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rtnvdern Modern Welding Company, modem <br /> of , Inc. <br /> www.modweldco.com <br /> InstallationChecklist - Glasteel 11 Jacketed Steel Tanks <br /> OWNER OF TANK: i[�A-rwoa �� _— U.L. Label No. C. 40 <br /> OWNER'S ADDRESS ti LS CITY: <br /> STATE: ZIP: d <br /> TANK CAPACITY(GALLONS) DATE INSTALLED: At– <br /> Special Note: If the Glasteel ll tank has not been installed within 90 days of delivery from the manufacturer, it is <br /> required that the tank be re-certified by the manufacturer prior to installation. Re-cert if cation will be at the owner's <br /> expense. <br /> VACUUM RECORD <br /> RECORD VACUUM AT TIME OF DELIVERY �.3 inches Hg <br /> DELIVERY DRIVER INITIAL CUSTOMER 1 INSTALLER INITIAL <br /> ,,:Zf <br /> VACUUM JUST PRIOR TO INSTALLATION 'Z 3 inches Hg <br /> If the tank shows a loss of vacuum during installation.contact the above subsidiary. <br /> TANK HANDLING <br /> Equipment has sufficient capacity and size to lift and lower the tank without dropping <br /> or dragging the tank? [ YES [ ] NO <br /> If the tank is being stared, is the st7YES <br /> a area secure and free of foreign matter that <br /> would damage the tank surface? [ f I NO <br /> Has the stored tank been chocked with a suitable non-abrasive cushioning? [OYES [ I Na <br /> INSPECTION <br /> No repairs shall be permitted without prior wri en approval from the above subsidiary. <br /> Has the tank exterior been inspected? [ ES [ ] NO <br /> Was any damage detected I I YES [ NO If yes, and was the above subsidiary notified? [ ] YES [ ] NO <br /> Have shipping plugs and thread protectors been removed from all openings (excluding vacuum gage location) <br /> and permanent metal plugs installed in the unused openings? [ YES [ ] NO <br /> Has the tank interior been inspected to be clean and free of any debris? [.x�rES [ ] NO <br /> TESTING <br /> Hasa tank tested tight in accordance with the"Glasteel II Installation Instructions". <br /> VYES [ I NO <br /> Have all local or state requirements been met? [ �kIES I ] NO <br /> EXCAVATION AND BEDDING <br /> Is the excavation free of any material or object that may cause damage to the tank exterior? [."(YES [ ] NO <br /> Has the bottom of the excavation been suitably graded and aimum of 6 in.clean sand, pea gravel or <br /> crushed stone been installed to serve as bedding material? [ t YE [ ] NO <br /> Is the burial depth of the tank within its listed burial rating? f ] r ES [ ] NO <br /> Do burial depths meet the minimum installation code requirements? [VI'Y ES [ ] NO <br />