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., -. . NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: 7 J I ADDRESS: 711, <br /> ? CC <br /> ( - P / <br /> FACILITY ID* r�� ' TANK# =��(G ULX 41-1-176)Tg'TANK MODEL ERIAL. <br /> �ap{) <br /> CAPACITY: �0 PRODUCT: f, / R.E.H.S: - <br /> A I <br /> P N ALL TANKS TO 3E INSTALLED AND TESTED IN ACCORDANCE f1 II <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS ^ RC Rel <br /> R T �/ <br /> 0 I <br /> v A �m- 1776A, <br /> E L <br /> o s <br /> ) <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE H Q� <br /> Ta1. UST PLANS SUBMITTED/ FEES PAID (H+S CCOE 25287) <br /> UST INSTALLATION PLANS APPROVED <br /> 11 INITIAL INSPECTIONS <br /> �..� �. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACIAkI: IcLh, SOAP. PSI: HRS/MIN: 3RINE(LIQUIO ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/MIN: <br /> i. TANK APPROPRIATELY PLACED WITH APPROVED 3ACXFtLL (API/PEI) <br /> PIPING INSPECTIONS <br /> PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIH) l`5nl,_ l (CCR 2636 (e)) <br /> .' 1- 9 I P / SECONDARY PIPSNG CONTAINXE147 TEST PSI:q,fHRS/MIN: _j OTHER: (CCR 2636 (e)) <br /> y7971 <br /> ✓ �/% a. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (a) (4)) <br /> It jt) 71 �yp. UNUSED TANK OPENINGS SEALED AND =RROSION PROTECTED VOS PEI <br /> U� 110. OVERSPILL PERFORMANCE TEST (CCR Z635 (b) (1) (C)) <br /> ALL PIPING AND FITTINGS CORROSION PROTECTED kArI�I R�r Fl E'x (CCR 2636 (b)) <br /> /�L•'7 ' �� PIPING SLOPES i0 COLLECTION SUMP (CCR 2636 (c)(1)) <br /> FINAL !NSPECTICH <br /> 113. PERFORMANCE TEST FOR "ALL" 40NITCRING PROBES (CCR 2632 (c) (2)) <br /> 114. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br /> 115. PERFORMANCE TEST OF LINE LEAK DETECTION (CCI 2643 (c) (1)) <br /> 116. PERFORMANCE TEST OF CIIATIC PIMP SYSTEM SHUT-OFF (CCR 2636 (g)) <br /> 17. BALL FLOAT VALVE INSTALLED <br /> 18. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 26=5 (b) (2)) <br /> 119. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br /> 120. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 26.35 (a) (5)) <br /> 121. MONITORING PLAN, .RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br /> 122. "C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br /> 123. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br /> �2 ALL QCZMDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25254) <br /> COMMENTS: krEL"la, Azke tlf STa.ti t 1 a 66 p n• /LIZ." ',y' 7 0 K Y-,�1- 4 9 <br /> EH23--006 9/95 <br />