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Monthly Poly Tank Inspection Form <br /> �^n �.{ SEVERITY sPECTEo BY: <br /> v L L2 wz <br /> rr] cn <br /> zz <br /> ITEM LU Z ITEM <br /> a 0 o <br /> � r t!J Z U <br /> r � w ¢ z alL'1 w <br /> z LO a M w w <br /> EQUIPMENT INSPECTION TANK INSPECTION <br /> Arees cr <br /> I acked or broken? Is the tank damaged(e.g. dented, discolored, or <br /> p p 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 leaks or drips(unusual Does the tank wail feel spongy? <br /> moisture)along the pipe runs? 0 <br /> Is the tank lid broken or missing? Are cracks visible without using a detailed <br /> inspection test Misted below). <br /> Are fittings or flanges pulling away from INTEGRITY TESTING <br /> lJfj the tank? 'wi I <br /> Are the tanks,pipes, and fittings Complete one or both tests if any response other than"okay"is <br /> adequately supported and secured? checked on a tank inspection question <br /> Are valves or gaskets misatigned, loose. I BLACK MARKER TEST—for a specific area <br /> brittle, or deteriorated? Are stress cracks visible in the tested area? <br /> Are pumps and other equipment i LIGHT TEST—for the whole tank <br /> adequate for the workload? Are stress cracks visible? <br /> Are plumbing fittings or hoses loose, Comp fete test if stress cracks are observed. <br /> broken, or worn? Recheck for stress cracks after baseball bat test <br /> Do pumps or other equipment need BAT TEST—for affected areas <br /> servicing or replacement? Did the impact affect the tank? <br /> c <br /> V J A 0 �f <br />