TO WRITE ON THIS LABEL USE AN INDELIBLE, PERMANENT INK MARKER, PEN OR PENCIL THAT WILL NOT FADE INDIRECT SUNLIGHT
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1 TO WRITE ON THIS LABEL USE AN INDELIBLE, PERMANENT INK MARKER, PEN OR PENCIL THAT WILL NOT FADE INDIRECT SUNLIGHT ANNUAL VEHICLE INSPECTION LABEL No COMPLETED: MONTH 0 7D YEAR lol 42 A RECORD OF THIS ~ VEHICLE'S ANNUAL VEHICLE INSPECTION REPORT IS MAINTAINED AT: (~ MOTOR CARRIER ik S E L)uc` G, neiu'fl COMPANY/NAME OTHER ENTITY STREET lvo c~ k1 4L, 4- L 36a ~o CITY, STATE, ZIP CODE TELEPNOI E MOTOR CARRIER IDENTIFICATION NU."BER CERTIFICATION: THIS VEHICLE HAS PASSED AN INSPECTION IN ACCORDANCE WITH 49CFR THROUGH VEHICLE IDENTIFICATION: IF THE VEHICLE IS NOT READILY, CLEARLY, AND PERMANENTLY MARKED, CHECK ONE AND COMPLETE. FLEET UNIT NUMBER EHICLE_IDENTIFICATION NUMBER LICENSE / REGISTRATION NUMBER OTHER 2015 J.J. Ke::er S Associates, Inc. 4 Neenah, WI JJKeller.com (800) Pnntej in the USA 1279 (Ron.4/15) CFRTIFIED COPY çs
2 MIDNIGHT (3' V 0. ii > NOON
3 Mississippi Tank Company WeIV Magnetic Particle Inspection Report Customer: K&S_EQUIPMENT Job #: Ri 01684/53562 Date: 10/5/16 Procedure: MTC-MT-1 Code: ASME Sec. V Article 7 Acceptance: Sec. VIII Man. App. 6 Material tvne: SA51 7E Material Thickness:.250" Surface Condition: As welded 1 MT equipment Manufacturer Model Serial # Lift Weight Current Parker Y loibs lloz AC Yokes Prods N/AJ N/A N/A N/A N/A N/A Magnetic Particles Flourescent Visible Manufacturer Model color Suspension Dry N/A N/A N/A N/A N/A N/A N/A Wet1 X X N/A Magnaflux 208 green water 1 Light Equipment Manufacturer, S/N Light intensity Meter manufacturer S/N Black White Spectroline, BIB IIW/cm2 Spectroline N/A Ic Extech N/A Comments: WET MAGNETIC PARTICAL EXAMINATION OF ALL INTERNAL WELDS AND ATTACHMENTS Starting Head Closing Head Customer Inspector: Accept: LZ--] Authorized Inspector: Reject: NDTTechnician: Signe Level: Page 1 of
4 Mississippi Tank Company Magnetic Particle Inspection Report Customer: K&S EQUIPMENT Job # Ri 01684/53562 Date: 10/5/16 Procedure: MTC-MT-1 Code: ASME Sec. V Article 7 Acceptance: Sec. VIII Man. App. 6 Material type: SA51 7E Material Thickness:.250" Surface Condition: As welded I MT eciijinrnertt Mntifctijrpr I Model I Serial U ILift Wei2htl Current Yokes Prods X Parker Y-6 N/A N/A N/A bs lloz AC _N/A Ughtetic Particles Flourescent Visible Manufacturer Model color Suspension N/A N/A Dry N/A N/A N/A N/A N/A N/A N/A Wet X X N/A Magnaflux 20B green water ; quipment Manufacturer, S/N Light intensity Meter manufacturer S/N Blacki Spectroline, BIB-SO Whitel W/cm 2 Spectroline N/A fc Extech I N/A Comments: WET MAGNETIC PARTICAL EXAMINATION OF ALL INTERNAL WELDS AND ATTACHMENTS Starting Head Closing Head Customer Inspector: Accept: Authorized Inspector: Reject: NDT Technician: Signature Level: II Page 1 of 1
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8 MISSISSIPPI TANK COMPANY FIVE YEAR INSPECTION Customer i 5 Job No. 5 3 Date 16) Initial & Date when complete N/A when not applicable EXTERNAL VISUAL INSPECTION PROD. ADMIN. 1/0 5--t16 add- 1. TANK SHELL AND HEADS FOR CORROSION /O5-2. TANK SHELL AND HEADS FOR WELD DEFECTS Qr 3. TANK SHELL AND HEADS FOR DENTS OR DISTORTIONS jd-4-4. PIPING FOR CORROSION 5. PANG FOR WELD DEFECTS / 0 /z-j. p. L. 6. PIPING FOR LEAKS 7. VALVES AND FLANGES FOR CORROSION /12 /6 tp-f 8. FLANGES FQR WELD DEFECTS 9. VALVES AND FLANGES FOR LEAKS F' & 10. MANWAY ASSMBL R DAMAGE OR LEAKS 11. INTERNAL VA SYSTEMS AND EMERGENCY 0 OR DAMAGES AND PROPER OPERATION LOOSE OR MISSING NUTS" AND FUSIBLE LINKS. i o4'fi L 13. MAJOR ATTACHMENTS FOR CORROSHON, CRACKS, AND DAMAGES. /0 /2- i & 14. SKID PLATE AND SKID PLATE SUPPORT FOR CORROSION, CRACKS, AND DAMAGE. c-t.' I 0-1 -i L IS. SAFETY RELIEF VALVES FOR CORROSION, DETERIORATION AND LEAKS. 1i A 16. CHECK METER AND HOSE REEL.
9 MISSISSIPPI TANK COMPANY FIVE YEAR INSPECTION Customer Job No Date / - (7I /' PROD. Q. c. ADMIN. 17. CHECK PASSIVE SHUT-DOWN SYSTEM. / 0-/7 -/ /o-/z- /1, jvf- /0- / Z -1-6 /0-f Z 18. CHECK STUD HEIGHT ON MANWAY AND ALL INTERNAL VALVES, FLANGES AND PIPING. 19. DECALS AND DATES APPLIED I. P. V. K. 20. REQUIRED MARKINGS LEGIBLE AND PLUMBING LABELED PROPERLY. 21. CHECK OPERATION OF LIGHTS, BLINKERS EMERGENCY FLASHERS. INERNAL VISUAL INSPECTION PROD. Q.,&iDt ADMIN. 1. SHELL AND HEADS FOR CORRODED AREAS, DENTS, DISTORTIONS AND WELD DEFECTS. 2. CHECK BAFFLE ASSEMBLIES FOR DAMAGE, CRACKS AND LOOSE BOLTING. 3. CHECK ROTARY OR FLOAT GAUGE FOR DAMAGES AND PROPER OPERATION. /o-' -' 6 4. CLEAN/BUFF AND PREP ALL INTERNAL WELDS FOR WET FLUORESCENT MAG PARTICLE WET FLUORESCENT MAG PARTICLE ALL WELDS. 6. ALL WELD DEFECTS FOUND TO BE REPAIRED BY MTC WRITTEN PROCEDURE. 7. THICKNESS TEST ALL DEFECTS AFTER REPAIR. ív/4 8. HEAT TREAT ALL REPAIRED AREAS PER CODE IF REQUIRED.
10 MISSISSIPPI TANK COMPANY FIVE YEAR INSPECTION CustomerK E LLPLJT _Job No. 352 Date PRESSURE TEST ADMIN. / 0 I I 1. PRESSURE GAUGE USED # 1 /' -s-.-,' IO!'I(. 2. HEAD SEAMS, SHELL SEAMS, FLANGES, PIPING AND VALVES. (pt. 3. TEST ' TIMES THE DESIGN PRESSURE. T7, c / WER RELIEF VALVES TESTED OR., REPLACED? VESSEL CLEANOUT 5. REMOVE ALL RESIDULE WATER, DIRT AND CONTAMINATES FROM TANK, PUMP AND PIPING. PROD. ADMIN. 1. (CLEAN VESSEL PRIOR TO CLOSING MANWAY). LEAKAGE TEST P/ P. I -IL 1. MANWAY, SAFETY RELIEF VALVES, ROTARY OR FLOAT GAUGE, OUTAGE GAUGES, PRESSURE GAUGE, ALL VALVES, PIPING, CAPS AND BLOWDOWN LINES (MUST HAVE 80% OF WORKING PRESSURE) I00f5, 'J1
11 MISSISSIPPI TANK COMPANY FIVE YEAR INSPECTION Customer K S Job No Date _ (2 -r'6 PUMP TEST/PROVE METER PROD. ADMIN. 1. PUMP TEST. 2. PROVE METER. PAINT TOUCH UP PROD. ADM IN. 1. PAINT TOUCH UP. NITROGEN BLANKET PROD. ADMIN PSI NITROGEN BLANKET
12 MISSISSIPPI TANK COMPANY FIVE YEAR INSPECTION RELIEF VALVE TEST Customer 'k 4 5 /UrPMF#..-'7 Job No. 53 Date /7-' /c Initial & Date when complete RELIEF VALVE NO.1 SIZE: 3' N/A when not applicable -c3 SERIAL NO. SET PRESSURE: I I Ia START TO DISCHARGE PRESSURE: PROD. O.C. ADMIN. JU- TEST PRESSURE WHEN RESEATED: PI CO PASSED RELIEF VALVE NO.2 SIZE: SERIAL NO. SET PRESSURE: I START TO DISCHARGE PRESSURE: j3 5 PROD. Q ADMIN. ( TEST PRESSURE WHEN RESEATED: JYL) (o-f-16 PASSED '- FAIL PD RELIEF VALVE NO.3 SERIAL NO. PROD. QC. ADMIN. 10 -q-(6 SIZE: SET PRESSURE: START TO DISCHARGE PRESSURE: _I? r TEST PRESSURE WHEN RESEATED: /.? C) PASSED PREPARED BI CT#-0322 Form: RVT#1 Date: 09/18/14
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