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. 37425582 COMPLETED: MONTH ©07D YEAR lol 42
A RECORD OF THIS VEHICLE'S ANNUAL VEHICLE INSPECTION REPORT IS ~
MAINTAINED AT: (~ MOTOR CARRIER ❑ OTHER ENTITY
ik S E L)uc` G, nEiu'fl
COMPANY/NAME
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 396.17 THROUGH 396.23.
VEHICLE IDENTIFICATION: IF THE VEHICLE IS NOT READILY, CLEARLY, AND PERMANENTLY MARKED, CHECK ONE AND COMPLETE.
❑ FLEET UNIT NUMBER ❑ LICENSE / REGISTRATION NUMBER
EHICLE_IDENTIFICATION NUMBER ❑ OTHER
2015 J.J. Ke::er S Associates, Inc. 4 Neenah, WI • JJKeller.com • (800) 327-6868 • Pnntej in the USA 1279 (Ron.4/15)
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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
1MT equipment Manufacturer Model Serial # Lift Weight Current
Yokes
Prods
Parker Y-6
N/A
23869 lOibs lloz AC
N/AJ N/A N/A N/A N/A
Magnetic Particles Flourescent Visible Manufacturer Model color Suspension
Dry
Wet1
N/A N/A N/A N/A N/A N/A N/A
X X N/A Magnaflux 208 green water
1 Light Equipment Manufacturer, S/N Light intensity Meter manufacturer S/N
Black
White
Spectroline, BIB 50 1500 IIW/cm2 Spectroline 1095431
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: Level:
Signe Page 1 of
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
23869 101bs lloz AC
N/A N/A N/A —_N/A N/A
;
Ughtetic Particles Flourescent Visible Manufacturer Model color Suspension
Dry
Wet
N/A N/A N/A N/A N/A N/A N/A
X X N/A Magnaflux 20B green water
quipment Manufacturer, S/N Light intensity Meter manufacturer S/N
Blacki Spectroline, BIB-SO 1 1500 11W/cm 2 Spectroline 1095431
Whitel N/A fc Extech I N/A
Comments: WET MAGNETIC PARTICAL
EXAMINATION OF ALL INTERNAL WELDS
AND ATTACHMENTS
Starting Head
Customer Inspector:
Authorized Inspector:
NDT Technician:
Accept:
Reject:
Level: II
Closing Head
Signature Page 1 of 1
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MISSISSIPPI TANK COMPANY FIVE YEAR INSPECTION
Customer i 5 Job No. 5 3 Date 16)-14 - 1 6
Initial & Date when complete N/A when not applicable
EXTERNAL VISUAL INSPECTION
PROD. ADMIN.
1/0— 5--t16 __ 1. TANK SHELL AND HEADS FOR CORROSION
add- /O5- 2. TANK SHELL AND HEADS FOR WELD DEFECTS
Qr 3. TANK SHELL AND HEADS FOR DENTS OR
DISTORTIONS
4. PIPING FOR CORROSION jd-4-
5. PANG FOR WELD DEFECTS
/ 0—/z-j. p. L. 6. PIPING FOR LEAKS
7. VALVES AND FLANGES FOR CORROSION
8. FLANGES FQR WELD DEFECTS
tp-F 9. VALVES AND FLANGES FOR LEAKS
/12 /6 & 10. F' •
MANWAY ASSMBL R DAMAGE OR LEAKS
11. INTERNAL VA SYSTEMS AND EMERGENCY 0 OR DAMAGES AND PROPER OPERATION. .
12. LOOSE OR MISSING NUTS" AND FUSIBLE LINKS.
i o4'fi L 13. MAJOR ATTACHMENTS FOR CORROSHON, CRACKS, AND DAMAGES.
& 14. SKID PLATE AND SKID PLATE SUPPORT FOR CORROSION, CRACKS, AND DAMAGE.
/0 /2- i c-t.'
I 0-1 -i L IS. SAFETY RELIEF VALVES FOR CORROSION, DETERIORATION AND LEAKS.
______ 1i A ______ 16. CHECK METER AND HOSE REEL.
MISSISSIPPI TANK COMPANY FIVE YEAR INSPECTION
Job No. 5 3 5 2 Date / ° - (7I /'
17. CHECK PASSIVE SHUT-DOWN SYSTEM.
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.
Customer
PROD. Q. c. ADMIN.
/ 0-/7 -/
/o-/Z- /1, jvF-
/0- / Z -1-6
/0-f Z
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
22.5
ív/4
4. CLEAN/BUFF AND PREP ALL INTERNAL WELDS FOR WET FLUORESCENT MAG PARTICLE.
5. 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.
8. HEAT TREAT ALL REPAIRED AREAS PER CODE IF REQUIRED.
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 PRESSURE @I ' TIMES THE DESIGN
PRESSURE. T7, c /0 6 4. WER RELIEF VALVES TESTED OR
., REPLACED?
5. REMOVE ALL RESIDULE WATER, DIRT AND CONTAMINATES FROM TANK, PUMP AND PIPING.
VESSEL CLEANOUT
PROD. ADMIN.
1. (CLEAN VESSEL PRIOR TO CLOSING MANWAY).
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,
LEAKAGE TEST
P/ P.
I -IL
'J1
MISSISSIPPI TANK COMPANY FIVE YEAR INSPECTION
Customer K S Job No. 35 2 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.
1.10 PSI NITROGEN BLANKET
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 N/A when not applicable -c3•
RELIEF VALVE NO.1 SIZE: 3'
SERIAL NO. SET PRESSURE: I
START TO DISCHARGE PRESSURE: I Ia 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 SIZE:
SERIAL NO. SET PRESSURE:______________________________
START TO DISCHARGE PRESSURE: _I ? r PROD. QC. ADMIN.
TEST PRESSURE WHEN RESEATED: /.? C) 10 -q-(6
PASSED
PREPARED BI CT#-0322
Form: RVT#1 Date: 09/18/14