Laserfiche WebLink
NEW UST INSTALLATION INSPECTION RECORD <br /> [FACILITY <br /> CILITY NAME: r ADDRESS: w 'I PLS L1 I <br /> IDSTANKS ULf TANKACOEL/MATERIAL: <br /> PACITY: PRODUCT: R.E_H_S: <br /> R T In i,'y3 1V� IN ACCORDANCE <br /> ,My tIIL..'�lUn,ALL TANKS To se WITH MANUFACTURER WRITTEN SPNSTALLED AND ECIFICATIONS <br /> 0 I <br /> V A <br /> E L <br /> 0 S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> 1. UST PLANS SLBMITTEO/ FEES PAID (H+S CODE 25287) <br /> 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AMD TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: SOAP: PSI: HRS/MIN: 3RINE(LIQUID ANNULAR): OTHER: <br /> 4. PRIMARY TANK TEST: PSI: HRS/MIN: <br /> S. TANK APPROPRIATELY PLACED WITH APPROVED SACKFILL (API/PEI) <br /> PIPING INSPECTIONS <br /> 16. PRIMARY PIPING TEST (MINI" 40 PSI/30 MIN) _ O Ps i /--30.,1, h (CCR 2636 (a)) <br /> 7. SECONDARY PIPING CONTAINMENT TEST,? PSI: . HRS IM OTHER: (CQ 2636 (e)) <br /> ,I I ,, S. LAKE TEST ON ALL ROMPS (24 HR. MINIMUM) zi ARS: (CCR 2635 (a) (4)) <br /> 7tiI 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> I� I10. OVERSPILL PERFORMANCE TEST CCQ 2635 (b) (1) (C)) <br /> 111. ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR Z636 (b)) <br /> 117 12- PIPING SLOPES TO COLLECTION SIRUP (CCR 2636 (W(1)) <br /> FINAL INSPECTION <br /> 13. PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br /> i, 14. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br /> 115. PERFORMANCE TEST OF LINE LEAK DETECTION ��� (CCR 2643 (c) (1)) <br /> hl( 1 16. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (9)) <br /> �I'?1' ` I ✓ 17. SALL FLOAT VALVES INSTALLED Y. ,- N t,_)-4 r- i t c A <br /> 18. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b) (2)) <br /> I' 119. TANK ACCESS PORTS SRCUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br /> 120. TANK INTEGRITY TEST (PASSING HARD COPY) -4X (CCR 2635 (a) (5)) <br /> r, 121. MONITORING PLAN, RESPONSE PLAN AND LOG 300K ON SITE (CCR 26.32 (d)) <br /> FORM COMPLETED AMD SUBMITTED (CQ 2635 (d)) <br /> 1 I23- MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br /> r 124. ALL C=ITTONS MET, FACILITY PERMIT ISSUED (H+S CODE 25284) <br /> COMMENTS: <br /> EH23-006 9/95 7 <br />