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TALLATION INSPECTION RECORD <br />FACILITY NAME: 7C7 ADDRESS: ,-06-/ C) L 40-0 )'l 0) CLr_ L,41, <br />1EEPS@ TANKA ULi TAMC MCDEL/MATERIAL: <br />:APACITY: 'J l..M/ PRODUCT: R.E_H.S: ` llcLsI1 /CQkO-- <br />INITIAL INSPECTIONS <br />A <br />I <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIM: BRIME(LIQUIO ANNULAR): OTHER: <br />P <br />M <br />ALL TANKS TO BE INSTALLED AND TESTED IM ACCORDANCE <br />4. PRIMARY TANK TEST: PSI: HRS/HIM- <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 />✓ <br />�� <br />0 <br />I <br />HRS: � <br />(CIX 2635 (A)) <br />V <br />A <br />17. OVERFILL PROTECTION INSTALLED/APPROVED (CIX 2635 (E) (2)) <br />9_ <br />E <br />L <br />18- TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CIX 2631 (D) (5)) <br />I <br />D <br />S <br />OVERSPILL PERFORMANCE TEST <br />(CIX 2635 (A) (4)) <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />11. <br />ALL PIPING AND FTTTINGS CORROSION PROTECTED <br />21_ `C` FORA COMPLETED AND SUBMITTED (CIX 2635 (E)) <br />(CCR 2635 (B)) <br />1. UST PLANS SUBMITTED/ FEES PAID (HK CODE 25787, CIX 2635 (D) (8) <br />2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br />INITIAL INSPECTIONS <br />V/ S PIPING INSPECTIONS 1 11 ` Aw r f) A"mr � 400 /. � <br />T <br />'C:yz <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIM: BRIME(LIQUIO ANNULAR): OTHER: <br />/yOs <br />(CCR 2635 (B) (4)) <br />O 'p <br />4. PRIMARY TANK TEST: PSI: HRS/HIM- <br />i <br />7. <br />SECONDARY PIPING CONTAINMENT TEST PSIS <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />V/ S PIPING INSPECTIONS 1 11 ` Aw r f) A"mr � 400 /. � <br />T <br />'C:yz <br />6. <br />PRIMARY PIPING TEST (MINIMUM 4D PSI/30 MIM) <br />/yOs <br />(CCR 2635 (B) (4)) <br />O 'p <br />///(�/,S <br />i <br />7. <br />SECONDARY PIPING CONTAINMENT TEST PSIS <br />HRS�5 5 OTHER: <br />(CIX 2635 (A) (4)) <br />;/c <br />✓ <br />�� <br />8. <br />LAID: TEST ON ALL SUPS (24 HR. MIMI") <br />HRS: � <br />(CIX 2635 (A)) <br />17. OVERFILL PROTECTION INSTALLED/APPROVED (CIX 2635 (E) (2)) <br />9_ <br />UUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />(CIX 2635) <br />18- TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CIX 2631 (D) (5)) <br />I <br />✓ <br />10- <br />OVERSPILL PERFORMANCE TEST <br />(CIX 2635 (A) (4)) <br />20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CIX 2632 (E) (1) (2)) <br />t <br />11. <br />ALL PIPING AND FTTTINGS CORROSION PROTECTED <br />21_ `C` FORA COMPLETED AND SUBMITTED (CIX 2635 (E)) <br />(CCR 2635 (B)) <br />FINAL INSPECTION <br />(I �S <br />12_ PERFORMANCE TEST FOR -ALL- MONITORING PROBES (CIX 2632 (C) (2)) <br />13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br />///(�/,S <br />✓ <br />14. PERFORMANCE TEST OF LIME LEAK DETECTION (CIX 2632 (0) 2635 (B) (5)) <br />15_ PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CIX 2635 (B) (5)) <br />16- BALL FLOAT VALVES INSTALLED 'j:�Ac oo-r � ,�/ (CCR 2b35 (B) (6)) <br />17. OVERFILL PROTECTION INSTALLED/APPROVED (CIX 2635 (E) (2)) <br />18- TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CIX 2631 (D) (5)) <br />I <br />✓ <br />19_ TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br />20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CIX 2632 (E) (1) (2)) <br />t <br />// <br />21_ `C` FORA COMPLETED AND SUBMITTED (CIX 2635 (E)) <br />`l (� <br />MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-26") <br />ALL CONDITIONS NET; FACILITY PERMIT ISSUED (H+S CODE 25234 (E) (F)) <br />EH23-006 3/92 <br />