Laserfiche WebLink
NEW LIST TALLATION INSPECTION <br />� RECO <br />FACILITY NAME:MAOSWt SUj\I kjSt Ips//d <br />l <br />ADDRESS:33� "• STD(,CTbTJ.�r, �I�OfJ Ca <br />SWEEPS# TANKII UL#TANK MODEL/MATERIAL: <br />CAPACITY:�)6o0 -6830 -0,600 PRODUCT: OIE5EL- Y Q)5nL-jNL R.E.H.S: <br />INITIAL INS tLIlONS <br />A <br />I <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/NIM: BRINE(LIQUID ANNULAR): OTHER: <br />P <br />N <br />ALL TANKS TO BE INSTALLED AID) TESTED IN ACCORDANCE <br />4. PRIMARY TANK TEST: PSI: HRS/MIN: <br />P <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />R <br />T <br />9. UNUSED TANK OPENINGS SEALED AMD CORROSION PROTECTED (CCR 2635) <br />0 <br />I <br />10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br />V <br />A <br />11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCA 2635 (B)) <br />E <br />L <br />18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br />D <br />S <br />19. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />21. "C" FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br />1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br />2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br />INITIAL INS tLIlONS <br />YIYING INSPECTIONS <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/NIM: BRINE(LIQUID ANNULAR): OTHER: <br />7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2635 (A) (4)) <br />4. PRIMARY TANK TEST: PSI: HRS/MIN: <br />8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (A)) <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />YIYING INSPECTIONS <br />rlx L INSYt LIIUN <br />6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) (CCR 2635 (B) (4)) <br />7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2635 (A) (4)) <br />8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (A)) <br />9. UNUSED TANK OPENINGS SEALED AMD CORROSION PROTECTED (CCR 2635) <br />10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br />11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCA 2635 (B)) <br />rlx L INSYt LIIUN <br />EH23-006 3/92 (REVISED 11\92) <br />8 <br />12. PERFORMANCE TEST FOR 'ALL' MONITORING PROBES (CCR 2632 (C) (2)) <br />13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br />14. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2632 (D) 2635 (B) (5)) <br />15. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2635 (B) (5)) <br />16. BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) <br />17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br />18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br />19. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br />20. MONITORING PLAN, RESPONSE PLAN AND LOG HOOK ON SITE (CCR 2632 (E) (1) (2)) <br />21. "C" FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br />22. MCNITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) <br />23. ALL CONDiT IONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 (E) (F)) <br />EH23-006 3/92 (REVISED 11\92) <br />8 <br />