Laserfiche WebLink
NEW US INSTALLATION INSPECTION REGQRD <br />FACILITY NAME: 4pc, 14 0"L ADDRESS: -yi JJ :.i. C -{0.i `(�1 F_Qzt <br />SWEEPS# TANKS uL'TANK ME/1rERILL: ,Ljz-_ xs9 <br />CAPACITY. -,00,0 PROD(ICT: U L--'— R.E.A.S: <br />INITIAL INSPECTIONS <br />A <br />I <br />3- INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS : /,) BRIME(LIQUID ANNULAR): OTHER: <br />/ <br />P <br />M <br />ALL TANKS TO RE INSTALLED AID TESTED IN ACCORDANCE <br />P <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />RI <br />9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br />O <br />I <br />10. OVERSPILL PERFORMANCE TEST (CCA 2635 (A) (4)) <br />V <br />A <br />11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <br />E <br />L <br />18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (COR 2631 (D) (5)) <br />D <br />S <br />19_ TANK INTEGRITY TEST (PASSING HARD COPY) (CCA 2635 (A) (5)) <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />21. 'C' FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br />1. UST PLANS SUBMITTED/ FES PAID (H+S [IDE 25287, CCA 2635 (D) (8) <br />(D�II C:F <br />/ <br />*-� <br />2. USF INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br />INITIAL INSPECTIONS <br />PIPING INSPECTIONS <br />3- INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: HRS : /,) BRIME(LIQUID ANNULAR): OTHER: <br />/ <br />4. PRIMARY TANK TEST: PSI: _t r> HRS16il t p <br />5. TANK APPROPRIATELY PLACED WITH APPROVED &(CKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />PIPING INSPECTIONS <br />FINAL INSPECTION <br />6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIM) (CCR 2635 (8) (4)) <br />7. SECONDARY PIPING CONTAINMENT TEST PSI: HRSMIM: OTHER: (CCR 2635 (A) (4)) <br />8. LAKE TEST ON ALL SUPS (24 HR. MINIMUM) HRS: (CCA 2635 (A)) <br />9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br />10. OVERSPILL PERFORMANCE TEST (CCA 2635 (A) (4)) <br />11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <br />FINAL INSPECTION <br />'-006 3/92 <br />12. PERFORMANCE TEST FOR 'ALL' MONITORING PROBES (CCR 2632 (C) (2)) <br />13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (A) (2)) <br />14. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2632 (D) 2635 (B) (5)) <br />15. PERFORMANCE TEST OF AUTOMATIC PUP SYSTEM SHUT-OFF (CCR 2635 (B) (5)) <br />16. BALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) <br />17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br />18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (COR 2631 (D) (5)) <br />19_ TANK INTEGRITY TEST (PASSING HARD COPY) (CCA 2635 (A) (5)) <br />20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCA 2632 (E) (1) (2)) <br />21. 'C' FORM COMPLETED AND SUBMITTED (CCR 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 25284 (E) (F)) <br />'-006 3/92 <br />