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modern Modern Welding Company, Inc. <br /> installation Checklist - Glasteel11 Jacketed Steel Tanks <br /> U.L. Label No. <br /> OWNER OF TANK: DATE: <br /> LOCATION OF TANK: <br /> TANK CAPACITY (GALLONS) <br /> Special Note: If the <br /> Glasteel II tank has not been installed within 90 days of delivery oroa the <br /> �manufacturer, it Is <br /> required that the tank be re.certified by the manufacturer, at the owners expense, p <br /> VACUUM RECORD inches Hg <br /> RECORD VACUUM AT TIME OF DELIVERY <br /> DELIVERY DRIVER INITIAL---- CUSTOMER/INSTALLER INITIAL�— <br /> VACUUM JUST PRIOR TO INSTALLATION --inclies <br /> Hg <br /> TANK HANDLING <br /> Equipment has sufficient capacity and size to lift and lower the tank without dropp g <br /> YES [ J NO <br /> or dragging the tank? [ l <br /> If the tank is being stared, is the storage area sectio and free of foreign matter that YES [ J NO <br /> would damage the tank surface? [ l YES [ ] <br /> tank has been chocked with tires or other suitable nhe•apb taller.cushioning? [ <br /> The stored t responsibility NOTE: Proper fire disposal shall be the resp NO <br /> INSPECTION damage properly repaired? [ ]YES [ ] <br /> Has the tank exterior been inspected and any NO <br /> plugs and thread protectors been removedlled in theounused openings[ ]YE [ J <br /> Haveshipping <br /> vacuum gage location) and perman�t metal Plugs <br /> -' TESTING vacuum on the <br /> installed vacuum gage indicate at least 6.3 inches <br /> Hg <br /> Does the factory NO NO <br /> interstice? [ J YES [ ] <br /> Have all local or state requirements <br /> been met? [ ]YES [ ] <br /> EXCAVATION AND BEDDteal or object that may cause damage to the tank <br /> Is the excavation free of NO <br /> exterior? [ ]YES [ J graded and a minimum of 6 in. clean NO <br /> Has the bottom of the excavation been suitably g material? [ l NOS [ ] <br /> sand, pea gravel or crushed skwithin ifs meted burial rating?rve as [ J YES NOJ <br /> Is the burial depth of the tan um code requirements? [ J YES [ ] <br /> Do burial depths meet the minim adequate to hold down tank <br /> ANCHORING pavement and soil overburden is <br /> (Indicate Choice) [ ] Deadman anchors [ pavement <br /> applicable at this site <br /> [ ] Concrete pad [ ] gravel or <br /> For a concrete pad installation,has the minimum 6 inches of clean NO pea NO <br /> Fo YES [ J <br /> crushed stone been placed between the tank end pad [ J� them from the tank. [ J <br /> dielectric material separating <br /> isolated from the anchor straps? [ l YES ( )NO <br /> Do the anchor straps have insulating, <br /> Is the tank electrically � YES [ J NO <br /> BACKFILL used?terial.been (Refer to installation instructions) [ l <br /> Has approved backfilleused to ensure backfill compaction along the tank's bottom <br /> Has special ca NO <br /> quadrant? [ J YES NOused [ J Dielectric buahings or <br /> PIPING CONNECTIONS[ J Metallic piping used [ J Non-metallic pipes <br /> (Select any that apply) <br /> flangQs used. <br /> See back of form- <br />