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NEW UST INSTALLATION INSPECTION RECCRO <br /> FAC:LITY NAME: C 0 ADDRESS: D <br /> FACILITY [0-' ` I TANK a UL. TANK MODEL/MATERIAL: <br /> CAPACITY: � PRCOUCT: R.=.H.S: <br /> A I <br /> P 4 ALL TANKS TO 3E INSTALLED AND icSTED IN ACCORDANCE <br /> P I 'JITH MANUFACTURER uRITfEN SPECIFICATIONS <br /> R T <br /> 0 I <br /> V A <br /> E L <br /> 0 S <br /> ITEM OR EQUIPMENT INSPECTED <br /> GATE <br /> 1. UST PUNS SUBMITTED/ FEES ?AID (H+S CCOE 25287) <br /> I <br /> 2. UST INSTALLATION PIANS APPROVED <br /> INITIAL INSPECTIONS <br /> 3. INSPECTION AND TEST OF SECCNOARY =NTAINMENT: 4OLr0AY: <br /> VAC-XIM: SOAP- PSI: HRS/MIN: 3RINE(LICUIO ANNULAR): OTHER: <br /> 4. PRIMARY iANK TEST: PSI: ;ARS/!MIN: <br /> ]. TANK APPRCPRIATELY PLACED 'PITH APPROVED 3ACX71LL (API/PEI) <br /> PIPING INSPECTIONS <br /> PRIMARY PIPING TEST (:MINIMUM 4.0 PSI/30 .MIN) (CCR 2636 (e)) <br /> - ✓I SECCNOARY PIPING CCNTAINMENT TEST ?SI: HRS/MIN: OTHER: (CCR 2636 Ce)) <br /> ]�-�� Q ✓•; LAKE TEST ON ALL-SUMPS C24 HR_ •MINIMUM)' HRS: CCCR 2635 (a) (4)) <br /> i 9 UNUSED TANK OPEVILGS 3EALD AND =RROSION PROTECTEDPEI <br /> 10. OVERSPILL ?ERFORMANC: 'EST (CCR 2635 (b) (1) (C)) <br /> 1ill. ALL PIPING AND FITTINGS CORROSION PROTEC"TE (CCR 2636 (b)) { <br /> J-5- <br /> 9?I PIPING SLCPES TO =LL=,,ICN SUMP (CCR 2636 (c)(1)) { <br /> / I <br /> FINAL 7NSPEC7:CN <br /> -fidr/ i PERFORMANCE TEST FOR "AL' " MONITORING ?ROBES (CCR 2632 Cc) (2)) <br /> lI <br /> PERFORMANCE `TEST OF =NTINUCUS MONITORING SYSTEM (PANEL) (CCR 2632 Cc) (2)) <br /> fI m- ?E11C RFORMAEST OF LIVE LEAK DETECTION / (CC? 2643 (c) (')) I <br /> 11 <br /> J I I Kl6. PERFORMANCE TEST OF AUTOMATIC ?UMP SYSTEM SHUT-OFF Off (CCR 2636 (9)) <br /> ' I 117. BALL FLOAT VALVES INSTALLM <br /> i 118. OVERFILL PROTECTICN INSTALLED/APPROVED (CCT 26.35 (b) (2)) <br /> 1 119. TANK ACCESS PORTS 3ROUGHT TO GRADE (LOCKED AND 'JATERTIGHT) API <br /> 120. TANK INTEGRITY TEST (?ASSING HARD COPY) (CCR 2635 (a) (5)) <br /> MCNITCRI ?LAN, 2ESPCNS- ?LAN AND LOG 3CCK ON SITE �7 y s� (CCR 2632 (d)) <br /> 122. "C" FORM CCMPLETE7. AND SUBMITTED (CCR =635 (d)) <br /> MCNITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2530-2636) <br /> 1 <br /> 124. ALL =-NDITICNS ,'MET; =AC:LiTY PERMIT ISSUED (H-S CSE 25284) <br /> COMMENTS: <br /> EH23-006 9/95 <br /> 10 <br />