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NEW US ' STALLATION INSPECTION RE RD <br /> FACILITY NAME: ADDRESS: °�<� S' t S_/LJ <br /> SWEEPrANKi !- V ( ? % UL>E _ /7 Jp �1rAMK MODEL/MHTERIAL:= Oa.L ' y/`r'�v✓�ll*.�i <br /> CAPACITY: �' U ow PRODUCT: R.E.H. : <br /> A I <br /> P N ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> D S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PLANS SUBMITTED/ FEES PAID (HES CODE 25287, CCR 2635 (D) (8) <br /> 2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> 3- INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PSI: HRS/MIM: BRIME(LIOIID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/MIN: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED BACCFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/3O NIM) (CCR 2635 (B) (4)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI: RRS/MIN: OTHER: (CCR 2635 (A) (4)) <br /> 8. LAKE TEST ON ALL SUMPS (24 HR. MIMI") HRS: (CCR 2635 (A)) <br /> 9- UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED (CCR 2635) <br /> 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (A) (4)) <br /> S 6 KT 11- ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2635 (B)) <br /> FINAL INSPECTION <br /> OK �'- 12. PERFORMANCE TEST FOR 'ALL' MOM ITORING PRODES (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. HALL FLOAT VALVES INSTALLED (CCR 2635 (B) (6)) <br /> 17. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (E) (2)) <br /> TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) (CCR 2631 (D) (5)) <br /> l 19- TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (A) (5)) <br /> 20- MONITORING PLAN, RESPONSE PIAN AND LOG BOOK ON SITE (CCR 2632 (E) (1) (2)) <br /> 'C` FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br /> 0-36-Y MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED teUh fU/LI.R C�4i CRR 1-2644) <br /> v 23. ALL CONDITIONS MET; FACILITY__P11ERMIT ISSUED pp 64S rME 25284 (E) (F)) <br /> COMMENTS: ors ✓i()T alLt �' I.RI ✓` UAB( 'vU Q ti <br /> x\-006 3/92 <br />