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R C S Q,.�.4 4L S ,a&.6,4JA <br /> �..P,4. Q v`1 K� ��4 k.4 .w► ��(< <Z-1cT+�r�e�/ �—� —20.2 A�.l l Or,�J� Q i �c� 4�t �p <br /> �t <br /> O14.Underwriter Laboratories label or tank serial number. <br /> 15.Tanktype.* p <br /> (Indicate SW,DW,SW-OWS,or DW-OWS for each tank) <br /> 16.Interstitial Monitor type.** ® <br /> (Indicate HYDRO,DRY,VAC or PRES for each tank) <br /> 17.Tank capacity. Select one: AGallons ❑ Liters <br /> (Indicate unit of measurement and record the Z k <br /> capacities for each tank) <br /> 18.Tankfree of visual damage. <br /> (Document damage found and attach to this form) �— <br /> r <br /> 19.Monitoring fluid visible on inner or outer tank wall. (Z�?�i o✓' o <br /> (Indicate Yes or No for each tank) �r I <br /> 20.Pre-installation air/soap test performed without leaks. <br /> Indicate which test in Section D you used per tank: <br /> 21.Hydrostatically monitored tanks: 2 ' ' Z <br /> S .S <br /> Indicate Yes or N/A for each step completed per tank: LI) i <br /> •Sensor sits on tank top <br /> .Check and record monitoring-fluid level in reservoir yel — <br /> •Annular space vented Ye <br /> s <br /> 22.Vacuum monitored tanks: record vacuum date K 4 <br /> record vacuum level viJA <br /> n * SW=Single Wall Tank• DW=Double-Wall Tank • SW-ows=SW oil/Water Separator • DW-OWS=DW Oil/Water Separator <br /> 0 **HYDRO=Hydrostatic • DRY=Dry interstice space with probe • VAC=Vacuum • PRES=Positive Air Pressure <br /> Measurement instructions are found in Section 11 of Tank Installation Instructions. <br /> 1)First Vertical Diameter Measurement(Section 11,Figure 11-1) <br /> z� rr <br /> Measurement Section 11,Figure 11-2) �' A <br /> 2)Second Vertical Diameter M ( 9 �. I <br /> / ' E rr r�' <br /> 3)Third Vertical Diameter Measurement(Section 11,Figure 11-6) ! —_� <br /> Measurement A-Tank deflection with backfill at tank top <br /> (subtract Measurement 3 from Measurement 1 above) <br /> Refer to Table 11-1 for max.deflection values. <br /> 4)Fou rth Vertical Diameter Measurement(Section 11,Figure 11-7) <br /> 5)Fifth Vertical Diameter Measurement(Section 11,Figure 11-8) <br /> 6)Calculate the final vertical diameter measurement <br /> (subtract Measurement 5 from Measurement 4 above) <br /> Measurement B-Tank deflection at subgrade <br /> !r <br /> (subtract Calculated Value(6)from Measurement 1 above) 1 <br /> Refer to Table 11-1 for max.deflection values. <br /> TABLE 11-1 <br /> G <br /> Tank Diameter_ Maximum Deflection <br /> If Measurement A or Measurement B exceeds the values shown inTable 11, 6, 3/4 (19mm) <br /> immediately contactTankTechnical Support prior to proceeding with the <br /> installation. 8' 1'/4" (31 mm) <br /> ( <br /> CSITankTechnical Support:(800)537-4730 ..10' 1�/z" (38mm) <br /> 12' 13/4 (44mm) <br /> 31 <br />