Laserfiche WebLink
NEW UST INSTALLATION INSPECTION RECORD <br /> s <br /> FACILITY NAME: (ypCG Gy D/L ►'�A 2�Lc+✓L� ADDRESS: q3D <br /> FACILITY ID# TANK# '557768" U0TANK MCOEL/MATERIAL• w4•�pgIIO' <br /> CAPACITY: % CDD 61 PRODUCT: ✓/L R.E.H.S: Tesv�r <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 (H+S CODE 25287) <br /> UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> y / j INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: / SOAP: PSI: u4otr?�/j BRINE(LIQUID ANNULAR): OTHER: <br /> 7 ,� `v 4, PRIMARY TANK TEST: PSI: HRS/MIN: <br /> TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) © 7 ?�p � (CCR 2636 (e)) <br /> N / ✓ i SECONDARY PIPING CONTAINMENT TEST PSI:C D OTHER: (CCR 2636 (e)) <br /> 8. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (a) (4)) <br /> I/f 6 ✓I 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br /> y D 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. PERFOR14ANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br /> 14. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br /> 15- PERFORMANCE TEST OF LINE LEAK DETECTION (CCR 2643 (c) (1)) <br /> t7/ G <br /> 6. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (g)) <br /> 17. BALL FLOAT VALVES INSTALLED <br /> 18. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b) (2)) <br /> / 19. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br /> 6/ v 0. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> 21. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br /> 9 22. "Cl- FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br /> 23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br /> b�2 9 V L ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H*S CODE 25284) i <br /> VAPp2 t qC T2— T_( //3_�co� F ✓E i r�G l� 5 � t�16 > � OS u <br /> COMMENTS: '5o A/5 <br /> EH23-006 7/97 <br /> 10 <br />