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NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY MAKE: ADDRESS: 117 64&aR <br /> IN lad <br /> SLEEPS." TAMU t5o UL3 /1 C TANK MODEL/MATERIAL: <br /> CAPACITY: PRODUCT: a <br /> A I <br /> P M ALL TANKS TO BE INSTALLED AND TESTED IM ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> 0 S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25787, CCR 2635 (D) (8) <br /> 2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: W 1 SOAP: PSI: MRS/MIM: BRINE(LIQUID ANNULAR): OTHER: <br /> () 4- PRIMARY 'TANK TEST: Aajm 20 PSI: HRS/MIN: <br /> S. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS <br /> / 6_ PRIMARY PIPING TEST (MINIUM 40 PSI/30 MIN) (CCt 2635 (8) (4)) <br /> I ZJ 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS tt) OTHER: (CCR 2635 (A) (4)) <br /> 8. LAKE TEST ON ALL SUMPS (24 HR. MIMI") HRS: (CCR 2635 (A)) <br /> Z O 9. UNUSED TANK OPENINGS SEALED AMD CORROSION PROTECTED CCOJ2 2635) <br /> 10. OVERSPILL PERFORMANCE TEST p (DGS 2635 (A) (4)) <br /> 11. ALL PIPING AMD FITTINGS CORROSION PROTECTED U pe S t-il 5�-L lice- P'/ `( 2635 (H)) <br /> u <br /> FINAL INSPECTION <br /> 12. PERFORMANCE TEST FOR 'ALL' MONITORING PROBES (CCR 2632 (C) (2)) <br /> 3-: PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br /> i I 14. PERFORMANCE TEST OF LINE LEAK DETECTION - - j (CCR 2632 (0) 2635 (8) (5)) <br /> AS. PERFORMANCE TEST OF AUTOMATIC PMP SYSTEM SHUT-OFF (CCR 2635 (B) (S)) <br /> 16. BALL FLOAT VALVES INSTALLED �� (CTR 2635 (8) (6)) <br /> 17_ OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br /> TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> TANK IMTEGRITY TEST (PASSING HARD COPT) - j/. -_ - (CCR 2635 (A) (5)) <br /> 0. MONITORING PLAN, RESPONSE PLAN AMD LOG BOCK ON SITE (CCR 2632 (E) (1) (2)) <br /> _ a= <br /> •C' FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br /> MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CGI 2641-2644) <br /> S 23. ALL COmITICNS MET; FACILITY PERMIT ISSUED (H+S CCOE 25284 (E) (F)) <br /> CCWENTS. ° I <br /> E423-006 3/92 (REVISED 11\92) <br /> s <br />