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NEW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: ADDRESS: <br /> FACILITY ID# TANK# UL# TANK MODEL/MATERIAL: <br /> CAPACITY: s 'F PRODUCT: R.E.H.S: <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 /> / 2. UST INSTALLATION PLANS APPROVED <br /> V INITIAL INSPECTIONS <br /> INSPECTION AND TEST OF SECONDARY CONTAINMENT: y! HOLIDAY: <br /> 6115FTTi�� VACUUM: SOAP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br /> � <br /> 4. PRIMARY TANK T T: PSI: HRS/MIN: <br /> to <br /> TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (AP[/PEI) <br /> PIPING INSPECTIONS <br /> (CCR 2636 (e)) <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) <br /> t, V SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 263 (e)) <br /> 5 <br /> LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) <br /> HRS: (CCR 2635 (a) (4)) <br /> PEI <br /> q, UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED <br /> (CCR 2635 (b) (1) (C)) <br /> 10. OVERSPILL PERFORMANCE TEST <br /> 11. ALL PIPING AND FITTINGS CORROSION PROTECTED <br /> (CCR 2636 (b)) <br /> 2. PIPING SLOPES TO COLLECTION SUMP <br /> (CCR 2636 (c)(1)) <br /> V \ FINAL INSPECTION <br /> 13. PERFORMANCE TEST FOR "ALL" MONITORING PROBES <br /> (CCR 2632 (c) (2)) <br /> 14. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) <br /> (CCR 2632 (c) (2)) <br /> (CCR 2643 (c) (1)) <br /> 15. PERFORMANCE TEST OF LINE LEAK DETECTION <br /> 16. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF <br /> (CCR 2636 (g)) <br /> 17, BALL FLOAT VALVES INSTALLED <br /> (CCR 2635 (b) (2)) <br /> 18, OVERFILL PROTECTION INSTALLED/APPROVED <br /> 19. TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED,AND WATERTIGHT) <br /> API <br /> 20. TANK INTEGRITY TEST (PASSING HARD COPY) <br /> (CCR 2635 (a) (5)) <br /> 21. MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE <br /> (CCR 2632 (d)) <br /> 22, "C" FORM COMPLETED AND SUBMITTED <br /> - (CCR 2635 (d)) <br /> 23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED <br /> (CCR 2630-2636) <br /> 24. ALL CONDITIONS MET; FACILITY PERMIT ISSUED <br /> (H+S CODE 25284) <br /> COMMENTS: <br /> EH23-006 9/95 <br /> 10 <br />