECTION <br />I. Precision test successfully completed and hard copies received. (NFPA 329) <br />2. <br />INITIAL INSPECTION <br />1. UL numbers ;31:lqqA tank size <br />2. Spill protection at fill pipe. <br />3. <br />Overfill protection installed, describe: kto�} a-,C5no n _ <br />3. Performance test of overfill protection system. <br />. Tank tested upon delivery [Holiday (plasteel) o air at 5 PSI (FRP)j , <br />iql41. <br />4. <br />Unused tank opening sealed and cathodically protected. <br />Visual inspection of secondary containment. <br />)4 'q <br />6. Permit to operate application complete. <br />6. <br />. Tank appropriately placed with approved backfill. <br />/ <br />1PlNG STAGE INSPECTION � 0— i 7yl <br />1. Pressure test of piping. (Primary and Secondary (NFPA 30)) <br />FINAL INSPECTION <br />I. Precision test successfully completed and hard copies received. (NFPA 329) <br />2. <br />Ball float valves Installed. r,,1 <br />2. Spill protection at fill pipe. <br />3. <br />Overfill protection installed, describe: kto�} a-,C5no n _ <br />3. Performance test of overfill protection system. <br />4. <br />Unused tank opening sealed and cathodically protected. <br />5. <br />Visual Inspection of secondary containment on piping. 56,q {� k <br />6. Permit to operate application complete. <br />6. <br />Monitoring ports in place and brought to grade. (lockable weather proof covers) <br />7. Acceptable recordkceping system. <br />7. <br />Fill and vent piping brought to grade. <br />8. <br />Product tine leak detector in place. (Hard wired) <br />9. <br />Approved tank leak monitoring device installed. G� <br />10. <br />All galvanized piping and fittings properly wrapped. 2 <br />11 <br />Pressure decay test on complete tank and product delivery system. <br />/ <br />FINAL INSPECTION <br />I. Precision test successfully completed and hard copies received. (NFPA 329) <br />2. Spill protection at fill pipe. <br />QU �✓ <br />3. Performance test of overfill protection system. <br />4. Performance test of product line leak detector. (Hard wired) <br />5. Performance test of continuous monitoring system(s) on tank (s) <br />6. Permit to operate application complete. <br />7. Acceptable recordkceping system. <br />FN 23 006 10/89 - -- <br />I <br />