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NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: 2 :l `G.'2 7- / / ADDRESS: <br /> FACILITY ID# TANKS ,j ULAN 1 /f TANK *MEL/MATERIA <br /> CAPACITY: 1 j ; t-H.z- V <br /> �. PRODUCT: R.E.4.S: <br /> A [ <br /> P N ALL TANKS 70 BE INSTALLED AND TESTED IN ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS AIVR i <br /> 0 I <br /> V A <br /> E L <br /> 0 S <br /> GATE ITEM OR EQUIPMENT INSPECTED <br /> 145 hl I 1. UST PLANS SUSHI TIED/ FEES PAID (H+S CODE 25287) <br /> Ci <br /> 3UST INSTALLATION PIANS APPROVED <br /> y.5- <br /> INITIAL INSPECTIONS <br /> INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: /9h SOAP; PSI: 4RS/MIN: vt. 3RINE(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TAX TEST: PSI: 4RS/MIN: <br /> TANK APPROPRIATELY PLACED WITH APPROVED 3ACXFiLL (AP UPEI) <br /> PIPING INSPECTIONS <br /> PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) (CCR 2636 (e)) <br /> // 7. SECCNOARY PIPING CONTAINMENT TEST PSI: NRS/MIN: OTHER: (CCR 2636 (e)) <br /> '��` ' ✓ LAKE TEST ON ALL SUMPS (24 4R. MINIMUM) NRS: (CCR 2635 (a) (4)) <br /> -5 i. ✓ UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> 110. GVERSPtLL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br /> ALL PIPING AND FITTINGS CORROSION PROTECTED (CQ 2636 (b)) <br /> PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (c)(1)) <br /> FINAL INSPECTION <br /> I13. PERFORMANCE TEST FOR "ALV' MONITORING PROBES (CCR 2632 (c) (2)) <br /> 14. P ORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (LCR 2632 (c) (2)) <br /> 15. PERF CE TEST OF LINE LEAK DETECTION (CCR 26(Z (c) (1)) <br /> 16. PERFORMANCE ST OF AUTCKATIC PIMP SYSTEM SHUT-OFF (CCR Z636 (g)) <br /> 117. 3ALL FLOAT VA L INSTALLED <br /> 18. OVERFILL PROTECTION TALLED/APPROVED (CCR 26.35 (b) (2)) <br /> 19. TANK ACCESS PORTS BROUGHT "0 GRADE (LOCKED AND WATERTIGHT) API <br /> 120. TANK INTEGRITY TEST (PASSING lAko <br /> COPY) (CCA 2635 (a) (5)) <br /> 121. MONITORING PIAN, RESPONSE PLAN AM LOG 300K ON SITE (C..i' 202 (d)) <br /> N. Z2. "C^ FORM COMPLETED AND SUBMITTED (CQ 2655 (d)) <br /> 123. MONITORING METHOD FOR ALL TANKS AND PIPIN APPROVED (CCR 2630-2636) <br /> 24. ALL CCND ITICMS MET; FACILITY PERMIT ISSUED ;HIS CCOE 25284) <br /> COMMENTS: <br /> EH23-106 9/95 7 <br />