Laserfiche WebLink
NEW UST INSTALLATION RECORD <br />FACILITY NAME JCl�// /g447O9 FEI�77L/�2L <br />� <br />FACILITY ADDRESS 1B/L_,1O �7,PFfcDL/i�A�IT S(�KZO,t/, C� <br />SWEEPS # TANK# 7 � � U.I.. # L3%'%04>- PRODUCT G ) <br />oie--icv vor5o'T SNOODirr? -;-,;eu <br />DATE <br />APPROVED <br />DISAPPROVED <br />RENS <br />ITEM OR EQUIPMENT PECTED <br />f 7 q <br />✓ <br />a. STED-L 3=N�P) fI S I` Ci <br />ljt/ <br />1. UST INSTALLATION PLANS SUBMITTED & FEES P <br />J/c <br />3. VISUAL INSPECTION OF 20 CONTAINMENT <br />I/lry <br />2. UST INSTALLATION PLANS APPROVED <br />INITIAL INSPECTION <br />PIPING STAGE INSPECTION <br />- <br />1. HOLIDAY TEST (PLASTEEL) <br />z <br />��y/y <br />✓ <br />a. STED-L 3=N�P) fI S I` Ci <br />ljt/ <br />2. BALL FLOAT VALVES INSTALLED <br />J/c <br />3. VISUAL INSPECTION OF 20 CONTAINMENT <br />Ot) <br />3. OVERFILL PROTECTION INSTALLED, DESCRIBE: <br />4. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL <br />PIPING STAGE INSPECTION <br />FINAL INSPECTION <br />5Or " <br />1. PRESSURE TEST (10 AND 20 (NEPA 30)7 <br />��y/y <br />✓ <br />l <br />ljt/ <br />2. BALL FLOAT VALVES INSTALLED <br />J/c <br />L <br />Ot) <br />3. OVERFILL PROTECTION INSTALLED, DESCRIBE: <br />-� - <br />✓ <br />i2�0 <br />4. UNUSED TANK OPENING SEALED & CATHODICALLY PROTECTED <br />d/,�-;j <br />v <br />C✓ j <br />S. VISUAL INSPECTION OF 20 CONTAINMENT ON PIPING <br />jvj /q <br />p� <br />6. MONITORING PORTS IN PLACE & BROUGHT TO GRADE (LOCKABLE <br />WEATHER PROOF COVERS) <br />nom, <br />7. FILL & VENT PIPING BROUGHT TO GRADE <br />71 <br />Cp <br />8. PRODUCT LINE LEAK DETECTOR INPLACE (HARD WIRED) <br />(:!o <br />9. APPROVED UST LEAK MONITORING DEVICE INSTALLED <br />10. ALL GALVANIZED PIPING & FITTINGS PROPERLY WRAPPED <br />11. PRESSURE DECAY TEST ON COMPLETE UST & PRODUCT DELIVERY <br />SYSTEM <br />FINAL INSPECTION <br />5Or " <br />1 ke6SION TEST SUCCESSFULLY COMPLETED AND HARD COPIES <br />��y/y <br />✓ <br />l <br />ljt/ <br />RECEIVED (NFPA 329) <br />J/c <br />L <br />Ot) <br />2. SPILL PROTECTION AT FILL PIPE <br />-� - <br />✓ <br />i2�0 <br />3. PERFORMANCE TEST OF OVERFILL PROTECTION SYSTEM <br />4. PERFORMANCE TEST OF PRODUCT LINE LEAK DETECTOR (HARD <br />WIRED) <br />nom, <br />5. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM(S) ON <br />71 <br />TANK(S) <br />6. PERMIT TO OPERATE APPLICATION COMPLETE <br />7. ACCEPTABLE RECORD KEEPING SYSTEM <br />