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NEW UST INSTALLATION INSPECTION RECUKU <br /> i <br /> FACILITY NAVE: CyrAJ ADDRESS: <br /> SWEEPS# TAX" ® UI.# TANK MODEL/MATERIAL: <br /> CAPACITY: PRODUCT: R.E.H.S: <br /> A I <br /> P N ALL TANKS TO BE INSTALLED Alm TESTED IN ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> V A S <br /> E L <br /> D S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> to' t- kIll I <br /> 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 252$7, CCR 2635 (D) (8) <br /> io-11.9 7. vi 1 <br /> 2. UST INSTALLATION PLANS APPROVED CCCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> ;, NSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PSI: HRS/MIN: BRINE(LIOUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/MIN: <br /> 5, TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS <br /> 6, pRIMART PING TEST (MINIMUM 40 PSI/30 MIN) (CCR 2635 {B) (4)) <br /> 7. ARY PIPING CONTAINMENT TEST PSI: HRS/Nlli: OTHER; (CCR 2635 (A) (4)) <br /> LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (A)) <br /> 1 <br /> 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br /> 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br /> 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <br /> FINAL INSPECTION <br /> 12- PERFORMANCE TEST FOR "ALL• MONITORING PROBES CCCR 2632 CC) (2)) <br /> L (� ✓ 13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> VV 14. PERFORMANCE TEST OF LINE LEAK DETECTION {CCR 7_b32 (D) 2635 (B) (5)} <br /> / 15. PERFORKANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (M 2635 (B) (5)) <br /> f / 16. BALL FLOAT VALVES INSTALLED (CCR 26.35 (B) (6)) <br /> 17. OVERFILL PROTECTION INSTALLED/APPROVED CCCR Z05 (E) (2)) <br /> / r lift. TANK ACCESS PORTS BROUGHT TO GRADE CLOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> f r 19. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br /> 20. MONITORING PIAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (E) (1) (2)) <br /> 21. NCO FORM COMPLETED AND SUBMITTED CCCR 2635 (E)) <br /> 22. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) <br /> 23. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25204 (E) CF}) <br /> COMMENTS: <br /> EH23-706 3/92 <br />