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OEW UST INSTALLATION INSPECTIOR RECORD <br /> FACILITY NAME: EA-CON .r- 9Z- ADDRESS: 470 /V. MAIN 5F mAlvTEcA- <br /> FACILITY IDS TANKS UL: TANK MODEL/MATERIAL:YH 66� S TEE L <br /> CAPACITY: !Lf OOO PRODUCT': G jf$e L-1�/E <br /> A <br /> P M ALL TANKS TO BE INSTALLED AND TESTED IN ACCOROANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> E I <br /> o s <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> t_ UST PLANS SUBMITTED/ FEES PAID (N•S CODE 25287) <br /> 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> 3_ INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> / ✓ VACUAM:" - SOAP: PSI: NRS/MiR: Q SRINE(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: NRS/MIN: <br /> // / C/ ✓ 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (API/PEI) <br /> [[ PIPING INSPECTIONS <br /> PRIMARY PIPING TEST CNINIMM 40 PSI/30 MIM) n (CCR 2636 (e)) <br /> SECONDARY PIPING CONTAINMENT TEST PSI:t.. ` HRS/MIN: OTHER: (CCR 2636 (a)) <br /> 6. LAKE TEST ON-ALL SUMPS (24 HR. MINIMUM) - . . ."MRS: (CCR 2635 (a) (4)) <br /> �y �� ✓ .� 9. UNUSED TANK OPENINGS SEAL!D AND CORROSION PROTECTED PEI <br /> V/ (S 10. OVERSPILL PERFORMANCE TEST CCCR 2635 (b) (1) (C)) <br /> II '.f I �. ✓ cJ'f 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (b)) <br /> 12. PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (c)(1)) <br /> FINAL INSPECTION <br /> 13. PERFORMANCR TEST FOR "ALL" MONITORING PROBES CCCR 2632 (c) (2)) <br /> 7 14. PERFORMANCE TEST OF CONTIMl10US MONITORING STSTEM (PANEL) (CC2 2632 (c) (2)) <br /> / ! ✓ 15. PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2643 (c) (1)) <br /> / 4 �Z f 16. PERFORMUCY TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCA 2636 (9)) <br /> /� L/ ✓ 17. BALL FLOAT VALVES INSTALLED <br /> 1b. OVERFILL PROTECTION INSTALLED/APPROVED / Ll /oli (CCR 2635 (b) (2)) <br /> f 19. TANK ACCESS PORTS SRT TO GRADE CLOCKED AND WATERTIGHT). API <br /> O(IGM <br /> J 20. TANK INTEGRITY TEST (PASSING HARD COPY) (CCA 2635 (a) (5)) <br /> // ✓ 21. MONITORING PIAN, RESPONSE PLAN AND LOG BOGY ON SITE (CU 2632 (d)) <br /> 7 22. ^C^ FORM COMPLETED AND SURNIT7ED CCCR 2635 (d)) <br /> -74 23_ MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630.2636) <br /> 24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED CHK CODE 25284) <br /> COMMENTS: <br /> EN23-006 9/95 <br />