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NEW UST INSTALLATION INSPECTION RECORD <br /> FAC:LITY NAME: ADDRESS: <br /> FACILITY I0# TANK" UL,r. TANK MCOEL/MATSRIAL: <br /> CAPACITY: D PRODUCT. `/ I R-E•H-S: <br /> A I <br /> P 4 ALL TANKS TO 3E INSTALLED AND TESTED IN ACCCROANCS <br /> P : 'dITH MANUFACTURER 14RITTEN SPECIFICATIONS <br /> R T ice/ <br /> a t <br /> ,SIA <br /> E L1� <br /> D s <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> ! 1. UST PLANS SUBMITTED/ FEES ?AID (H+S C=E 25287) <br /> 1 2. UST INSTALLATION PLANS APPROVED <br /> INITIAL :HSPECTICHS <br /> 1 13. INSPECTICN AND TEST OF SECONDARY CONTAINMENT: y- r HOLIDAY: <br /> VACUUM: SOAP: PSI: HRS/MIH: 3RIHE(LIQUID .ANNULAR): OTHERoz : <br /> i <br /> PRIMARY TANK TEST: PSI: RS/MIN: <br /> 1 1 5. TANK APPROPRIATELY PLACED 'PITH APPROVED 3ACKFiLL CAPI/PEI) <br /> PIPING IYSPECTICNS <br /> 6. PRIMARY PIPING TEST (MINIMUM 40 PSI/30 .MIN) (CCR 2/636 (e)) <br /> 7. ScCCNOARY PIPING CONTAINMENT TEST ?SI: ARS/MIN: OTHER: (CCR 2636 (e)) <br /> i 3. LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) IRS: (CCR 2635 (a) (4)l <br /> f I <br /> 1 9. UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> '10. OVEZSPtLL PERFORMANCE TEST (C8 2635 (b) (1) (C)) <br /> ! <br /> 111. ALL PIPING AND FiiiINGS =RROSION PROTECTED (CCA 2636 (b)) <br /> I <br /> 112. PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (:)(1)) <br /> FINAL INSPECTION <br /> 1 j 113. PERFCRMANC PEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br /> 1 I 114. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) CCCR 2632 (c) (2)) <br /> 15. PERFORMANCE TEST OF LINE LEAK OETECTICH (CCR 2643 (c) (1)) <br /> 1 I I16. PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (9)) <br /> 1 j I17. 3ALL FLOAT 'VALVES INSTALLED <br /> 1 118. OVERFILL PROTECTION INSTALLED/APPROVED CCCR 2635 (b) (2)) <br /> 1 119. TANK ACCESS PORTS 3ROUGHT TO u'RADE CLOCKED AND WATERTIGHT). API <br /> 1 <br /> 120. TANK INTEGRITY TEST (PASSING HARD COPY) CCCR 2635 (a) (5)) <br /> 1 121. MONITORING PLAN, RESPONSE PLAN AND LOG 3OCK ON SITEE (CCR 2632 (d)) <br /> 1 122. "C" FORM COMPLETED AND SUBMIiiED (CCR 2635 (d)) <br /> I23. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCT 2630-2636) <br /> 124. ALL CONDITIONS MET; FAC:L:TY PERMIT ISSUED (H-S CODE 25284) <br /> CCMMENTS: <br /> EH23—)06 9/95 <br /> 10 <br />