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Monthly Poly Tank Inspection Form <br /> S --e SEVERITY INSPECTED SY' L <br /> Z <br /> LU LU <br /> a ITEM LU <br /> C ITEM <br /> ' n o } o LLI0 <br /> LU w ?a � <br /> U- <br /> C, z m Q CA cn <br /> EQUIPMENT INSPECTION TANK INSPECTION <br /> Are pipes cracked or broken? Is the tank damaged(e.g. dented. discolored, or <br /> flaking). <br /> Is there damage to pipes from vibration, Is there bending or swelling of the tank wall that is <br /> expansion, settlement,or impact? different from normal expansion? <br /> Are there teaks or drips(unusual Does the tank wall feelspongy? <br /> lo moisture) along the pipe runs? <br /> Is the tank lid broken or missing? Are cracks visible without using a detailed <br /> inspection test{listed below)? <br /> VJR Are fittings or flanges pulling away from INTEGRITY TESTING <br /> the tank? <br /> Are the tanks, pipes,and fittings Complete one or hath tests it any response other than"okay"is <br /> checkedar a tank inspection question <br /> adequately supported and secured? <br /> Are valves or gaskets misaligned, loose, tjBLACK MARKER TEST—for a specific area <br /> brittle, or deteriorated? Are stress cracks visible in the tested area? <br /> Are pumps and other equipment LIGHT TEST—for the whole tank <br /> adequate for the workload? Are stress cracks visible? <br /> Are plumbing fittings or hoses loose, Complete test If stress cracks are observed. <br /> broken, or worn? Recheck for stress cracks after baseball bat test. <br /> r Do pumps or other equipment need BAT TEST—for affected areas <br /> lservicing or replacement? Did the impact affect the tank? <br /> MM N <br /> l - R-) <br /> �- V 3 <br />