Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Below Grade Tank Inspection
- Below Grade Tanks
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Below Grade Tank Name
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Below Grade Tank Use
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Below Grade Tank Size (bbls)
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Liquid Level in Tank (ft)
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Leak Detection Present?
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Leak Detection Checked for Signs of a Leak?
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Leak Detected?
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Inches of Liquid in Leak Detection?
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If evidence of a potential leak detected, was immediate action taken to remove liquid from Below Grade Tank?
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Describe Actions Taken to Empty Below Grade Tank
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Describe Leak Detection Method
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Leak Detected?
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Describe actions taken to empty tank.
Signature
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Signature
