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NEW UST INSTALLATION INSPECTION RE=R0 <br /> FACILITY NAME: ��-" / m S ADDRESS: 1 t YY <br /> FACILITY I09 n 3 TAN K# UL# TANK MODEL/ ERfAI: <br /> CAPACITY: I GDC/ ^ PRODUCT: Q `• (�L 'T.`.H.S:, -17Ccs . <br /> A I I <br /> P N <br /> ALL TANKS TO 3E INSTALLED AND i`cSTEO IN ACCORDANCE <br /> P I WITH MANUFACTURER WRITTEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> 0 5 <br /> ITEM OR E+UIPME4T INSPECT <br /> )ATE <br /> 1 1. UST PIANS SUBMITTED/ F-EES PAID (H+S CODE 25287) <br /> 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> 1 1 3. INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUTA: SOAP: PSI: NRS/MIN: 3RIME(LI(7UID ANNULAR): OTHER: <br /> 4• PRIMARY TANK TES: PSI: IRS/MIN: <br /> 1 1 I <br /> j. TANK APPROPRIATELY PUC"<D WITH APPROVED 3ACFiLL (APT/PEI) <br /> PIPING INSPECT?ONS .F <br /> PRIMARY PIPING TEST (MINIMUM 40 PST/30 MIN) CCR 2636 (e)) <br /> 1 7. SECONDARY PIPING CONTAINMENT TEST ?SL• HRS/MIN: OTHER: IC= 2636 (e)) <br /> oalld-&YB I LAKE TEST ON ALL SAPS (24 IN. MINIMUM) HRS: <br /> (CCR 2635 C07 <br /> ✓I <br /> UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED DET <br /> �•/j'�� (C:.R 2635 (b) (1) CC)) <br /> OVERSPILL PERFORMANCE TEST <br /> I11. ALL PIPING AND FITTINGS CORROSION PROTED (LIR 2636 (b)) <br /> EEC, <br /> 112. PIPING SLOPES 1-0 COLLECTION SUMP (CCR 2636 (c)(1)) <br /> FINAL INSPECTION <br /> /_/_ <br /> PERFORMANCE TEST FOR "ALL" MONITORING PROBES CCCR 2632 CC) (2)) <br /> PERFORMANCE TEST OF CONTINUCUS MONITORING SYSTEM (PANEL) CCCR 2632 CCI (23) <br /> 15. PE3FCR ucs TEST OF LINE LEAK DETECTION (CCR 2643 CC) (1)) <br /> I116. PERFORMANCETEST OF AUTOMATIC PUMP SYSTEM SHUT-^• 2636 C9)7 <br /> 117. BALL FLOAT VALVES INSTALLED r4,IMw <br /> OVERFILL PROTECTION INSTALLED/APPROVED (CLR 26 (b) (2)) <br /> TANK ACCESS PORTS BROUGHT TO GRADE (LOOKED ANO;WATERTIGHT). AP! <br /> - TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> 0� 1.?-`l G ✓ MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE CCCR 2632 (d)7 <br /> 1 I 22. "C^ -CRM u"RIPLEi ED ANO SURM[TTED (CCR 2635 (d)) <br /> 123. MONITORING METHOD FOR ALL TANKS AMC PIPING APPROVED CCLR 2630"26367 1 <br /> I <br /> I24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED C71+5 CODE 25284) <br /> COMMENTS: <br /> SH23-006 9/95 <br /> 10 <br />