Laserfiche WebLink
'EW UST INSTALLATION INSPECTION RECORD <br /> FACILITY NAME: " ADDRESS: <br /> -, <br /> FACILITY ID# TANK# UL# V O TANK MODEL/MATERIAL: �^uc{�! 0 L 445 c/ <br /> C{,PACITY: G), �� PRODUCT: R.E.H.S: L,�� <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 1 <br /> V A <br /> E L <br /> D S <br /> ITEM OR EQUIPMENT INSPECTED <br /> DATE <br /> <�Il. UST PLANS SUBMITTED/ FEES PAID (H+S CODE 25287) <br /> UST INSTALLATION PLANS APPROVED <br /> INITIAL INSPECTIONS <br /> INSPECTION AND TEST OF SECONDARY CONTAINMENT: HOLIDAY: <br /> VACUUM: /,,I'/ SOAP: PSI: HRS/MIN: BRINE(LIQUID ANNULAR): OTHER: <br /> PRIMARY TANK TEST: V10C O U WL PSI: HRS/MIN: <br /> 5. TANK APPROPRIATELY PLACED WITH APPROVED BACKFILL (API/PEI) <br /> V 1�l PIPING INSPECTIONS <br /> PRIMARY PIPING TEST (MINIMUM 40 PSI/30 MIN) (CCR 2636 (e)) <br /> SECONDARY PIPING CONTAINMENT TEST PSI: HRS/MIN: OTHER: (CCR 2636 (e)) <br /> / � -�. -y ✓ LAKE TEST ON ALL SUMPS (24 HR. MINIMUM) HRS: (CCR 2635 (a) (4)) <br /> UNUSED TANK OPENINGS SEALED AND CORROSION PROTECTED PEI <br /> OVERSPILL PERFORMANCE TEST (CCR 2635 (b) (1) (C)) <br /> ����� / ✓ ALL PIPING AND FITTINGS CORROSION PROTECTED (CCR 2636 (b)) <br /> PIPING SLOPES TO COLLECTION SUMP (CCR 2636 (c)(1)) <br /> FINAL INSPECTION <br /> PERFORMANCE TEST FOR "ALL" MONITORING PROBES (CCR 2632 (c) (2)) <br /> 4. PERFORMANCE TEST OF CONTINUOUS MONITORING SYSTEM (PANEL) (CCR 2632 (c) (2)) <br /> PERFORMANCE TEST OF LINE LEAK DETECTION ��.�'"� y/Cy� 'tt��T (CCR 2643 (c) (1)) <br /> PERFORMANCE TEST OF AUTOMATIC PUMP SYSTEM SHUT-OFF (CCR 2636 (g)) <br /> BALL FLOAT VALVES INSTALLED <br /> 8. OVERFILL PROTECTION INSTALLED/APPROVED (CCR 2635 (b) (2)) <br /> TANK ACCESS PORTS BROUGHT TO GRADE (LOCKED AND WATERTIGHT) API <br /> TANK INTEGRITY TEST (PASSING HARD COPY) (CCR 2635 (a) (5)) <br /> MONITORING PLAN, RESPONSE PLAN AND LOG BOOK ON SITE (CCR 2632 (d)) <br /> "C" FORM COMPLETED AND SUBMITTED (CCR 2635 (d)) <br /> 3. MONITORING METHOD FOR ALL TANKS AND PIPING APPROVED (CCR 2630-2636) <br /> . . ALL CONDITIONS MET; FACILITY PERMIT ISSUED (H+S CODE 25284) <br /> COMMENTS: <br /> EH23-006 9/95 T <br />