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ANCHORING <br /> (Indicate Choice) ] ] Deadman anchors [ ],Concrete pad below tank ] ] Pavement corer and backfill <br /> overburden is adequate to hold down tank [ Not 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? [vej [ ] NO <br /> Which holddown strap material was used in this Instellatlou9 ] Steel Straps [ ] 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? ] ] 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 knott;. <br /> BACKFILL Al <br /> Has approved backfill material been used?(Refer to installation instructions) [../]YYES [ ] NO <br /> Has special care been used to ensure backfill compaction along the tank's bottom quadrant? NO <br /> [ ] NO <br /> Installation of the backfill shall not be,dropped more than three(3) feetfrom the surface of the tank. <br /> PIPING CONNECTIONS <br /> (Select any that apply) [ ] Metallic piping used [VI<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 /> Has the 0wrier Data Package containing a copy(if the InstaIIatintl struction e,1,imited Warranty and <br /> 1laintenance Hequir+rinents been given to the tank owner'' [. YES [ j No <br /> Signatur Title of Foreman/Project Engineer Installation Contractor ^ <br /> THIS COMPLETER CHECKLIST MUST BE RETURNED TO THE MODERN WELDING COMPANY,INC <br /> SUBSIDIARY FROM WHICH THE TANK WAS FABRICATED TO INITIATE WARRANTY. <br /> SUBSIDIARIES: Mudern Welding Company of Florida.Inc. Modern Welding Company of California,Inc. <br /> Corporate Office (270)6$54400 1801 Atlanta Avr. 4141 N.Brawley Ave. <br /> O lando,Florida 3D06 Fresna,CahVarnia 93722 <br /> 407-843-I270 559-275-9353 <br /> Modern Welding Company of Owernaborn• 407-„123-K187[Fax] 559-275-43H1 IFax) <br /> Inc. Modern Welding Company of Texas.Inc. Modern Welding Company of Georgia,Inc. <br /> 1550 F.Parish Ave. <br /> vens <br /> 6oro.Ktnmrky 42303 715 Sakowitz S1rCCl 3[H1 Yrcp Phillips]-)r.Chwcnf <br /> O3-s3�1 Houston,Texas 77020 Augusta,Georgia 3D901 <br /> 713-675-4211 706-722-341 1 <br /> 2'0-b84-5245 SFax l 713.6733-406?(Pax) 706.724-8133 Wax) <br /> Modern Welding Company or ohio,Int. Modern Welding Company of lma,Inc. Modern Welding Company of Texaik,Inc. <br /> (Xe modrm Wa} <br /> 2ti1lS hit.Pleasant Road 200 N.Main$srcit <br /> Ntkark,[?hitt 53€155 <br /> 75[1-34.1-9425 Burlington,Io%a 5'6111 Rhomc,Tcxas 70,079 <br /> 31'1.754-6577 817.636•Z215 <br /> '140.344-6[118[Fax1 319-754-8428(Fix) 817-636-_'6,80 SFax i <br /> File:Glasteei 11 checklist, 1-2014MWCo© <br />