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NEW UST INSTALLATION INSPECTION RECORD <br />FACILITY NAME: 72RCO 4H77D/q ADDRESS: 3515 <br />r5 C -14a m rn C,r- <br />SWEEPS# TAR/UL! TANK MODELpMTERIAL: <br />CAPACITY: L PRODUCT: R.E.H.S: �SYiC0kC3-- <br />INITIAL INSPECTIONS <br />A <br />I <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIM- BRINE(LIQUID ANNULAR): OTHER: <br />P <br />M <br />ALL TARE TO BE INSTALLED AND TESTED IN ACCORDANCE <br />4. PRIMARY TANK TEST: PSI: HRS/MIN- <br />P <br />I <br />WITH MARUFACTULER WRITTEN SPECIFICATIONS <br />5- TANK APPROPRIATELY PLACID WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />R <br />T <br />y <br />fr <br />O <br />I <br />NRS: <br />(COR 2635 (A)) <br />V <br />A <br />BALL FLOUT VALVES INSTALLED ��U.1 c%o* <br />9. <br />E <br />L <br />17. <br />/ <br />D <br />S <br />OVERSPILL PERFORMANCE TEST <br />a. <br />(CCR 2635 (A) (4)) <br />'I q 1 <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />1. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />(CCR 2635 (A) (5)) <br />(COR 2635 (B)) <br />20. <br />UST PLANS SUBMITTED/ FEES PAID (H -S CODE 25287, CCR 2635 (D) (8) <br />(CCR 2632 (E) (1) (2)) <br />('� <br />L <br />2. BST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br />INITIAL INSPECTIONS <br />V-49., 6 PIPING INSPECTIONS LI L 7 c) t-1 Sq! P '�011CO <br />2 <br />✓ <br />LI <br />3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS/MIM- BRINE(LIQUID ANNULAR): OTHER: <br />I/ q QS <br />(CCR 2635 (8) (4)) <br />O <br />4. PRIMARY TANK TEST: PSI: HRS/MIN- <br />(CCR 2632 (A) (2)) <br />7. <br />SECONDARY PIPING CONTAINMENT TEST PS11L <br />5- TANK APPROPRIATELY PLACID WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />V-49., 6 PIPING INSPECTIONS LI L 7 c) t-1 Sq! P '�011CO <br />2 <br />✓ <br />LI <br />1 6. <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIM) <br />I/ q QS <br />(CCR 2635 (8) (4)) <br />O <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />(CCR 2632 (A) (2)) <br />7. <br />SECONDARY PIPING CONTAINMENT TEST PS11L <br />NRB/ W515� OFM. <br />(CCR 2635 (A) (4)) <br />3 G <br />y <br />fr <br />8. <br />LAO= TEST ON ALL SLAPS (24 MR. NININUN) <br />NRS: <br />(COR 2635 (A)) <br />16. <br />BALL FLOUT VALVES INSTALLED ��U.1 c%o* <br />9. <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />(COR 2635) <br />17. <br />/ <br />(CCR 2635 (E) (2)) <br />10. <br />OVERSPILL PERFORMANCE TEST <br />a. <br />(CCR 2635 (A) (4)) <br />'I q 1 <br />1. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />(CCR 2635 (A) (5)) <br />(COR 2635 (B)) <br />I FINAL INSPECTION <br />'� QS <br />12. <br />PERFORMANCE TEST FOR 'ALL' MONITORING PROBES <br />(CCR 2632 (C) (2)) <br />I/ q QS <br />13. <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br />(CCR 2632 (A) (2)) <br />V/ <br />14. <br />PERFORMANCE TEST OF LIME LEAK DETECTION <br />(CCR 2632 (D) 2635 (B) (5)) <br />�� (, (js' <br />✓ <br />15. <br />PERFORMANCE TEST OF AUTOMATIC POP SYSTEM SHUT-OFF <br />(CCR 2635 (B) (5)) <br />16. <br />BALL FLOUT VALVES INSTALLED ��U.1 c%o* <br />(CCR 2635 (B) (6)) <br />17. <br />OVERFILL PROTECTION INSTALLED/APPROVED <br />(CCR 2635 (E) (2)) <br />II/9 A S' <br />a. <br />TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) <br />(CCR 2631 (D) (5)) <br />19• <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />(CCR 2635 (A) (5)) <br />20. <br />MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE <br />(CCR 2632 (E) (1) (2)) <br />('� <br />✓ <br />21_ <br />'C' FORM COPLETED AND SUBMITTED <br />(CCR 2635 (E)) <br />(�I�2. <br />MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED <br />(CCR 2641-2644) <br />23_ <br />ALL CONDITIONS MET; FACILITY PERMIT ISSUED <br />(M+S CODE 25284 (E) (F)) <br />EH23-006 3/92 <br />