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ANCHORING <br />(Indicate Choice) [ ] Deadman anchors [ ] Concrete pad below tank JK] Pavement cover and backfill <br />overburden is adequate to hold down tank [ J Not applicable at this site <br />For a concrete pad installation, has the minimum 6 inches of clean sand, pea gravel or crushed stone been placed <br />between the tank and pad? [ ] YES [ ] NO N/A <br />Which holddown strap material was used in this installation? [ ] Steel Straps [ J Fiberglass [ ] Nylon/ <br />Polyester Straps or Other? For "Other" explain: N/A <br />If steel hold down straps are used, do the steel anchor straps have insulating, dielectric material separating <br />them from the tank? J ] YES [ ] NO N/A <br />For steel straps ... Is the tank electrically isolated from the anchor straps? [ ] YES [ ] NO N/A <br />All straps must be installed without twits or knots. <br />BACKFILL <br />Has approved backfill material been used? (Refer to installation instructions) [XJ YES [ ] NO <br />Has special care been used to ensure backfill compaction along the tank's bottom quadrant? [X ] YES [ J NO <br />Installation of the backfill shall not be dropped more than three (3) feet from the surface of the tank. <br />PIPING CONNECTIONS <br />(Select any that apply) [ ] Metallic piping used [X] Non-metallic piping used [ ] Dielectric bushings or <br />flanges used. <br />If "No" is indicated on any of the above questions, please provide explanation: (Attach additional sheet if <br />required.) <br />OWNER DATA PACKAGE <br />Has the Owner Data Package containing a copy of the Installation Instructions, Limited Warranty and <br />Maintenance Requirements been given to the tank owner? [X] YES [ ] No <br />& Title of Foreman/Project Engineer <br />THIS COMPLETED CHECKLIST MUST BE RETURNED TO THE MODERN WELDING COMPANY, INC <br />SUBSIDIARY FROM WHICH THE TANK WAS FABRICATED TO INITIATE WARRANTY. <br />SUBSIDIARIES: <br />Corporate Office (270) 685-4400 <br />Modem Welding Company of Owensboro. <br />Inc. <br />1450 E. Parrish Ave. <br />Owensboro, Kentucky 42303 <br />270-683-5323 <br />270-684-5245(Fax) <br />Modem Welding Company of Ohio, Inc. <br />One Modem Way <br />Newark, Ohio 43055 <br />740-3449425 <br />740-344-6018(Fax) <br />Modern Welding Company of Florida, Inc. <br />1801 Atlanta Ave. <br />Orlando, Florida 32806 <br />407-843-1270 <br />407A23-8187(Fax) <br />Modern Welding Company of Texas, Inc. <br />715 Sakowitz Street <br />Houston, Texas 77020 <br />713-675.4211 <br />713-673-6062 (Fax) <br />Modern Welding Company of Iowa, Inc. <br />2818 Mt. Pleasant Road <br />Burlington, Iowa 52601 <br />319-754.6577 <br />319-754-9428(Fax) <br />Modem Welding Company of California, Inc. <br />4141 N. Brawiey Ave. <br />Fresno, California 93722 <br />559-275-9353 <br />559-2754381 (Fax) <br />Modern Welding Company of Georgia, Inc. <br />300 Prep Phillips Dr. <br />Augusta, Georgia 30901 <br />706-722-3411 <br />706-724.8133(Fax) <br />Modem Welding Company of Texas. Inc. <br />200 N. Main Sired <br />Rhome, Texas 76078 <br />817-636-2215 <br />917-636-2680(Fax) <br />File: Glasteel 11 checklist, 1-2014MWCo© <br />