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NEW UST INSTALLATION RECORD <br />FACILITY NAME <br />/4 -c, -.DR <br />FE�nc-irz <br />_. <br />FACILITY ADDRESS /B/9 <br />4po;T V.461TS(a <br />ezov t s'+ <br />SWEEPS # _ TANK # U.L. # <br />II DATE <br />PRODUCT Reb IULC'Apep <br />APPROVED <br />DISAPPROVED RENS <br />ITEM OR EQUIPMENT INSPECTED <br />1. HOLIDAY TEST (PLASTEEL) <br />1. UST INSTALLATION PLANS SUBMITTED & FEES PAID <br />2. UST INSTALLATION PIANS APPROVED <br />INI TIAL INSPECTION <br />FINAL INSPECTION <br />1. HOLIDAY TEST (PLASTEEL) <br />2. AIR TESTED @ S PSI (FRP) <br />3. VISUAL INSPECTION OF 20 CONTAINMENT ,. <br />4. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL <br />PIPING STAGE INSPECTION <br />S. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM(S) ON <br />TANK(S) <br />1. PRESSURE TEST (10 AND 20 (NFPA 30)) <br />6. PERMIT TO OPERATE APPLICATION COMPLETE <br />2. BALL FLOAT VALVES INSTALLED <br />7. ACCEPTABLE RECORD KEEPING SYSTEM <br />3. OVERFILL PROTECTION INSTALLED, DESCRIBE: <br />4. UNUSED TANK OPENING SEALED & CATHODICALLY PROTECTED <br />S. VISUAL INSPECTION OF 20 CONTAINMENT ON PIPING <br />6. MONITORING PORTS IN PLACE & BROUGHT TO GRADE (LOCKABLE <br />WEATHER PROOF COVERS) <br />7. FILL & VENT PIPING BROUGHT TO GRADE <br />S. PRODUCT LINE LEAK DETECTOR INPLACE CHARD WIRED) <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 />tri 13 UUO Il(tV 4 -Z3 -Yl) <br />1. PRECISION TEST SUCCESSFULLY COMPLETED AND HARD COPIES <br />RECEIVED CNFPA 329) <br />2. SPILL PROTECTION AT FILL PIPE <br />3. PERFORMANCE TEST OF OVERFILL PROTECTION SYSTEM <br />4. PERFORMANCE TEST OF PRODUCT LINE LEAK DETECTOR (HARD <br />WIRED) <br />S. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM(S) ON <br />TANK(S) <br />6. PERMIT TO OPERATE APPLICATION COMPLETE <br />7. ACCEPTABLE RECORD KEEPING SYSTEM <br />tri 13 UUO Il(tV 4 -Z3 -Yl) <br />