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XERXES TANK INSTALLATION CHECKLIST continued <br /> Tank Number Tank#1 0 Tank#2 (t)V 1614_ Tank#3 Tank#4 <br /> A5.INSTALLATION continued(See SECTIONS 5,6,7,8,9, 12 and 14 for instructions and specifications.) <br /> Anchor straps(if used) e V✓ <br /> Geotextile(if used) <br /> Backfill placement&compaction GGJ <br /> Ballasting(if wet hole) N A <br /> Fittings&other metal components <br /> (coated for corrosion protection) 1✓� <br /> Depth of backfill over tank(specify) <br /> Level of backfill after final inspection 11 51 <br /> Type and thickness of surface pad <br /> Piping connections per requirements <br /> A8.POSTINSTALLATION(See SECTIONS 13, 15 and 16 for instructions Lnd specifications.) <br /> Postinstallation tests for air-testable tanks et) G(J <br /> Optional hydrostatic test <br /> Monitoring-fluid tanks(set fluid level <br /> when backfilling&top slab are complete, �i I <br /> and record level in reservoir here) o <br /> Monitoring-fluid tanks <br /> (verify there is no fluid inside tank) Pi� <br /> Containment sump u <br /> (water test successfuq t,w vc"U aw r •t <br /> A7.SITE SKETCH(Indicate specifics of tank installation.) A8.ADDITIONAL NOTES <br /> _- -- (including variations and/or deviations from <br /> instructions,with written authorizations attached) <br /> 1 Iz i� <br /> A9.VERIFYING SIGNATURES <br /> CONTRACTOR Name 6-0)I 1 <br /> I verify that this information is a true record <br /> of the installation of the tanks listed here. <br /> Signat -----_-._- <br /> TANK OWNER/REPRESENTATIVE _Name Date <br /> I verify that this information is a true record <br /> of the installation of the tanks listed here,and <br /> that I have received a copy of the Installation Signature ----- -- — <br /> Manual and this Tank Installation Checklist. <br /> 2011 ZCL Composites Inc. XERXES® www.xerxes.com <br /> a za company ximc05/11pp <br />