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• IYCTT VJI 11YJIMLv�I �v.. .,.v. -- - <br /> FACT,LITY NAME: Fle- F I ADDRESS: �+yJDa �, p.� <br /> SLEEPSi TANKf •J U�O ULi - �l Z'�TANK MODEL/MATERIAL `0 <br /> CAPACITY: W V PRODUCT: UL 9QS R.E.H.S: �,;Cj aS�l\Oki <br /> A I <br /> p M ALL TANKS TO BE INSTALLED AND TESTED IM ACCORDANCE <br /> P I WITH MANUFACTURER WITTEN SPECIFICATIONS 15 3 <br /> R T <br /> D I c- <br /> V A <br /> E L <br /> 0 S <br /> ITEM OR EOUIPI(EMT INSPECTED ,I _N .FQy-� la <br /> DATE W <br /> DATE � 1. UST PLANS S"ITTED/ FEES PAID (H+S CME 25287, CCR 2635 (D) (8) <br /> UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> ]MIT IAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: . <br /> VA(U(IN: SOAP: PSI: HRS/MIM: BR1ME(LIOUID ANNULAR): OTHER: <br /> 4. PRIMART TAAX TEST: PSI: HRS/MIN: - <br /> S. TANK APPV.PR•ATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS S S q.0 <br /> �ND-¢ \q 6. PRIMARY '.'.PING TEST (MINIMUM 40 PSI/30 MIM) 4,4 (CCR 2635 (B) (U) <br /> y7. SECOHDART PIFING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2635 (A) (4)) <br /> I// U `8. LAE TEST OW ALL AIDS (24 HR. MIMIMJM) HRS: (CCR 2635 (A)) <br /> 9. UNUSED TANK O'=WINGS SEALED AND CORROSION PROTECTED (LCA 2635) <br /> y 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) O4)) <br /> 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <br /> FINAL INSPECTION <br /> S_za-1 7 12. PERFORMANCE TEST FOR •ALL• MONITORING PROBES (CCR 2632 (C) (2)) <br /> -9 13. PERFORMAMCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> N 14. PERFORMANCE TEST OF LINE LEAK DETECTION Z�,kC O V, (CCR 2632 (D) 2635 (B) (5)) <br /> 15. PERFORMANCE TEST OF AUTOMATIC RMP SYSTEM SMUT-OFF ' . (CCR 2635 (B) (5)) <br /> s•7.ES ✓ 16. BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) <br /> S 2.$ 117. OVERFILL PROTECTION INSTALLED/APPROVED W!a O( 4Iq L t (CCR 2635 (E) (2)) <br /> 18. TANK ACCESS PORTS BRGUGHT TO WADE (LOCKED AND U&TERTIGHT) (CCA 2631 (D) (5)) <br /> 19. TANK INTEGRITY TEST (PASSING HARD COPT) (CCR 2635 (A) (5)) <br /> ',Z- '_(� ✓ y 20. MONITORING PLAN, RESPONSE PLAN AND LOG BOO: ON SITE (CCR 2632 (E) (1) (2)) <br /> q7 ✓ 21. `C• FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br /> 22. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) <br /> 9-1 ✓ !/ 23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S (ODE 25284 (E) (F)) <br /> COMMENTS: <br /> EH23-006 3/92 (REVISED 11\92) <br /> 8 <br />