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ANCHORING <br /> (Indicate Choice) [ ] Deadman anchors [ ] Concrete pad below tank [ ] Pavement cover and backfill <br /> overburden is adequate to hold down tank [vrNot applicable at this site <br /> For a concrete pad installation, as the minimum 6 inches of clean sand,pea gravel or crushed stone been placed <br /> between the tank and pad? [vTYES [ ] NO <br /> Which holddown strap material was used in this installation? { ] Steel Straps [ ] Fiherglass [ ] Nylon/ <br /> Polyester Straps or Other? For"Other"explain: <br /> If steel hold down straps are used, do the steel anchor straps have insulating,dielectric material separating <br /> them from the tank? [ ] YES [ ] NO <br /> For steel straps...Is the tank electrically isolated from the anchor straps? [ ]YES [ ] ILIO <br /> All straps must be installed without twits or knots. <br /> BACKFILL <br /> Has approved backfill material been used?(Refer to installation instructions) [efYES [ ] NO <br /> Has special care been used to ensure backfill compaction along the tank's bottom quadrant? YES [ ] 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 [ ] Von-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 cope of the Installation struetions, Limited Warrant.• and <br /> %laintenance Require m is been given to the tank owner'? [ YES ( ] No <br /> Signatu Title of ForemanlProject Engineer Installation, Contractor <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: ylode rn Welding Company of Florida,Ine. NIodern'A tiding Company of California,Inc. <br /> Corporate Office (270)685-4400 l Sol Atlanta Ave. 4141 N.Brawley Ave. <br /> Orlando,Florida 32806 Fresno.California 93727. <br /> 307-843-1270 559-275-9353 <br /> .Modern We Id Ing Company of Dyvensboru, 407423-S)87(i ax} 554-2754381(Fax) <br /> Inc. N1ode rn Welding Company of Texas.Inc. Modern Welding Company or Gen rgia.Inc. <br /> 1450 F.Parrish Ave 715 Sakowitz Stree300 Prep Phillips Dr, <br /> Owensboro.KL:ntuckv 42:+03 U-69I�ousloa,Texas 771720 Augusta,cicnrgia 30901 <br /> 27 3-5323 '773.675-1211 706.722-3411 <br /> Moddernern Welding <br /> o (Fax} 713-673-4062(lax) 7011.724-8133(Fax) <br /> Modern C ampanp of Ohio.lac, Modern Welding Company of lo..a,lnc. 7lodern Welding Company of Texaa,Inc. <br /> Ont Modem Way 2818 Mt.Pleasant Road 200 N.Mein Strect <br /> Ncµark.Ohio 4 305 5 <br /> 9425 Burlington,I�rwa S'_6[]1 Rhnmr.7cxas 76078 <br /> 730-344- 319.754-6577 817-636-2215 <br /> 740-344-6019 5 f Fax) <br /> 319-754-942_8(Fax) 917-636 2686{raxi <br /> File:Glasteei 11 checklist, 1-2014MWCot, <br />