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NEW UST 'ISTALLATION INSPECTION REC "iD FACIL.TY MAME: II ADDRESS: �L SIIEEPSO TANK/ ULS l' TANK NOOEL/MATERIAL: CAPACITY: '3 00(0 PRODUCT. U c( 2 ` R.E.H.S: INITIAL INSPECTIONS A I 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: VACUUM: SOAP: PSI: HRS/MIN: RRIME(LIQUID ANNULAR): OTHER: P N ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE 4. PRIMARY TANK TEST: PSI: HRS/MIN- P I WITH MANUFACTURER WRITTEN SPECIFICATIONS 5. TANK APPROPRIATELY PLA® WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) R T 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) 0 I 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (0) V A 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) E L 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) 0 S 19. TANK INTEGRITY TEST (PASSING HARD COPT) (CCR 2635 (A) (5)) ITEM OR EQUIPMENT INSPECTED DATE 21. 'C• FORK COMPLETED AID SUBMITTED (CCR 2635 (E)) 1. UST PLANS SUBMITTED/ FEES PAID (HK CODE 25287, CCR 2635 (D) (8) 2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) INITIAL INSPECTIONS PIPING INSPECTIONS 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: VACUUM: SOAP: PSI: HRS/MIN: RRIME(LIQUID ANNULAR): OTHER: 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2635 (A) (4)) 4. PRIMARY TANK TEST: PSI: HRS/MIN- 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (A)) 5. TANK APPROPRIATELY PLA® WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) PIPING INSPECTIONS FINAL INSPECTION 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIM) (CCR 2635 (B) (4)) 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2635 (A) (4)) 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (A)) 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (0) 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) FINAL INSPECTION EH23-006 3/92 (REVISED 11\92) 12. PERFORMANCE TEST FOR 'ALL' MONITORING PROBES (CCR 2632 (C) (2)) 13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) 14. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2632 (D) 2635 (8) (5)) 15. PERFORMANCE TEST OF AIROMATIC PUP SYSTEM SHUT-OFF (CCR 2635 (6) (5)) 16. BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) 17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) 18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) 19. TANK INTEGRITY TEST (PASSING HARD COPT) (CCR 2635 (A) (5)) 20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK CM SITE (COR 2632 (E) (1) (2)) 21. 'C• FORK COMPLETED AID SUBMITTED (CCR 2635 (E)) 22. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) 23. ALL COW(TIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284 (E) (F)) EH23-006 3/92 (REVISED 11\92)