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NEW UST STALLATION INSPECTION RECORD <br /> FACILITY NAME: ADDRESS: <br /> SWEEPS# TANK# UL# TANK MODEL/MATERIAL: <br /> CAPACITY: PRODUCT: R.E-H.S: <br /> A I <br /> P M ALL TANKS TO BE INSTALLED AND TESTED IN ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> 111 <br /> 0 1 <br /> V A <br /> E L <br /> D S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PLANS SUBMIITTTD/ FEES PAID (H+S CODE 25287, CCR 2635 (D) (8) <br /> 2. UST INSTALLATION PLANS APPROVED (CCR 2635 (E) (5)) <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AMD TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VADUM: SOAP: PSI: HRS/MIM: BRIME(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/MIN: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (CCR 2635 (A) (3) (4) (6)/ API/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (HLMIMUM 40 PSI/30 HIM) (CCR 2635 (B) (4)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2635 (A) (4)) <br /> 8. LAKE TEST ON ALL SIPS (24 HR. MINIMUM) NRS: (CCR 2635 CA)) <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 (B)) <br /> FINAL INSPECTION <br /> 12. PERFORMANCE TEST FOR 'ALL' MONITORING PROBES (CCR j2635 <br /> (C) (2)) <br /> 13. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PAM L) (CCR (A) (2)) <br /> 14. PERFORMANCE TEST OF LINE LEAK DETECTION _ (CCR (D) 2635 (B) (5)) <br /> 15- PERFORMANCE TEST OF AUTOMATIC PUP SYSTEM SHUT-OFF (CCR (B) (5)) <br /> 16. BALL FLOAT VALVES INSTALLED (CCR (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.P+� INTEGRITY TEST (PASSING HARD COPY) (COR 2635 (A) (5)) <br /> 20. MONITORING PLM, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (E) (1) (2)) <br /> 21. 'C' FORM COMPLETED AND SUBMITTED (CCR 2635 (E)) <br /> 22. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2641-2644) <br /> 23. ALL CODITIONS MET; FACILITY PERMIT ISSUED (H+5 CODE 25284 (E) (F)) <br /> COMMENTS: <br /> EH23-006 3/92 (REVISED 11\92) <br /> 8 <br />