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NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: /yyr(. CyL �7Q-AL ADDRESS: 93a F. V/ pye AeI� <br /> FACILITY ID# TANK# 'lp ?7-6UL# TANK MODEL/MATERIAL: , <br /> CAPACITY: 3 yyo PRODUCT: R.E.H.S: /e <br /> A 1 <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 /> �S 97 1. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br /> E UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> ,. VACUUM: t '.� SOAP: PSI: RS/ N: D BRINE(LIQUID ANNULAR): OTHER: <br /> 'fes PRIMARY TANK TEST: PSI,- HRS/MIN: <br /> Ly <br /> TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> -� 7 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) !p �-� �y�y (CCR 2636 (e)) <br /> ✓/, 7. SECONDARY PIPING CONTAINMENT TEST PSI: �p H / IN OTHER: (LCR 2636 (e)) <br /> / LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (a) (4)) <br /> 44 y 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> 10. OVERSPILL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br /> 11. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (b)) <br /> 12. PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (c)(1)) <br /> "I FINAL INSPECTION <br /> 13. PERFORMANCE 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 /> 6 ' 16. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (g)) <br /> E 17. BALL FLOAT VALVES INSTALLED <br /> 18. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b) (2)) <br /> P 19. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br /> 20. TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> !0120tv <br /> 21. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br /> "C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br /> MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br /> 4. ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br /> COMMENTS: p`/� 3oM/ ✓TE� �/a / 9H( <br /> EH23-006 7/97 <br /> 10 <br />