Laserfiche WebLink
NEW UST INSTALLATION INSPECTION RECORD <br />FACILITY NAME: 1�1 VQ-ol ADDRESS. 377 -tmAry 81✓d <br />SWEEPSB �TANKt f1 ULt 819,!/ TANK MODEL/MATERIAL: �/riY /= <br />CAPACITY. V20 r)op PRODUCT. ��G R_E.H.S. D m <br />e <br />INITIAL INSPECTIONS <br />A <br />I <br />3_ INSPECTION AND TEST OF SECONDARY CONTAINMENT. HOLIDAY: <br />VACUUM- SOAP: /,. PSI: 7 1I'yHRS/MIM: /_ BRIME(LIQUID AMOM)LAR): OTHER: <br />W <br />(CCR 2635 (B) (4)) <br />j j _& <br />P <br />M <br />ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br />BRS/MIMOfIER: Fs <br />(CCR 2635 (A) (4)) <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CUR 2635 (A) (3) (4) (6)/ API/PEI) <br />P <br />I <br />WITH MANUFACTURER WRITTEN SPECIFICATIONS <br />HRS: <br />(CCR 2635 (A)) <br />15. <br />R <br />0 <br />T <br />I <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />(CCR 2635) <br />16. <br />BALL FLOAT VALVES INSTALLED LtVo 3„a q - <br />V <br />A <br />(CCR 2635 (A) (4)) <br />r a 9- 4� <br />✓ <br />E <br />L <br />(CCR 2635 (B)) <br />(CCR 2631 (D) (5)) <br />0 <br />S <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />(CCR 2635 (A) (5)) <br />{� MK <br />✓ <br />20. <br />MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE N �'_ <br />(CCR 2632 (E) (1) (2)) <br />ITEM OR EQUIPMENT INSPECTED <br />GATE <br />'C' FORM COMPLETED AND SUBMITTED <br />(CCR 2635 (E)) <br />(✓11 AQ <br />MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED <br />44 <br />(CCR 2641-26) <br />.. Ix ✓Q <br />1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br />ALL CONDITIONS MET; FACILITY PERMIT ISSUED <br />(H+S CEDE 25284 (E) (F)) <br />2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br />INITIAL INSPECTIONS <br />l0(t^Xgi Ho 4 <k r 'iU/), n,;, ,:PIPING IM�LTIONS .�/. iA.t . A Dr C r A /) YN✓n,.. <br />1?M <br />b. <br />3_ INSPECTION AND TEST OF SECONDARY CONTAINMENT. HOLIDAY: <br />VACUUM- SOAP: /,. PSI: 7 1I'yHRS/MIM: /_ BRIME(LIQUID AMOM)LAR): OTHER: <br />W <br />(CCR 2635 (B) (4)) <br />j j _& <br />13. <br />4. PRIMARY TANK TEST: PSI: cJ. - NRS IM• <br />SECONDARY PIPING CONTAINMENT TEST PSI: <br />BRS/MIMOfIER: Fs <br />(CCR 2635 (A) (4)) <br />5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CUR 2635 (A) (3) (4) (6)/ API/PEI) <br />l0(t^Xgi Ho 4 <k r 'iU/), n,;, ,:PIPING IM�LTIONS .�/. iA.t . A Dr C r A /) YN✓n,.. <br />FINAL INSPECTION <br />I YN[/Owl <br />b. <br />PRIMARY APING YESIf (NIMMINUIN 40 PSI/30 MIM) <br />St) p I O ),�_ <br />(CCR 2635 (B) (4)) <br />j j _& <br />13. <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM CP18EL) <br />SECONDARY PIPING CONTAINMENT TEST PSI: <br />BRS/MIMOfIER: Fs <br />(CCR 2635 (A) (4)) <br />14. <br />PERFORMANCE TEST OF LINE LEAK DETECTION 5 <br />P"f- <br />/41 <br />LANG_ TEST OM ALL SUMPS (24 HR. MINIMUM) <br />HRS: <br />(CCR 2635 (A)) <br />15. <br />J4/7. <br />- <br />UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br />(CCR 2635) <br />16. <br />BALL FLOAT VALVES INSTALLED LtVo 3„a q - <br />. <br />OVERSPILL PERFORMANCE TES( <br />(CCR 2635 (A) (4)) <br />r a 9- 4� <br />✓ <br />11. <br />ALL PIPING AND FITTINGS CORROSION PROTECTED <br />(CCR 2635 (B)) <br />FINAL INSPECTION <br />I YN[/Owl <br />12. <br />PERFORMANCE TEST FOR 'ALL' MONITORING PROBES <br />(CCR 2632 (C) (2)) <br />✓-A 1, 4(0 <br />Vr <br />13. <br />PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM CP18EL) <br />(CCR 2632 (A) (2)) <br />✓ it <br />V <br />14. <br />PERFORMANCE TEST OF LINE LEAK DETECTION 5 <br />P"f- <br />/41 <br />(CCR 2632 (D) 2635 (B) (5)) <br />15. <br />SN1 -OFF C/Nt1'te <br />PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEMf <br />(CCR 2635 (B) (5)) <br />"�� <br />✓ <br />16. <br />BALL FLOAT VALVES INSTALLED LtVo 3„a q - <br />/u <br />(CCR 2635 (B) (b)) <br />17. <br />OVERFILL PROTECT IOM INSTALLED/APPROVED u+(�R' Or"Lt ' <br />CCR (E) (2)) <br />TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) <br />(CCR 2631 (D) (5)) <br />9. <br />TANK INTEGRITY TEST (PASSING HARD COPY) <br />(CCR 2635 (A) (5)) <br />{� MK <br />✓ <br />20. <br />MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE N �'_ <br />(CCR 2632 (E) (1) (2)) <br />— 0-4o, <br />1. <br />'C' FORM COMPLETED AND SUBMITTED <br />(CCR 2635 (E)) <br />(✓11 AQ <br />MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED <br />44 <br />(CCR 2641-26) <br />.. Ix ✓Q <br />_ <br />ALL CONDITIONS MET; FACILITY PERMIT ISSUED <br />(H+S CEDE 25284 (E) (F)) <br />r�1 <br />iP•�S <br />