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CNI Man ufactuAstallation, Operation and Maintenan*Manual (IOM) <br />Applicable to Executive Order VR -1 04-D <br />Phase I EVR Equipment Installation Check List for <br />Installing Products per ARB Executive Order VR -11 04-D <br />Street Address: <br />City/State: <br />Contact/Phone: <br />Installing Technician (name): <br />Tank Number: <br />Tank Number: <br />Tank Number: <br />Business Address: <br />City/State: <br />Contact/Phone: <br />Technician Certification Number: <br />Product Grade: Capacity: <br />Product Grade: Capacity: <br />Product Grade: Capacity: <br />Note: Because this checklist serves a dual purpose as an installation and retrofit checklist, <br />there are some items that will be non -applicable (e.g. cutting riser pipe). The technician should <br />note `N/A' for Non -Applicable in the `Yes/No' box. <br />Yes/No <br />Initials <br />Yes/No <br />Initials <br />Yes/No <br />Initials <br />Yes/No <br />Initials <br />1. Is all of the installed equipment for Phase I EVR listed in ARB <br />Executive Order (E.O.) VR -104-D? <br />Note: All Phase I EVR installed equipment must be listed in <br />E.O. VR -104-D. <br />2. Have all the 4 inch tank risers been cut to the correct lengths and <br />have a flat, square cut across the top of the riser, as well as the <br />appropriate threads cut into the ends of each? <br />3: Are all 4 inch tank risers correctly installed into the tank bungs and <br />the extractors using a Fire Marshall approved thread sealing <br />compound and torqued to 250-350 foot-pounds? <br />4. Fill Riser — Is the CNI DT100 drop tube(s) installed correctly with the <br />CNI DT101 (or RPI 01) O-ring securely in place and the flared end on <br />top of the riser? <br />Note: CNI's drop tube must be cut to the correct length and <br />angle, and assembled before installing into the 4 inch tank riser. <br />Continued on next page. <br />15627 ARROW HIGHWAY, IRWINDALE, CALIFORNIA 91706 <br />PHONE (626) 962-6646; OUT OF STATE CALLS (800) 4CN1-MFG; FAx (626) 962-4854 10 <br />WEBSITE: WWW.CNI-MFG.COM EMAIL: INFO(Q)CNI-MFG.COM <br />