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Monthly Poly Tank Inspection Form <br /> A SEVERITY INSPECTED BY: <br /> l" ITEM r ¢ ITEM <br /> r a ❑ FL Q <br /> U Y <br /> U <br /> W LU 2 0 �? w <br /> EQUIPMENT INSPECTION TANK INSPECTION <br /> Arei es 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 leaks or drips (unusual Does the tank wall feel spongy? <br /> 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 /> Are fittings or flanges pulling away from INTEGRITY TESTING <br /> the tank? <br /> Are the tanks,pipes, and fittings Complete one or both tests if any response other than?"okay"is <br /> checked on a tank inspection question <br /> adequately supported and secured? <br /> Are valves or gaskets misaligned, loose, 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 LIGHT TEST-for the whale tank <br /> adequate for the workload? Are stress cracks visible? <br /> Are plumbing fittings or hoses loose, Complete fest if stress cracks are observed. <br /> Recheck for stress cracks after baseball bat fest <br /> broken, or worn? <br /> Do pumps or other equipment need BAT TEST-for affected areas <br /> servicing or replacement? Did the impact affect the tank? <br />