TE-AG Water Supply Tank Inspection Checklist.docx
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TECHNICAL EXHIBIT AG
WATER SUPPLY TANK INSPECTION CHECKLIST
| Building #: | Contact Person: | Phone#: | |||
| Has Contact Person Been Notified of Test: Yes | No | Time: | |||
| Has Ft. Hood Fire Dept Been Notified: Yes | No | Time: | |||
| Testing/Inspection Conducted By: | Date: |
License#:
Manufacturer:
SYSTEM TESTS AND INSPECTION
General Information:
Tank Size (gallons):
| Cathodic Protection properly operating N/A____ Yes | No | |||||
| Exercised all control valves | Yes | No | ||||
| Lubricated valves | Yes | No | ||||
| Tank heating system working properly | Yes | No | ||||
| Water level verified | Yes | No | ||||
| Inspected exterior of Tank | Yes | No | ||||
| Test water level alarms and set points | Pass | Fail | ||||
| Test level indicators and set points | Pass | Fail | ||||
| Inspected tank vent | Yes | No |
3 YEAR TEST:
| Internal inspection of tank | Pass | Fail | ||
| All gauges replaced | Yes | No |
Check Valves internal inspection and cleaning Yes___ No___ Calibrated level indicators Yes___ No___
Test: Annual_____ Three Year_____
COMMENTS/DEFICIENCIES
ALL NO/FAIL RESPONSES REQUIRE COMMENTS
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