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ANCHORING <br /> (indicate Choice) ( ] Deadman anchors f ] Concrete pad below tank [ } Pavement cover and backfill <br /> overburden is adequate to hold down tank 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 <br /> Which holddown strap material was used in thio installation? [ ] Steel Straps [ j Fiberglass [ ] 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? f ]YES [ ] NO <br /> For steel straps—is the tank electrically isolated from the anchor straps? [ ] YES [ ] NO <br /> All straps must be installed without twits or knots. <br /> BACKFILL ' <br /> Has approved backfill material been used? (Refer to installation instructions) K ]YES [ j NO <br /> Has special care been used to ensure backfill compaction along the tank's bottom quadrant? [,f YES [ ] NO <br /> Installation of the backfill shall not he dropped more than three(9) feat from the surface of the tank. <br /> PIPING CONNECTIONS <br /> (Select any that apply) [ ] .Metallic:piping used [rIf�, on-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 /> lhi,s the Owner Data Package containing a copy of the lost rliatior natructinns,Limited Warranty and <br /> liaintenance Requirements heen given to the tank owner? J YES [ ] No <br /> Signa re$Title of Foreman/Project 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: Modern 1%tiding Company of Florida.lmModern Welding company of calil'ornia,los. <br /> Corporate Office (270)5854400 1801 Atlanta Ave. 4141 N.Brae Icy Ave. <br /> (hlando.Florida 32806 FresnoX ahtbmta 93722 <br /> Modern WeldingCompany of Owensboro. 407.843-1270 559-275-9353 <br /> Inc. P 307-323-8187[Fax] 55t)-2754381(Fax) <br /> 1450 F.Parrish Avv. Modern Welding Company of Texas,Inc. Modern Welding Company of Georgia,Inc. <br /> Owensbom.Kenmckv 42303 715 Sakowitz Street 300 Prep Phillips Dr. <br /> 2?E)fi83-532? Houston.Tcxas 77020 Augusta.Georgia 30901 <br /> 270-684-5.145(Fax 713.675.42.11 706-722-3411 <br /> Modern 5.145(Fa Comprn}of Dftiu.inc. 713.6734062(Fax) 706-7..4-8133(Fax) <br /> Modern <br /> We dinWaN Modern Welding Company'of Iowa.Inc. Modern Welding Company of Texas,Inc. <br /> One.Mo eIsla 330$5 2818 mt.Pleasant Road 200 N.Mzzin Strect <br /> 730-31'.1-9425 Burlington•loW a S26M Rhomc,Tcxas WA09 <br /> 319.754-6577 817.636.2215 <br /> 740-341.61)18(Fax) 319-754-8428(Fax) 817-636-'680{Fax I <br /> File.Glasteel 11 checklist, 1-2014MWCo® <br />