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NEW U ' STALLATION INSPECTION REf" RD <br />FACILITY NAME: ADDRESS: <br />SWEEPS* TANK* CU� Lo r"...i TANK EML/MTERIAL: x <br />ncRX€,S <br />CAPACITY: �0 ccJ PRODUCT: R.E.H.S: <br />INITIAL INSPECTIONS <br />Q 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: ' O NRS IN:o \cBRINE(LIOUID ANNULAR): OTHER- <br />q"W 71 <br />4. PRIMARY TANK TEST: PSI: vv��HRS <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />PIPING INSPECTIONS <br />A <br />I <br />6. PRIMARY PIPING TEST (MINIMUM 40 PSI/3O MIN) (CCR 2635 (8) (4)) <br />P <br />N <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />P <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />R <br />T <br />9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br />0 <br />1 <br />10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br />V <br />A <br />11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (8)) <br />E <br />L <br />18. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br />D <br />S <br />19. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />21. 'C' FORA COMPLETED AND SUBMITTED (CCR 2635 (E)) <br />1. DST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br />(p .c� q <br />✓ <br />y <br />2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br />INITIAL INSPECTIONS <br />Q 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br />VACUUM: SOAP: PSI: ' O NRS IN:o \cBRINE(LIOUID ANNULAR): OTHER- <br />q"W 71 <br />4. PRIMARY TANK TEST: PSI: vv��HRS <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />PIPING INSPECTIONS <br />FINAL INSPECTION <br />6. PRIMARY PIPING TEST (MINIMUM 40 PSI/3O MIN) (CCR 2635 (8) (4)) <br />7. SECONDARY PIPING CONTAINMENT TEST PSI: MRS/MIN: OTHER: (CCR 2635 (A) (4)) <br />8. LAKE TEST ON ALL SIPS (24 HR. MINIMUM) HRS: (COR 2635 (A)) <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 (8)) <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 (8) (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) (CCR 2631 (D) (5)) <br />19. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br />20. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (E) (1) (2)) <br />21. 'C' FORA COMPLETED AND SUBMITTED (CCR 2635 (E)) <br />22_ MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CIU! 2641-2644) <br />23. ALL CONDITIONS PET; FACILITY PERMIT ISSUED (H -S CONE 25284 (E) (F)) <br />'-006 3/92 <br />