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NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY MANE: � � ADDRESS: IqZ �Ih <br /> SLEE35: TANKS ULS I J TANK MCDEL/MATQIAL: Z v O (OJ2)6 <br /> f <br /> CAPACITY: �. PRODUCT: N L 4w <br /> A I <br /> P NALL TANKS TO BE INSTALLED AND TESTED IM ACCORDANCE <br /> p I WITH X&MUFAC1URQ WITTEM SPECIFTCATICMS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> D S <br /> ITEM OR ECIIIPNENT INVEC 70 <br /> DATE <br /> 1. US PLANS SUI3MITTO/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (3) <br /> 6 2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TES'. OF SECONDARY C)O TAINMEAT: HOLIDAY: <br /> VACA)1:I X11 SLAP= PSI: HRS/NIM: BRINECLIQUID ANNULAR): OTHER: <br /> 4_ PRIMARY TANK TEST: v-W 2o PSI: HRS/MIRc <br /> AK5. TANK AP92CPRIATELY PIAWITH APPROVED 3ACFILL (CC2 Z6:35 (A) (3) (4) (6)/ API/PET) <br /> PIPING INSPECTIONS <br /> r1/ l5 I /IG 6. PRIMARY PIPING TES CMIMIMIM 40 PSI/SO MIM) 2.AZ5 (B) (4)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIM: OTHER: Z65 (A) (4)) <br /> ✓� 8_ LAKE TEST ON ALL SUPS (24 AR_ MINIMA) HRS: (CCR 2635 (A)) <br /> r7 6vj� 9. UNLISED TANK OPENINGS SEALED AND CORROSION PACTECTED (CC2 Z635) <br /> 10. OVERSPILL PERFORMANCE TES (CO2 2655 (A) (4)) <br /> lP ( v 11' ALL PIPING AND F=IRGS CORROSION PROTECTED ( 'C.3 2635 (B)) <br /> FIIULL INSPECTION <br /> PERFCRNANC TEST FOR 'ALL' MONITORING PROBES (C..i' 26>Z (C) (2)) <br /> PERFORMANC TES OF COTINRKAIS MONITORING SYSTEM (PANEL) (COS 2632 (A) (21) <br /> v 14_ PERFCRNA iCE TEST OF LIME LEAK DETECTION .Q L N -t' CCOA Z63L (D) 26335 (3) (5)) <br /> PERFTRMANa TES OF AUTOMATIC PCS SYSTEM SHUT-OFF (C.R. 2635 (B) (5)) <br /> 16_ HALL FLOAT VALVES INSTALLEB 26355 (B) (6)) <br /> 7. OVERFILL PROTECTICK INSTALLED/APPRCVED (CC2 2535 (E) (2)) <br /> l O v TANK ACCESS PORTS 3RCXHT TO DUDE (LOCXED AND WATERTIGHT) CC'...2' 2631 (D) (5)) <br /> Q �" n 119_ TANK INTEGRITY TES (PASSING HARD COPY) y' �� GrI�l MI6 CCC3 263'5 (A) (5)) <br /> 1 �w TC MCNITCRIMG PLAN, RESPONSE PWI BOOK ON SITE (CO2 Z632 (E) (1) C2)) <br /> 'C FORM COPI.E7f7 AND SUBMITTED CCS 2635 (E)) <br /> ✓ MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CO2 2641-26") <br /> 173_ ALL CCNDITIONS MET; FACILIITTAY PERMIT I551DFD (H+S CME 252;4 (E) (F)) <br /> CO MEMT4: <br /> E92-�-0(36 3/92 (REVISED 11\92) <br /> 3 <br />