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[FACILITY NAME: < . _ _ _ w , - - W. 9 SS: / e / � < _ .N' _-- L 1 <br />l r, <br />INITIAL INSPECTIONS <br />A <br />I <br />3. INSPECTION AND OF SECONDARY CONTAI <br />HOLIDAY: <br />P <br />M <br />ALL TAXIM TO BE INSTALLED AID TESTED IM ACCORDANCE <br />HRS/MIM: <br />P <br />I <br />WITN.NANUFACTURER WRITTEN SPECIFICATIONS <br />R <br />T <br />O <br />I <br />V <br />A <br />E <br />L <br />D <br />S <br />ITEM OR EQUIPMENT INSPECTED <br />DATE <br />1. UST PLANS ITTED/ FEES PAID (M+S CODE 25287, CCR 2635 (D) (8) <br />2. UST INSTALLATION PLANS APPRMIED (CCR 2635 (E) (5)) <br />INITIAL INSPECTIONS <br />PIPING INSPECTIONS <br />s O <br />V <br />6. PRIMARY «« <br />3. INSPECTION AND OF SECONDARY CONTAI <br />HOLIDAY: <br />VACUUM: SOAP: PSI: NRS/NIM: <br />BRIME(LIQUID ): OTHER: <br />4. PRIMARY TANK TEST: D PSI: <br />HRS/MIM: <br />5. TANK APPROPRIATELY PLACED WITH AMWVED BACKFILL <br />(CCR 2635 (A) (3) (4) (6)/ API/PEI) <br />PIPING INSPECTIONS <br />s O <br />V <br />6. PRIMARY «« <br />E'rZal <br />7. SECONDARY PIPING CONTAINMENT TEST PSI:1157�/NIN: HER: (CCR 205 (A) (4)) <br />A«r' <br />;. <br />M <br />FINAL INSPECTION <br />EH23-006 3/92 <br />