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NEW UST INSTALLATION INSPECTION RECgRD <br />FACILITY HAKE: AR C(7 l <br />ADDRESS: 5) <br />S maw TAW Cos <br />rANK iMmEt/MAt)slu.: <br />CAPACITY: PRCOUCT: <br />A I <br />P N ALL TAN= TG BE INSTALLED AND TESTED IN ACCORDANCE <br />P I WITH MANUFACTURER WRITTEN SPECIFICATICNS <br />R T <br />D I <br />V A <br />E L <br />D S <br />DATE I I I ITOI OL EONIPMw INSPECTED <br />1. UST PLANS WOMITTFD/ FEES PAID (INS CME 25287, CCR 2635 (D) (8) <br />L LIST INSTALLATION PLANS APPROVED (CCC 2635 (E) CS)) <br />INITIAL INSPELTICNS <br />rwlw imu L TIONS <br />6. <br />3- <br />INSPECTION AND TEST OF SECONDARY CONTAINMENT: <br />HOLIDAY: <br />SERC DART PIPING CONTAINMENT TEST PSI: as/MIN: OTHER: <br />VACUUM: SOAP: PSI: MRSIHIN: <br />BRINE(LIOUID ANGULAR): 0T8FR: <br />LIKE TEST IN ALL SIPS (24 A@_ MINIMUM) NRS: <br />4_ <br />PRIMARY TANG IEST: PSI: <br />NRS/MIN: <br />(CCs 2635) <br />5. <br />TANK APPRCPRIATELT PLA® WITH APPROVED BACKFILL <br />(CCR 2635 (A) (3) (4) C6)/ API/PEI) <br />rwlw imu L TIONS <br />6. <br />PRIMARY PIPING TEST (MINIMUM 40 PSI/3O MIM) <br />((SR 2635 (8) (4)) <br />7_ <br />SERC DART PIPING CONTAINMENT TEST PSI: as/MIN: OTHER: <br />CC= 2635 (A) CO) <br />8. <br />LIKE TEST IN ALL SIPS (24 A@_ MINIMUM) NRS: <br />(COR 2635 U)) <br />9. <br />UNUSED TANK CPE)IINCS SEALED AND Cl7RRMICI1 PROTECTED <br />(CCs 2635) <br />10. <br />OVERSPILL PERFORMANCE TEST <br />(Cls 2635 CA) (4)) <br />it. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />(CCR 2635 (8)) <br />FINAL INSPECTION <br />m (REVISED 11\92) <br />12. PERFORMANCE TEST FOR •ALL• MONITORING PROBES <ts-z 2632 (I:) (2)) <br />13. PERFORMANCE TEST OF (DMITIXUCUS MONITCRING SYSTEM (PANEL) (COs 2632 CA) C2)) <br />14. PERFORMANCE TEST OF LIME LEAK DETECTION (lam 2632 (D) 2635 (8) (5)) <br />15- PERFORMANCE TEST OF AUIDN(TTC RIP SYSTEM S>QIT-OFF (Cis 2635 (8) (5)) <br />16_ BALL FLOAT VALVES INSTALLED (tit 26.35 (8) (6)) <br />17. CIVERFILL PROTECTION IMSTALLED/APPROVED C= 2635 (E) (23) <br />I <br />1 <br />18. TANK ACEESs PORTS BQOUHT TO GRADE (LOOD;D AND WATERTIGHT) (CQ 2631 CD) (5)) <br />19. TANK INNEGRITT TEST (PASSING NATm ODPT) (CCs Z635 (A) (5)) <br />1.2,- <br />MONITORING PLAN, Dcmwa PLAN AND LOG BOOK ON SITE (CUR 2632 In (1) a)) <br />21. FORM COMPLETED AND SUBMITTED (Cts 2615 (E)) <br />22_ MONITORING METHM FOR ALL TANKS AND PIPING APPROVED (RLR 2641-2644) <br />23_ ALL CCDITTONS MET; FACILITY PERMIT ISSUED ()++S CME 25284 (E) (F)) <br />m (REVISED 11\92) <br />