Laserfiche WebLink
NEW UST 'STALLATION INSPECTION REC" 7D <br /> NAME: � �� �'< i_1 �GVI ADDRESS: <br /> SWEEPS: TANK# Uli - (n�� TANK M(DEL/kiERIAL: <br /> CAPACITY: 1c PRODUCT: , R.E.H_S. <br /> A I <br /> P M ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE I <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> D S k/� <br /> j^ LO <br /> ITEM OR EQUIPMENT INSAECTED <br /> DATE <br /> D/ 1. LIST PLANS SUBMITTED/ FEES PAID (H}S CODE 25287, CCR 2635 (D) (8) <br /> ,.-�-(�� ✓ .-� 2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> 3. I�AMD TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: S0AP: PST: HRS/MIM: BRINE(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: .�(�^ h,1 �, G PSI:k3(lhr z.8 HRS/NIM: <br /> 5. TANK APPROPRIATELY PLA® WITH (:APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIM) (CCR 2635 (B) (4)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI: 5 HRS/MIM: �16M OTHER: (CCR 2635 (A) (4)) <br /> 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (A)) <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br /> 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br /> R _�R_k'(o ✓ `'� 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (H)) <br /> FINAL INSPECTION <br /> 12. PERFORMANCE TEST FOR 'ALL' MONITORING PROBES (CCR 2632 (C) (2)) <br /> 13. PERFORMANCE TEST OF CONTINl1OUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> ✓ 14. PERFORMANCE TEST OF LIME LEAK DETECTION '_ (CCR 2632 (D) 2635 (B) (5)) <br /> Y/ 15. PERFORMANCE TEST OF AIUTCMATIC PUP SYSTEM SHUT-OFF (CCR 2635 (B) (5)) <br /> 16. BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) <br /> 17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br /> 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> 19. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br /> 20. MONITORING PLAN, RESPONSE PLAN ADD LOG BOOK ON SITE (CCR 2632 (E) (1) (2)) <br /> 21. •C• FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br /> 22. MONITORING METHOD FOR ALL TANKS AMD PIPING APPROVED (CCR 2641-2644) <br /> `�_�- ✓ 23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (HES CODE 25286 (E) (F)) <br /> COMMENTS: <br /> EH23-006 3/92 (REVISED 11\92) <br /> 8 <br />